| The general procedure for reimbursement for these Insurance Providers is as follows: |
| |
- Fill out an Out-Of-Network Reimbursement Form.
- Include with the form an itemized receipt (AC Lens provides these with every purchase).
- Mail, Fax, or Email the completed form to the corresponding vision insurance provider.
|
| Cole Managed Vision |
| |
You should fill out and submit Out-Of-Network-Reimbursement-Form with itemized receipt to:
Cole Vision Services, Inc.
PO Box 8504
Mason, OH 45040-7111
|
| Davis Vision |
| |
You should fill out and submit Out-Of-Network-Reimbursement-Form with itemized receipt to:
Vision Care Processing
PO Box 1525
Latham, NY 12110
|
| Spectera |
| |
You will need to do the following steps to recieve your Spectera reimbursement.
- An itemized receipt
- Fill out an Out-Of-Network-Reimbursement-Form
- Subscriber's name, address, and Spectera ID#
- Patient's name and date of birth
- A note requesting reimbursement
Then, sumbit all of the above to:
Spectera Claims Department
PO Box 30978
SLC, UT 84130
|
| EyeMed |
| |
You should fill out and submit Out-Of-Network-Reimbursement-Form with itemized receipt to:
Vision Care Service Department
Attn: OON Claims
PO Box 8504
Mason, OH 45040-7111
Fax: 1-866-293-7373
Email:oonclaims@eyemedvisioncare.com
|
| VSP |
| |
If you have an out-of-network benefit included in your plan, for reimbursement simply submit your itemized receipt from
your order along with a VSP out-of-network reimbursement form to VSP. The reimbursement form can be found on VSP’s website.
**AC Lens is in no way affiliated with or related to Cole Managed Vision, EyeMed, Davis Vision, Spectera, or VSP and makes no representation(s) on behalf of any of these providers. In general, reimbursement for expenses incurred is a matter between the patient and the insurance provider. AC Lens will not be responsible for non-reimbursed expenses under any circumstances. If you have any doubt as to whether an expense incurred at AC Lens will be covered by your provider or not, you should check with your insurance provider prior to making the purchase at AC Lens. |
