1. Fill out an Out-Of-Network Reimbursement Form.
2. Include with the form an itemized receipt (AC Lens provides these with every purchase).
3. Mail, Fax, or Email the completed form to the corresponding vision insurance provider.
   
   

1. An itemized receipt
2. Fill out an Out-Of-Network-Reimbursement-Form
   
3. Subscriber's name, address, and Spectera ID#
4. Patient's name and date of birth
5. A note requesting reimbursement

**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.