Follow these easy steps to submit an out-of-network claim for reimbursement through VSP. Every plan is a little different, so be sure to contact VSP directly for details on your out-of-network benefits and eligibility.

1. Obtain a copy of your itemized receipt. Contact us at [email protected] if you need another copy of your receipt, or if the patient's name is different from the name on your order. We'll provide you with an itemized receipt that has that added detail.
2. Start your claim. Begin your claim online by logging into your VSP account and going to Benefits and Claims, then Start New Claim. Complete the fields and follow the prompts.
3. Submit your claim. Upload your itemized receipt when prompted, or Print and mail the completed claim form and your itemized receipt to:
   Vision Service Plan
   Attention: Claims Services
   P.O. Box 385018 Birmingham, AL 35238-5018

Questions about your claim? For help submitting your claim, or to check the status of your reimbursement, call VSP Member Services at (800) 877-7195.

Need to make an out-of-network claim for your new GUNNAR glasses? Follow these 4 easy steps to make your reimbursement claim through EyeMed. Before you get started, be sure to confirm your plan's out-of-network benefits and eligibility by contacting EyeMed directly.

1. Reach out to [email protected] to request your itemized receipt with the following details.
   1. the patient's name
   2. date of service
   3. the provider's name – handwritten receipts must be on the provider's letterhead
   4. currency in which the receipt was paid, if not in US dollars.
2. Once you receive your itemized receipt, you're ready to start your claim. Click here to access EyeMed's online claim form.
3. After you receive the email link from EyeMed, follow the instructions to submit your claim online.

Questions about your claim?
For help submitting your claim, or to check the status of your reimbursement, log in to your EyeMed Web account or call member services at (866) 939-3633.

Follow these easy steps to submit an out-of-network claim for reimbursement through United Healthcare. Every plan is a little different, so be sure to contact United Healthcare directly for details on your out-of-network benefits and eligibility.

1. Obtain a copy of your itemized receipt. Contact us at [email protected] with your Subscriber ID, and the Name and DOB of the patient. We'll provide you with an itemized receipt for your order that includes these extra details.
2. Start your claim. Download and complete this form.
3. Submit your claim. Fax both items to (248) 733-6060 or mail both items to:
   United Healthcare Vision
   Attn: Claims Department PO Box 30978 Salt Lake City, UT 84130

Questions about your claim?
For help submitting your claim, or to check the status of your reimbursement, log in to your UHC Vision account or call Customer Service at (866) 760-1274.

Follow these easy steps to submit an out-of-network claim for reimbursement through Humana Vision Care. Every plan is a little different, so be sure to contact Humana directly for details on your out-of-network benefits and eligibility.

1. Obtain a copy of your itemized receipt. Contact us at [email protected] if you need another copy of your receipt.
2. Start your claim. Log in to your Humana VCP account and download a claim form by selecting Benefits Details.
3. Submit your claim. Mail your completed claim form and itemized receipt to the address specified on your claim form.

Questions about your claim?
For help submitting your claim, or to check the status of your reimbursement, call the Humana Customer Care Center at (866) 537-0229.

Follow these easy steps to submit an out-of-network claim for reimbursement through Davis Vision. Every plan is a little different, so be sure to contact Davis Vision directly for details on your out-of-network benefits and eligibility.

1. Start your claim. Download and complete this form. Click here to access Davis Vision Out of Network form.
2. Submit your claim. Mail your completed form to:
   Vision Care Processing Unit
   P.O. Box 1525
   Latham, NY 12110

Questions about your claim?
For help submitting your claim, or to check the status of your reimbursement, log in to your Davis Vision account or call customer service at (800) 999-5431.

Follow these easy steps to submit an out-of-network claim for reimbursement through Spectera. Every plan is a little different, so be sure to contact Spectera directly for details on your out-of-network benefits and eligibility.

1. Obtain your itemized receipt. Contact us at [email protected] with your Subscriber ID, and the Name and DOB of the patient. We'll provide you with an itemized receipt for your order that includes these extra details.
2. Submit your claim. Fax your receipt to (248) 733-6060 or mail your itemized receipt to:
   Spectera Claims Department
   P.O. Box 30978
   Salt Lake City, UT 84130

Questions about your claim?
For help submitting your claim, or to check the status of your reimbursement, log in to your Spectera account or call Customer Service at (800) 638-3120.

Follow these easy steps to submit an out-of-network claim for reimbursement through Aetna. Every plan is a little different, so be sure to contact Aetna directly for details on your out-of-network benefits and eligibility.

1. Obtain a copy of your itemized receipt. Contact us at [email protected] if you need another copy of your receipt.
2. Start your claim. Download, complete, and print Aetna's out of network claim form.
3. Submit your claim. Mail your completed claim form and itemized receipt to:
   Aetna Vision
   Attn: OON Claims
   P.O. Box 8504
   Mason, OH 45040-7111

Questions about your claim?
For help submitting your claim, or to check the status of your reimbursement, log in to Aetna Vision or call the Customer Care Center at (877) 973-3238.

Follow these easy steps to submit an out-of-network claim for reimbursement through Cigna Vision. Every plan is a little different, so be sure to contact Cigna Vision directly for details on your out-of-network benefits and eligibility.

1. Obtain a copy of your itemized receipt. Contact us at [email protected] if you need another copy of your receipt.
2. Start your claim. Download, complete, and print Cigna's out of network claim form.
3. Submit your claim. Mail the completed claim form and your itemized receipt to:
   Cigna Vision
   P.O. Box 385018
   Birmingham, AL 35238-5018

Questions about your claim? For help submitting your claim, or to check the status of your reimbursement, log in to your Cigna Vision account or call Customer Service at (877) 478-7557.