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Insurance Forms:
ContactLens.com like all internet contact lens retailers is considered an "out of network" provider for insurance purposes. An "out of network" provider is a retailer that is not directly associated with your insurance company. The process for using an "out of network" provider is to first purchase the product and then submit the invoice with the appropriate claim form to your insurance company for reimbursement directly from your insurance company for the products purchased. The following company's claim forms are provided for your convenience.*
 
Eye Med:
 
Eye Med Vision Claims, Attn: OON Claims
PO Box 8504
Mason, OH 45040
Fax: 1 (866) 293-7373
www.eyemedvisioncare.com
 
 
Please Click Here to File Your Eye Med Claim Form Online

Submitting your Eye Med claim:
  1. Claim forms must be submitted within 15 months of the date of service.
  2. Complete the required fields and upload an itemized, paid-in-full receipt that includes:
    1. the patient’s name
    2. date of service
    3. the provider’s name – handwritten receipts must be on the provider’s letterhead.
  3. Submit your completed form – we’ll reimburse you for qualifying services and/or materials based on your out-of-network benefits.

Vision Service Plan (VSP):
 
V.S.P.
P.O. Box 997105
Sacramento, CA 95899
Phone: 1 (800) 877-7195
www.vsp.com
 

Davis Vision:
 
Davis Vision
Vision Care Processing Unit
P.O. Box 1525
Latham, NY 12110
Phone: 1 (800) 999-5431
 
 
Superior Vision:
 
Superior Vision Services, Inc. Attn: Claims Processing
P.O. Box 967
Rancho Cordova, CA 95741
Phone: 1 (800) 507-3800
 
 
 

*Please Note: Neither Contactlens.com nor Lensfast LLC is affiliated with, related to or has an interest in any insurance company. We provide these forms solely for the convenience of our customers and cannot guarantee eligibility or reimbursement for any purchase. We advise prior to making a purchase to check what coverage you have as benefits vary depending on your plan. Please check directly with your insurance company if you have any questions relating to your insurance coverage or benefit eligibility.



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