OUT OF NETWORK BENEFITS

Do you have out of network benefits? We can help you file for them. Find your insurance below and we will give you step by step directions on how to file for your benefits. Still need more help? Call us or come into your local Dietz McLean Optical.

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Select your provider and we can show you step by step instructions on your insurance out of network process.

EYEMED
 

1. Fill out claim form.  

(https://www.eyemedvisioncare.com/oon/EMVC_OON_Form.pdf)

  • Complete the claim form linked above.

2. Attach Receipt

  • We'll give you a receipt when you pay for your glasses.

3. Submit claim form and receipt.

  • Mail to:

First American Administrators

 

ATTN: OON Claims Department

P.O. Box 8504

Mason, OH 45040-7111

4. Get a check in the mail

Most vision plans usually reimburse you within 3-4 weeks.  

 
VSP

1. Fill out claim form.  

  • Complete the claim form we have attached below.

2. Attach Receipt

  • We'll give you a receipt when you pay for your glasses.

3. Submit claim form and receipt.

  • Mail to:

Vision Service Plan

ATTN: Claims Department
P.O. Box 385018 
Birmingham, AL 35238-5018

4. Get a check in the mail

Most vision plans usually reimburse you within 3-4 weeks.  

UNITED HEALTH CARE
 

1. Fill out claim form. (United Healthcare)

  • Complete the claim form linked above.

2. Attach Receipt

  • We'll give you a receipt when you pay for your glasses.

3. Submit claim form and receipt.

  • Most vision plans usually reimburse you within 3-4 weeks.

4. Get a check in the mail

 
CIGNA

1. Fill out your claim form at CignaVision 

Complete the claim form, and submit it along with your itemized receipt we will give you to this address.


Mail to:

 

CignaVision

 

P.O. Box 385018

Birmingham, AL 35238-5018

2. Attach receipt we give you.

We'll give you your receipt when you pay for your glasses.

 

3. Submit claim form and receipt.

Most vision plans usually reimburse you within 3-4 weeks.  

 
HUMANA

1. Fill out a claim form at Out of Network Claim Form
 

2. Attach receipt

We'll give you a receipt when you pay for your glasses.

 

3. Submit claim form and receipt.

Most vision plans usually reimburse you within 3-4 weeks.  

 

4. Get a check in the mail

 
ANTHEM BLUE CROSS BLUE SHIELD

1. Print out a claim form at Anthem Out-of-Network Claim Form

 

2. Attach receipt

We'll give you a receipt when you pay for your glasses.

3. Submit claim form and receipt.

Mail to:

Blue View Vision

 

Attn: OON Claims 

P.O. Box 8504 

Mason, OH 45040-7111

Or email to: oonclaims@eyewearspecialoffers.com

 

4. Get a check in the mail

Most vision plans usually reimburse you within 3-4 weeks.  

 
DAVIS VISION

1. Print off a claim form at Direct Reimbursement Claim Form
 

2. Attach receipt

We'll give you a receipt when you pay for your glasses.

 

3. Submit claim form and receipt.

Mail to:

Vision Care Processing Unit, 

P.O. Box 1525, 

Latham, NY 12110.

 

4. Get a check in the mail

DavisVision usually reimburses you within 3-4 weeks.