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How to Use Your Vision Insurance and FSA Dollars at SportRx
Your Vision Insurance or FSA dollars (or both!) can be used towards your awesome new prescription shades, eyeglasses, and goggles. We're here to help make it as easy as possible! Check out the information below for details on FSA/HSA plans and how they work, plus instructions for submitting an out-of-network claim to your vision insurance for reimbursement.
SHOP FSA/HSA ELIGIBLE
FAQS
- What items are FSA and HSA eligible?
All prescription sunglasses, glasses, and goggles are FSA and HSA eligible.
- What is the difference between FSA and HSA?
One big difference between HSA and FSA is that HSA funds roll over year after year while FSA funds expire at the end of each year if left unused.
SELECT YOUR PROVIDER
Follow these easy steps to submit an out-of-network claim for reimbursement through EyeMed. Every plan is a little different, so be sure to contact EyeMed directly for details on your out-of-network benefits and eligibility.
Contact us if you need another copy of your receipt, or if the patient's name is different than the name on your order. We'll provide you with an itemized receipt that has that added detail.
Submit your claim online here or download, complete, and print this form.
If submitting your claim by mail, send your completed claim form and itemized receipt to:
First American Administrators, Inc.
Attn: OON Claims
P.O. Box 8504 Mason, OH 45040-7111
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.
Contact us 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.
Download and complete this form.
Fax both items to (248) 733-6060 or mail both items to:
United Healthcare Vision
Attn: Claims
PO Box 30978
Salt Lake City, UT 84130
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.
Contact us if you need another copy of your receipt.
Log in to your Humana VCP account and download a claim form by selecting Benefits Details.
Mail your completed claim form and itemized receipt to the address specified on your claim form.
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 VSP. Every plan is a little different, so be sure to contact VSP directly for details on your out-of-network benefits and eligibility.
Contact us if you need another copy of your receipt, or if the patient's name is different than the name on your order. We'll provide you with an itemized receipt that has that added detail.
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.
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
For help submitting your claim, or to check the status of your reimbursement, call VSP Member Services at (800) 877-7195.
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.
Download and complete this form.
Mail your completed form to:
Vision Care Processing Unit
P.O. Box 1525
Latham, NY 12110
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.
Contact us 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.
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
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.
Contact us if you need another copy of your receipt.
Download, complete, and print this form.
Mail your completed claim form and itemized receipt to:
Aetna Vision
Attn: OON Claims
P.O. Box 8504
Mason, OH 45040-7111
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.
Contact us if you need another copy of your receipt.
Download, complete, and print this form.
Mail the completed claim form and your itemized receipt to:
Cigna Vision
P.O. Box 385018
Birmingham, AL 35238-5018
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.
Don’t see your provider? Contact your insurance company directly for instructions on applying for reimbursement