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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.

FAQS

SELECT YOUR PROVIDER

Sportrx
1. Obtain a copy of your itemized receipt.

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.

2. Start your claim.

Submit your claim online here or download, complete, and print this form.

3. Complete your claim.

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

4. 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.

Sportrx
1. Obtain a copy of your itemized receipt.

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.

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
PO Box 30978
Salt Lake City, UT 84130

4. 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.

Sportrx
1. Obtain a copy of your itemized receipt.

Contact us 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.

4. 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.

Sportrx
1. Obtain a copy of your itemized receipt.

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.

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

4. 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.

Sportrx
1. Start your claim.

Download and complete this form.

2. Submit your claim.

Mail your completed form to:

Vision Care Processing Unit
P.O. Box 1525
Latham, NY 12110

3. 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.

Sportrx
1. Obtain your itemized receipt.

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.

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

3. 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.

Sportrx
1. Obtain a copy of your itemized receipt.

Contact us if you need another copy of your receipt.

2. Start your claim.

Download, complete, and print this 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

4. 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.

Sportrx
1. Obtain a copy of your itemized receipt.

Contact us if you need another copy of your receipt.

2. Start your claim.

Download, complete, and print this 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

4. 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.

Don’t see your provider? Contact your insurance company directly for instructions on applying for reimbursement

USE VISION INSURANCE FOR