Reimbursement Step-By-Step

Step 1: Click "Contact Us" to request a copy of your detailed invoice. Please include your  name and order number.

Step 2: Download your reimbursement form from below and complete.

Step 3: Send both the reimbursement form and invoice to your vision insurance co.

Select your applicable insurance co, form from the below mentioned options:










Generic Insurance Form

How to Use FSA and HSA Dollars

  • Did you know you can use your flexible spending account (FSA) or health savings account (HSA) to purchase prescription eyeglasses and prescription sunglasses? The funds can be used even if you don't have vision insurance.
  • To pay directly with your FSA or HSA account, simply add your HSA or FSA number to your PayPal account, enable this specific card as the default payment method. After that, proceed to the checkout and select "PayPal as the payment option.