Reimbursement Step-By-Step

How to Claim Your Vision Insurance Benefits

01 · Request Your InvoiceClick Contact Us and request a detailed invoice. Include your name and order number.
02 · Download Your FormSelect your vision insurance provider below and download its reimbursement form.
03 · Submit Your ClaimComplete the form and submit it with your invoice to your vision insurance company.

Download Your Reimbursement Form

Choose your insurance provider below to open its reimbursement form.

EyeMed logoEyeMedDownload form ↓ Aetna logoAetnaDownload form ↓ Anthem Blue View logoAnthem Blue ViewDownload form ↓ Cigna logoCignaDownload form ↓ Humana logoHumanaDownload form ↓ FEP BlueVision logoFEP BlueVisionDownload form ↓ UnitedHealthcare logoUnitedHealthcareDownload form ↓ VBA logoVBADownload form ↓ VSP logoVSPDownload form ↓ Generic Insurance Form logoGeneric Insurance FormDownload form ↓

Reimbursement eligibility and amounts depend on your individual plan. Confirm your benefits directly with your insurer.

Have FSA or HSA benefits? Visit our FSA/HSA Eligible page to learn how to use your benefits toward TART prescription eyewear.