Frames Direct Insurance Form

Direct reimbursement claim form member information patient information purchase information.

Frames direct insurance form. Claims processing po box 967 rancho cordova ca 95741 fax. Int l taxes duties. Tri focal contacts lens tints coatings or. Select your provider below for details on how to apply your insurance to prescription eyeglasses prescription sunglasses and eye exams.

This may also be the same for your prescription glasses lenses since some health insurance providers may have a limit to what lens index and coatings your policy covers. Fill out this form and we ll get back to you within one business day. Bi focal lenticular check here if another insurance company has made payment to you another insurer or the doctor s office. Superior vision services attn.

Cfhp commercial opticare form a240 rev 3 09 tx 01 10 important. Have a question or like to leave feedback. Prescription glasses from eyebuydirect are covered by out of network insurance policies. All fields required unless marked optional.

Many insurance providers have a limit on how much they will cover for your glasses frames. They have also included a generic form for other insurance providers. Consumer pays for the return shipping. How do you use vision insurance at warby parker.

After obtaining out of network services you will need to file a claim form as well as an itemized receipt. If so attach a copy of the statement showing payment. Send us a message. Please do not use this form to report services furnished by other in network.

There will be a 25 restocking fee applied to returned items. The product must be repackaged as it was originally delivered to you. Total paid. Framesdirect offers forms for 8 different popular insurance providers along with the details of how to submit the form to them along with your framesdirect receipt.