You just need to provide us with the following information:

-Primary Insured Name
-Patient's Name
-Member ID
-Date of Birth

Did you forget to use your insurance at the time of your order? No problem, you may also file an Out-of-Network Reimbursement form.  Just follow the steps below:

  • Fill out claim form Download it here

    Complete the claim form above and submit it along with your itemized receipt to this address:

    UnitedHealthcare Vision
    ATTN: Claims Department
    P. O. Box 30978
    Salt Lake City, UT 84130
    Fax : (248) 733-6060 
  • Attach receipt
    For online orders, we'll include an itemized receipt once your order has been received. For in-person orders, we will provide a printed itemized receipt and can email you a copy at your request.
  • Submit claim form and receipt
    After submitting your claim, you'll typically be reimbursed within 2-4 weeks. (Depending on your provider, reimbursement times may vary.)