Out-of-Network Providers

The Out-of-Network coverage allows our members to utilize their benefit at any eye location that is not on our provider list. For all those who prefer to utilize other locations such as Costco, Sam’s Club, Target and WalMart, you can still have coverage through our plans with our reimbursement option. 

Policy and Procedures:

Opticare Vision Services will process your claim within 30 days from the date received. All information requested is required to process your claim completely. If information is missing, the claim will not be processed completely and may add time to the receipt of payment. Opticare Vision Services will mail your check to the insured’s mailing address listed on file. If the address may have changed recently, please contact the insured’s Human Resource department to have them submit the address change to Opticare Vision Services for updating. Out of Network Provider must be a licensed Optician, Optometrist, or Ophthalmologist to qualify – No website/online purchases are covered. Full Allowance qualification is based on retail pricing. Please see Plan Outline.

Opticare Vision Services
Out of Network Reimbursement Request

  • MM slash DD slash YYYY
  • Itemized Price(s) Paid

  • Drop files here or
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    • Please submit completed form & itemized receipt to:
      Opticare Vision Services
      1901 West Parkway Blvd
      Salt Lake City, UT 84119
      (801) 869-2020
      Service@opticarevisionservices.com
      Questions or Comments :
      (800) 363-0950
      www.opticarevisionservices.com