Vision Insurance
USD

Want to submit a claim form to your Vision Insurance company?
Below you can find some useful information.

Provider Index
Click the provider names below to jump to their sections.
If you can't find your vision insurance company below, click here to download a generic reimbursement form.

Advantica
Davis Vision
EyeMed
Humana Vision
Spectera
Superior Vision
Vision Benefits
VSP

    Advantica

    You can get your DharmaCo.com purchase reimbursed by Advantica if out-of-network benefits are included in your plan.
    You can review your benefits here or by calling 1-866-425-2323.


    Download reimbursement form.


    Submit your completed reimbursement form and itemized DharmaCo.com receipt to:

    Advantica
    Attn: Claims Department
    3290 Pine Orchard Lane, Suite C
    Ellicott City, MD 21042

     

    NOTE: You must submit your out-of-network reimbursement request within one year from the date of purchase.

    Davis Vision

    You can get your DharmaCo.com purchase reimbursed by Davis Vision if out-of-network benefits are included in your plan.
    You can review your benefits here or by calling 1-800-999-5431.


    Download reimbursement form.


    Submit your completed reimbursement form and itemized DharmaCo.com receipt to:

    Vision Care Processing Unit
    P.O. Box 1525
    Latham, NY 12110

     

    NOTE: Your out-of-network reimbursement form must be submitted within 180 days from the date of purchase.

    EyeMed

    You can get your DharmaCo.com purchase reimbursed by EyeMed if out-of-network benefits are included in your plan.
    You can review your benefits here or by calling 1-866-4EyeMed (439-3633).


    Download reimbursement form.


    Submit your completed reimbursement form and itemized DharmaCo.com receipt to:

    EyeMed Vision Care
    Attn: OON Claims
    P.O. Box 8504
    Mason, OH 45040-7111

     

    NOTE: Your out-of-network reimbursement form must be submitted within one year from the date of purchase.

    Humana Vision

    You can get your DharmaCo.com purchase reimbursed by Humana Vision if out-of-network benefits are included in your plan.
    You can review your benefits here or by calling 1-866-537-0229.


    Download reimbursement form.


    Submit your completed reimbursement form and itemized DharmaCo.com receipt to:

    Humana Vision Care Plan
    Attn: OON Claims
    P.O. Box 14311
    Lexington, KY 40512-4311

     

    NOTE: Your out-of-network reimbursement form must be submitted within one year from the date of purchase.

    Spectera

    You can get your DharmaCo.com purchase reimbursed by Spectera if out-of-network benefits are included in your plan.
    You can review your benefits here.


    Download reimbursement form.


    Submit your completed reimbursement form and itemized DharmaCo.com receipt to:

    Spectera Claims Department
    P.O. box 30978
    Salt Lake City, UT 84130

    Or Fax: 248-733-6060

     

    NOTE: You must submit your out-of-network reimbursement request with your itemized receipt and the following information: Subscriber’s name and address, the patient’s name and date of birth, and the subscriber’s unique identification number. This number can be found on your membership card, on the Spectera website, or by calling 1-800-638-3120. For convenience, you can complete our blank out-of-network reimbursement form.

    Superior Vision

    You can get your DharmaCo.com purchase reimbursed by Superior Vision if out-of-network benefits are included in your plan.
    You can review your benefits here or by calling 1-800-507-3800.


    Download reimbursement form.


    Submit your completed reimbursement form and itemized DharmaCo.com receipt to:

    Superior Vision Services
    Attn: Claims Processing
    P.O. Box 967
    Rancho Cordova, CA 95741

    Or Fax: 916-852-2277

    Vision Benefits of America

    You can get your DharmaCo.com purchase reimbursed by Vision Benefits of America if out-of-network benefits are included in your plan.
    You can review your benefits here. or call 1-800-432-4966.


    Download reimbursement form.


    Submit your completed reimbursement form and itemized DharmaCo.com receipt to:

    Vision Benefits of America
    300 Weyman Plaza, Suite 400
    Pittsburg, PA 15236-1588

    VSP

    You can get your DharmaCo.com purchase reimbursed by VSP if out-of-network benefits are included in your plan.
    You can review your benefits here or by calling 1-1-­800-­877-­7195.


    Download reimbursement form.


    Submit your completed reimbursement form and itemized DharmaCo.com receipt to:

    VSP
    P.O. 997105
    Sacramento, CA 95899-7105