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    9FIVE.com is an out-of-network provider for most vision insurance plans
    Because we are an out-of-network provider, you will need to purchase the prescription service/frames upfront, however you will be able to use the invoice provided to be reimbursed by your insurance provider. We recommend that you check with your insurance provider for your out-of-network benefits eligibility before purchasing. The contact information for the most popular insurance providers can be found below for your convenience. You can submit your 9FIVERx eyewear receipt/invoice for reimbursement in three easy steps (after checkout):
    1. Complete the Out-of-Network Reimbursement Form for you provider. Included below are forms for most popular providers and a blank form for other providers.
    2. Attach your itemized 9FIVERx order receipt or invoice (this will be emailed to you and also included in your package).
    3. Submit the receipt and form to your vision insurance company. If you do not see your insurance provider listed below, use this generic reimbursement form to submit your claim.

    VSP (Download form here)
    You can get your 9FIVERx.com purchase reimbursed by VSP if out-of-network benefits are included in your plan. You can review your benefits here or by calling 1­800-877-7195.
    Submit your completed reimbursement form and itemized 9FIVERx.com receipt to:
    VSP
    P.O. 997105
    Sacramento, CA 95899-7105

     

    EyeMed (Download form here)
    You can get your 9FIVERx.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).

    Submit your completed reimbursement form and itemized 9FIVERx.com receipt to:
    EyeMed Vision Care
    Attn: OON Claims
    P.O. Box 8504
    Mason, OH 45040-7111

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

     

    Advantica (Download form here)
    You can get your 9FIVERx.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.

    Submit your completed reimbursement form and itemized 9FIVERx.com receipt to:
    Advantica
    Attn: Claims Department
    3290 Pine Orchard Lane, Suite C
    Ellicott City, MD 210421

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

     

    Davis Vision (Download form here)
    You can get your 9FIVERx.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.

    Submit your completed reimbursement form and itemized 9FIVERx.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.

     

    Humana Vision (Download form here)
    You can get your 9FIVERx.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.

    Submit your completed reimbursement form and itemized 9FIVERx.com receipt to:
    Humana Vision Care Plan
    Attn: OON Claims
    P.O. Box 14311
    Lexington, KY 40512-4311

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

     

    Superior Vision (Download form here)
    You can get your 9FIVERx.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.
    You will need to contact Superior Vision Customer service at 1-800-507-3800 to obtain an authorization number prior to using your out-of-network benefits. After obtaining out-of-network services, you will need to file a claim form as well as an itemized receipt.

    Submit your completed reimbursement form and itemized 9FIVERx.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 (Download form here)
    You can get your 9FIVERx.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 by calling 1-800-432-4966.

    Submit your completed reimbursement form and itemized 9FIVERx.com receipt to:
    Vision Benefits of America
    300 Weyman Plaza, Suite 400
    Pittsburg, PA 15236-1588

     

    Generic Reimbursement Form (Download form here)
    You can get your 9FIVERx.com purchase reimbursed by your inusurance provider if qualified. Please contact your insurance provider for eligibility.

     

    Questions?
    Call one of our prescription specialists (619) 482-9595 for more information on out-of-network benefits on your 9FIVERx purchase.