File a vision claim

Online filing and setting up direct deposit are the fastest ways to start receiving the benefits you need. You can file a vision claim if you or a dependent on your policy had a vision exam or purchased glasses or contact lenses.

Tips for filing a vision claim online

  • All sections must be completed to ensure quicker processing
  • Be sure to have the following information ready:
    • Your name, date of birth, Social Security number (SSN) and address
    • Claimant’s name, date of birth, SSN (if other than primary insured)
    • Treating physician’s information (must be a optometrist or ophthalmologist)
    • Date of vision exam
    • Bills or proof of treatment for eye exams, vision correction, eyeglasses, and other related out-of-pocket expenses

Then, before you know it, you’ll start receiving the benefits you need in less time than filing by paper

Can’t file online?

For a paper form, download, print and fax the completed document to 1-800-880-9325 or mail to P.O. Box 100195, Columbia, SC 29202-3195.

Vision claim form