Under a direct reimbursement option, you may obtain services and materials from any vision care provider you choose. Only a portion of your actual expenses will be reimbursed under this plan.
The Alternative Vision Plan is a reimbursement program. This plan allows you to obtain services and materials from any vision care provider you choose. After you pay for your vision care services and materials, you receive partial reimbursement for the cost of an examination and one pair of prescription eyeglasses or contact lenses. After you submit your completed claim form and the provider’s itemized bill, you will be reimbursed according to the alternative vision plan services and fees schedule.
To file a claim under this option, you must first call the Vision Care Processing Unit at (800) 406-1656 to verify your eligibility for services and to order a claim form. Bring your claim form with you when you go for services from a provider that does not participate in the Davis Vision Provider Network. Your vision provider(s) should complete the applicable sections of the claim form when services are rendered. You are responsible for paying your provider in full. You must then submit the completed, signed claim form with an itemized bill from the provider to:
Vision Care Processing Unit
P.O. Box 1525
Latham, New York 12110
After you submit your completed Claim Form and the provider’s itemized bill, you will be reimbursed according to the alternative vision plan services and fees schedule.