Utah Department of Health Vision Insurance Benefits

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Utah Department of Health

Use Utah Department of Health Out-of-Network Vision Insurance Online

You can get reimbursed for your purchase if you have coverage under your Utah Department of Health policy and qualify for Out-of-Network reimbursement. Follow the instructions shown below to redeem your reimbursement.


How to submit your Utah Department of Health Out-of-Network Claim:

1. Download & complete the claim form.

Download Form

Full claim instructions may be available on the claim form. Your policy / membership id and/or authorization may be required. Service provider information is available on the online receipt, which may be obtained by following step 2.

2. Print a copy of your online receipt.

Print Receipt

Products or services must be paid in full. Your insurance provider may require the HCPCS / CPT Diagnostic Codes for the products itemized to be included on the http://www.EyewearUS.com receipt. Each code may be hand-written next to the relevant item on the itemized purchase receipt.

3. Send documents to provider

Mailing Address:

Utah Department of Health


,

Fax:


How long does it take to receive reimbursement:

Many insurance providers will reimburse the purchase usually within 30-45 days. For details or status of a claim request, please contact the provider.

Buy glasses and eyewear online with your Aflac Out-of-Network coverage:

Repair your eyewear or search and shop through the vast selection of eyeglasses, sunglasses, lenses, contact lenses and more online in the online catalog for your Utah Department of Health Out-of-Network coverage.

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