How to reimburse prescription glasses bought online (out-of-network)

Many people buy prescription glasses online because it’s more affordable, convenient, and offers a wider selection. However, if you purchased from an out-of-network retailer like NextPair, you might wonder:

✅ Can I still use my vision insurance?
✅ How do I get reimbursed for my purchase?
✅ How much money will I get back?

The good news is that most vision insurance providers allow out-of-network claims, meaning you can still get money back—you just need to file a reimbursement request.

Step 1: Check Your Vision Insurance Plan

Before submitting a claim, check the out-of-network benefits in your vision insurance plan. Most major providers, including VSP, EyeMed, Davis Vision, and Cigna, offer partial reimbursement for eyewear bought from non-partner retailers.

✔️ Log into your insurance provider’s website to check your benefits.
✔️ Look for out-of-network reimbursement rates (usually between $40-$150).
✔️ Download the claim form (each provider has its own).

💡 Pro Tip: Some plans reimburse more for lenses than frames, so choosing thinner high-index lenses may increase your refund.

Step 2: Gather Required Documents

To submit your claim, you’ll need:

📄 A detailed itemized receipt from NextPair (or another retailer)
📑 Your vision insurance claim form (downloaded from your provider’s website or the NextPair website)
🆔 Your insurance member ID (found on your insurance card)

✔️ The itemized receipt should include:

• Your name

• The date of purchase

• The prescription details (SPH, CYL, AXIS, PD)

• The cost breakdown (frames, lenses, coatings)

🟡 NextPair makes this easy! We’ll send you all the required details on your invoice. If you don’t receive an itemized receipt automatically, contact NextPair customer support, and we’ll send it to you.

Step 3: Submit Your Claim

Most vision insurance providers allow you to submit claims online, by mail, or via mobile app.

💡 Pro Tip: You can also download the necessary insurance claim forms directly from the NextPair insurance page.

🖥️ Online Submission:
1️⃣ Go to your provider’s claims page (e.g., VSP, EyeMed).
2️⃣ Fill in the form with your purchase details.
3️⃣ Upload a photo or PDF of your receipt.
4️⃣ Submit and wait for processing.

✉️ Mail Submission:
1️⃣ Print and fill out the claim form.
2️⃣ Attach a copy of your receipt.
3️⃣ Mail it to the address listed on the form.

📱 Mobile App Submission: (if available)
1️⃣ Open your vision insurance provider’s app.
2️⃣ Take a photo of your receipt and upload it.
3️⃣ Fill out claim details and submit.

💡 Pro Tip: Online and app submissions are faster, while mail claims take longer to process.

Step 4: How Much Will You Get Back?

Reimbursement amounts vary by provider and plan. Below are typical out-of-network reimbursement rates:

🟡 Frames: $40 - $70
🟡 Single Vision Lenses: $30 - $50
🟡 Bifocal Lenses: $50 - $80
🟡 Progressive Lenses: $60 - $120

💡 Pro Tip: If you choose premium lens coatings (anti-glare, blue light filter, or high-index lenses), they may not be reimbursed, but they still offer long-term value.

Step 5: Receive Your Reimbursement

✅ Claims processing time: 2-4 weeks (varies by provider).
✅ Reimbursement method: Typically by check or direct deposit.

💡 Pro Tip: If your claim takes longer than expected, contact your provider’s customer service to check its status.

🟡👓 With the right approach, you can get stylish, high-quality glasses while still benefiting from your vision insurance!