Many people buy prescription glasses online because itโs more affordable, convenient, and offers a wider selection. However, if you purchased from an out-of-network retailer like NextPair, you might wonder:
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Can I still use my vision insurance?
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How do I get reimbursed for my purchase?
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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 backโyou 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.
โ๏ธ Log into your insurance providerโs website to check your benefits.
โ๏ธ Look for out-of-network reimbursement rates (usually between $40-$150).
โ๏ธ Download the claim form (each provider has its own).
๐ก 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, youโll need:
๐ A detailed itemized receipt from NextPair (or another retailer)
๐ Your vision insurance claim form (downloaded from your providerโs website or the NextPair website)
๐ Your insurance member ID (found on your insurance card)
โ๏ธ The itemized receipt should include:
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Your name
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The date of purchase
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The prescription details (SPH, CYL, AXIS, PD)
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The cost breakdown (frames, lenses, coatings)
๐ก NextPair makes this easy! Weโll send you all the required details on your invoice. If you donโt receive an itemized receipt automatically, contact NextPair customer support, and weโll 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.
๐ก Pro Tip: You can also download the necessary insurance claim forms directly from the NextPair insurance page.
๐ฅ๏ธ Online Submission:
1๏ธโฃ Go to your providerโs claims page (e.g., VSP, EyeMed).
2๏ธโฃ Fill in the form with your purchase details.
3๏ธโฃ Upload a photo or PDF of your receipt.
4๏ธโฃ Submit and wait for processing.
โ๏ธ Mail Submission:
1๏ธโฃ Print and fill out the claim form.
2๏ธโฃ Attach a copy of your receipt.
3๏ธโฃ Mail it to the address listed on the form.
๐ฑ Mobile App Submission: (if available)
1๏ธโฃ Open your vision insurance providerโs app.
2๏ธโฃ Take a photo of your receipt and upload it.
3๏ธโฃ Fill out claim details and submit.
๐ก 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:
๐ก Frames: $40 - $70
๐ก Single Vision Lenses: $30 - $50
๐ก Bifocal Lenses: $50 - $80
๐ก Progressive Lenses: $60 - $120
๐ก 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
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Claims processing time: 2-4 weeks (varies by provider).
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Reimbursement method: Typically by check or direct deposit.
๐ก Pro Tip: If your claim takes longer than expected, contact your providerโs customer service to check its status.
๐ก๐ With the right approach, you can get stylish, high-quality glasses while still benefiting from your vision insurance!