Out of Network Reimbursement Request

If you’ve visited an out-of-network provider for your eye care needs, you will need to submit a request for reimbursement to utilize your member benefits.

Your benefits are always significantly enhanced by seeing an in-network provider, but if you’d still like to see an out-of-network provider you can submit an out-of-network request quickly and easily through our online system.

To submit your request for reimbursement, you’ll need the following:

1. Copies of your itemized receipts that include:

• Patient Name
• Doctor and/or office name
• Date of service
• Each service purchased and amount paid

2. Your Vision Care Direct Member ID

• Not sure what your Member ID is? You can find it here.

Note: Out-of-network requests must be submitted within 12 months from the date of service. Failure to submit your request within the 12 month time limit may cause your request to be denied. Please allow 2-4 weeks for your request to be processed and paid.

Submit Out-of-Network Request

Don’t want to complete the out-of-network reimbursement request online? No problem, you can print a paper form to fill out and mail it to us (please allow an additional 10-15 business days for processing). Simply download the appropriate state form and send to:

Vision Care Direct
Attention: Out-of-Network Requests
405 S Holland, Suite A
Wichita, KS 67209

Download printed version of Out-of-Network Request