Vision Claim Guides

We are currently issuing updated Vision Policies which include a Network option. Please speak with your Human Resources Department to find out when your policy will be updated.

Claims Guide for Vision Insurance with Network Option

1. How often can I use my benefits?

Since the benefit year is based on your last date of service, you can use your benefits once every 12 months from the last date of service. Therefore, our Vision policy provides benefits every service year:

  • Lenses/frames or contact lenses are covered every service year.
  • You get allowances for preventive eye health examinations every service year.

2. How do I find a participating provider?

Our policies with network option offer you the freedom to visit the Vision Care provider of your choice, but your out-of-pocket expenses may be reduced significantly when choosing a Davis Vision Network provider.

If you choose to take advantage of the network savings, you can locate Davis Vision Network providers here.
or call 800-999-5431:

Monday - Friday: 8 a.m. to 11 p.m.
Saturday: 9 a.m. to 4 p.m.
Sunday: 12 p.m. to 4 p.m. (EST)

3. How do I submit a claim?


In-network benefits:

No claim forms are needed if you choose a Davis Vision network provider! Simply provide the office with the member ID number on your Vision ID card and the name and date of birth of any covered dependent needing services. The provider’s office will verify your eligibility for services.

Out-of-network benefits:

Enrollees have the freedom to choose any licensed eye care provider. If an out-of-network provider is chosen, you will need to mail a claim for reimbursement to our dedicated Vision Claim Administrator:

First Rehab Life
c/o Vision Care Processing Unit
P.O. Box 1525
Latham, NY 12110

Download the claim form

Questions?
Call the Davis Vision Call Center at 800-999-5431

Monday - Friday: 8 a.m. to 11 p.m.
Saturday: 9 a.m. to 4 p.m.
Sunday: 12 p.m. to 4 p.m. (EST)

4. How can I check the status of my claim?

You can call the Davis Vision Call Center at 800-999-5431.

Claims Guide for Vision Insurance without Network option

1. How often can I use my benefits?

We know most people see their optometrist more than once every 2 years. Therefore, our Vision plan provides benefits every policy year:

  • Lenses/frames or contact lenses are covered every policy year.
  • You get allowances for preventive vision care examinations every policy year.

2. How do I find a participating provider?

Our Vision plan doesn’t restrict you to a network! No need to search through provider directories, you simply use the vision care provider of your choice.

3. I am covered under Plan D, which pays "80% of R&C". What is R&C?

R&C stands for Reasonable and Customary Allowance. It is the lowest of:

  1. the amount charged by the vision care provider;
  2. the usual charge by the vision care provider for the same or similar services; or
  3. the usual charge by other vision care providers in the same geographic area for the same or similar services.

4. How do I submit a claim?

5. How can I check the status of my claim?

Simply register and log in here to check the status of your claim 24/7. You can also view your claims history and download an EOB.