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Metlife vision claim form pdf

Metlife vision claim form 2025

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The document is a MetLife Vision Member Reimbursement Form that outlines the process for members to request reimbursement for vision-related expenses. It requires members to fill out personal and patient information, detail claim amounts for various vision services, and include itemized receipts. The form also includes fraud warnings specific to different states, emphasizing the legal consequences of providing false information.

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Got questions?

We have answers to the most popular questions from our customers. If you can't find an answer to your question, please contact us.

How does out of network vision work?

If your practice is out of network with a given vision insurance plan, usually that means that the patient is on their own for reimbursement from their vision insurance.

How do I submit a claim to superior vision?

Once on the Forms and Pubs page, click on the Member Reimbursement Claim Form link. Print the form, fill it out and mail it in to the address located on the form. Should you need more assistance, please call customer service at 1 (800) 507-3800.

Is superior vision the same as VSP?

Just follow these steps: Login to your vsp.com account. Click on View Your Benefits. Click Submit a Claim under Oops! Did You Go Out of Network? Click Start New Claim.

Does MetLife vision cover contacts?

Contact lenses MetLife Vision covers a contact lens exam and fitting each 12-month period with a $60 copay. Medically necessary contact lenses are covered each 12-month period with a $20 copay. It provides a $120 allowance for elective contact lenses every 12 months.

Who is the vision provider for MetLife?

Vision benefits are underwritten by Metropolitan Life Insurance Company, New York, NY. Certain claims and network administration services are provided through: Davis Vision, Inc. (Davis Vision), a New York corporation; Superior Vision Services, Inc.

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How do I contact superior vision insurance?

First, call Superior Vision Customer Service at (800) 507-3800 and get an authorization number / eligibility number. Second, see your eye care professional and pay for your examination and/or materials.