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Aetna vision claim form

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The document is an 'Out of Network Vision Services Claim Form' for Aetna Vision plans, detailing the process for members to claim reimbursement for services received from non-participating vision care providers. It outlines necessary steps, including completing the form, providing itemized receipts, and submitting the claim within one year of service. The document also includes fraud warning statements specific to various states, emphasizing the legal consequences of submitting false claims.

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Versions	Form popularity	Fillable & printable
2013	4.8 Satisfied (126 Votes)
2009	4.3 Satisfied (39 Votes)

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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 to claim a refund for glasses?

To apply, download, print and return a HC5 refund form with your original receipt and optical prescription. The HC5 form tells you where to send it. To claim a refund of optical charges paid online, print and send the payment invoice with your HC5 and optical prescription.

How to file a claim for glasses?

Claim Your Vision Insurance Select your insurance provider to download claim form, or opt for generic claim form. Print and complete the relevant form. Attach itemized receipt of your prescription glasses. Submit the receipt and form to your insurance company to the specified address found on the form.

Does Aetna insurance cover vision?

With an Aetna Vision Preferred Direct plan, you get the insurance coverage you need to keep your eyes healthy. Plus, the eyewear you want, where you want. Looking for dental benefits? You can save by choosing an Aetna Dental Direct plan that includes vision coverage.

What is the phone number for Aetna vision?

Learn more at Aetna.com, or call 1-855-837-6453 (TTY: 711) to enroll in Aetna Vision℠ Preferred today. These are the plans main exclusions and limitations.

What is the vision statement of Aetna?

Building a healthier world Aetna is transforming health care to create healthier communities, a healthier nation and a healthier world. Let us show you how were focused on helping to create a healthier you.

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Can you claim for prescription glasses?

You can claim the cost of an eyesight test, and even any corrective glasses. There are conditions to this: Corrective glasses are made generally available to all employees; and. The eye test is required under Health and Safety at Work regulations.

Can I claim the cost of my glasses?

Vision Care Any device that assists with vision correction is eligible for tax credit. This includes glasses, contact lenses, laser eye surgery, and other assistive vision devices such as prescription swimming goggles. The cost of both lenses and frames for glasses is refundable on your income tax return.

Get the up-to-date aetna vision claim form 2025 now

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How to modify Aetna vision claim form in PDF format online

See more aetna vision claim form versions

Complete this form in 5 minutes or less

Got questions?

How to claim a refund for glasses?

How to file a claim for glasses?

Does Aetna insurance cover vision?

What is the phone number for Aetna vision?

What is the vision statement of Aetna?

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Can you claim for prescription glasses?

Can I claim the cost of my glasses?

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