Davis vision student verification form 2025

Show details

4 out of 5

24 votes

The document is a Student Verification Form for the New York State Vision Plan, intended for dependent students aged 19 to 24. It requires certification of full-time enrollment in an accredited institution and must be submitted to Davis Vision at least 10 days before a doctor's appointment. The form includes sections for personal information, school details, and signatures, along with instructions for submission via email, fax, or mail. It also warns against fraudulent claims.

Here's how it works

01. Edit your 036076150 online

Type text, add images, blackout confidential details, add comments, highlights and more.

02. Sign it in a few clicks

Draw your signature, type it, upload its image, or use your mobile device as a signature pad.

03. Share your form with others

Send it via email, link, or fax. You can also download it, export it or print it out.

The best way to modify Davis vision student verification form in PDF format online

Ease of Setup

DocHub User Ratings on G2

Ease of Use

DocHub User Ratings on G2

Working on documents with our comprehensive and user-friendly PDF editor is straightforward. Adhere to the instructions below to fill out Davis vision student verification form online easily and quickly:

Sign in to your account. Sign up with your email and password or create a free account to try the product before upgrading the subscription.
Import a document. Drag and drop the file from your device or add it from other services, like Google Drive, OneDrive, Dropbox, or an external link.
Edit Davis vision student verification form. Easily add and underline text, insert pictures, checkmarks, and symbols, drop new fillable fields, and rearrange or delete pages from your document.
Get the Davis vision student verification form completed. Download your updated document, export it to the cloud, print it from the editor, or share it with others via a Shareable link or as an email attachment.

Take advantage of DocHub, the most straightforward editor to rapidly handle your paperwork online!

be ready to get more

Complete this form in 5 minutes or less

Get form

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 often does insurance let you get new glasses?

The specifics of coverage will vary from insurance plan to plan, but most plans give a set allotment for new eyeglasses every year. Most plans cover between $120 and $150 of the cost of new eyeglasses. If you choose a pair of frames or lenses that exceed that cost, you will cover the difference yourself.

Does Davis vision cover replacement glasses?

Within the first ninety (90) days from the original date of dispensing, Davis Vision will provide a new complete pair of eyeglasses in an alternate frame at no charge. * The date of dispensing is considered to be 10 days from the date the eyewear is shipped from the laboratory.

Does Target accept Davis Vision?

Davis Vision has a provider network consisting of 22,000 private practitioners, independent optometrists and ophthalmologists, opticians, and retailers nationwide. Many national and regional retail stores are now in-network, including Wal-Mart, Target Optical, Sears Optical, Pearle Vision, and Doctors Visionworks!

How long do you have to wait to get another pair of glasses?

Most glasses prescriptions expire after one or two years. At your exam, your eye doctor will let you know if there are changes in your prescription that warrant a shiny new pair of eyeglasses.

How often can you get new glasses with Davis vision?

We only get glasses or contacts every two years. What if you have a condition where vision changes then I guess were out of luck and its difficult to get claims through. Annually would be more in line with other vision plans. Theres so much not covered when people have actual issues.

Can I use Davis Vision at Costco?

Can I use my Davis Vision plan at Walmart, Sams Club or Costco? Yes, you may check for your provider on our member website at .davisvision.com to confirm. The Davis Vision provider network includes many regional and national retail locations, including Walmart, Sams Club and Costco.

How to get Davis Vision ID card?

Getting a replacement ID card is as simple as logging into your member portal and printing one out. Follow our step-by-step walkthrough below. Log into davisvision.com/member and enter either your username and password or your client code. If you are new to the site, you will need to register online before logging in.

Davis vision student verification form 2025

Here's how it works