As a Heritage Vision Plans member, you will maximize your benefits and reduce out-of-pocket costs by choosing a Heritage provider. If your plan provides out of network benefits and you choose to use an out of network provider, here are the steps to take:
- Call our Customer Service Center toll free at 800.252.2053 to verify your eligibility.
- Make an appointment with the provider of your choice.
- When your examination is complete and you have been fitted for necessary eyeglasses or contact lenses, pay the charges in full.
- Request an itemized receipt. Receipt must indicate the services provided and the amount charged for each service.
- Complete all sections of this Claim Form, sign, and submit the form along with your itemized receipt(s).
Out of network benefits are subject to the same eligibility, frequency, limitate and exclusion provisions of the plan, and are in lieu of in netwwork services.
Payment will be sent within 30 days of receiving your claim. Any missing or incomplete information may result in delay of payment. Refer to your Benefits at a Glance for reimbursement and timely filing guidelines.
For inquiries regarding your submitted claim, call our Customer Service Center toll free at 800.252.2053 or send an email to eligibility@heritagevisionplans.com.