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  • Metlife Vision Claim Form

Get Metlife Vision Claim Form

MetLife Vision Member Reimbursement Form To request reimbursement, complete this form (in blue or black ink), enclose a legible copy of your itemized receipt(s), and send them to the following address.

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How to fill out the Metlife Vision Claim Form online

Filling out the Metlife Vision Claim Form online is a straightforward process that allows you to request reimbursement for vision-related expenses. This guide provides comprehensive instructions for each section of the form, ensuring you complete it effectively and accurately.

Follow the steps to complete the Metlife Vision Claim Form online

  1. Press the ‘Get Form’ button to access the Metlife Vision Claim Form and open it in your chosen editor.
  2. Begin with the member information section. Here, fill in the policyholder or employee ID or the last four digits of your Social Security Number, followed by your first name, last name, date of birth, address, and daytime phone number.
  3. In the patient information section, indicate whether the claim is for a spouse, child, or domestic partner by selecting the appropriate option. If the patient is a child over 18, specify if they are a full-time student and if they have a disability.
  4. Next, complete the claim information section. Enter the total amounts for different services including lens type, frames, and any additional items. It is crucial that these amounts match the attached receipts. Do not include tax or shipping costs.
  5. Document the date services were received. If another insurance company has made a payment for this service, check the provided box and attach the relevant statement.
  6. In the provider information section, provide the name and phone number of the store or doctor to whom you sought vision care.
  7. Finally, sign and date the form to certify that all the information provided is true to the best of your knowledge. Review the fraud warnings specific to your state before submitting.
  8. Once the form is complete, you can save your changes, download, print, or share the form as needed.

Complete your Metlife Vision Claim Form online today for a smooth reimbursement process.

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MetLife Vision can help you and your family see well, stay healthy, and save. Save on a wide range of services that are standard benefits under this plan, including routine eye exams, glasses, contact fittings and lenses. Plus, additional savings on non-prescription sunglasses and laser vision correction.

Select Find a Vision Provider to find an eye care provider who is right for you. Review your plan coverage before your appointment. At your appointment, tell them you have the MetLife Vision plan. No ID card is necessary.

Print out an ID card or request a new ID card. Download a Certificate of Coverage describing exactly what the benefits plan covers.

With MetLife Vision, you can choose from thousands of ophthalmologists, optometrists and opticians at private practices or at popular retail locations like ® Optical, Visionworks and more. You can find the names, addresses, and phone numbers of providers by searching our online Find a Vision Provider directory.

With MetLife Vision, you can choose from thousands of ophthalmologists, optometrists and opticians at private practices or at popular retail locations like ® Optical, Visionworks and more.

Call 1-800-854-6011 to file a claim we're open 24 hours a day, 7 days a week, 365 days a year or log in to your MetLife Auto & Home account and file a claim online. Car Damage Log in to your MetLife Auto & Home accounts and file an auto claim online.

Although Walmart and Sam's Club are not part of the MetLife network, all their participating optical centers will verify eligibility and submit claims for MetLife Vision members.

MetLife Vision benefits are underwritten by Metropolitan Life Insurance Company, New York, NY. Certain claims and network administration services are provided through Vision Service Plan (VSP), Rancho Cordova, CA. VSP is not affiliated with Metropolitan Life Insurance Company or its affiliates.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
Privacy Notice
Legal Hub
Content Takedown Policy
Bug Bounty Program
About Us
Help Portal
Legal Resources
Blog
Affiliates
Contact Us
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate WorkFlow
DocHub
Instapage
Social Media
Call us now toll free:
+1 833 426 79 33
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232