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  • Utilization Management Fax 1-866-685-2759

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Number: Fax number: Benefits are subject to eligibility and plan provisions. Requests must be submitted and approved PRIOR to rendering services. Please allow 10 days for a response. To check prior authorization status, call: 1-866-537-0229. GCHJTWQEN 1216 Diameter.

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When you identify a need for medically necessary contact lenses, please complete the Prior Approval Request Form and fax the form to Utilization Review at 1 (800) 584-2329. It is your responsibility to provide as much clinical information as possible to enable Davis Vision to make a determination.

The total out-of-pocket cost of professional services and a pair of scleral lenses may range from as low as a $0 co-payment with vision plans that deem the contact lenses as “medically necessary,” to under $3,000 for self-paying patients.

Some insurance companies such as VSP or Eyemed will reimburse eye doctors quite well for scleral lenses, and many offices accept this insurance for scleral lenses. Other insurance plans reimburse eye doctors poorly for scleral lens fittings. Some of them reimburse less than the cost of the lenses!

People that would most benefit from scleral contact lenses are people with rheumatological diseases (such as Rheumatoid Arthritis or Sjogren's syndrome) or ocular graft versus host disease.

Typically, scleral lenses are not covered by Medicare. There might be some circumstances when your doctor deems them medically necessary, in which case you would get coverage. And there might be some Medicare plans that offer extra vision coverage.

Also, some patients have eye conditions that will not support a scleral lens. Corneal transplant patients often fall into this high risk category. Patients who've had corneal transplants are at greater risk for corneal edema and graft rejection. For this reason, many patients are unable to wear scleral lenses.

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© Copyright 1997-2025
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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
Content Takedown Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
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 workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
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