How to Submit a Claim to EyeMed for Simple Contacts

The following is a step-by-step guide on how to submit an insurance claim to EyeMed for reimbursement of your contact lenses

First, call EyeMed member services at 1-866-939-3633 to check that your plan includes out-of-network benefits. Make sure you have your policy number handy when you call!

If your plan does allow for out-of-network coverage, great! Once you receive your receipt from us, you’ll need to send it to EyeMed to submit a claim.

To submit a claim online:

  1. Enter your email address to receive a link to a claim form
  2. Fill out all the required information and upload the receipt we emailed you.

To submit a claim by mail:

  1. Print and fill out pages 3 and 4 of the EyeMed Claim Form.
  2. Enter the total price of your contacts in the box next to Contact Lens*S0500* on page 2.
  3. Include the receipt we emailed you, and mail the claim form and the receipt to:

    First American Administrators, Inc.
    Attention: OON Claims
    P.O. Box 8504
    Mason, OH 45040-7111