Grievance Form

Check your insurance eligibility

We accept most vision insurance plans online, saving you time and money.

First Name

Please enter a valid first name.

Last Name

Please enter a valid last name.

Date of Birth

Please enter a valid date of birth.

Zip Code

Please enter a valid zip code.

I certify that I am 18 years or older

To proceed, tick the box above to certify you're 18 years or older. If you're not, you cannot proceed with this step.

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Success! We found you!

Check your elibility from the list below:

Frames

Benefit available

Benefit unvailable

Lenses

Benefit available

Benefit unvailable

Contact lenses

Benefit available

Benefit unvailable

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