OUT-OF-NETWORK CLAIM

Submit an out-of-network claim if you have seen an out-of-network provider or utilized an in-store sale or promotion from an in-network provider.

If you choose to use an out-of-network provider or utilize an in-store sale or promotion from an in-network provider, pay the provider in full for the services and eyewear received at the time of your appointment.

You can submit a claim online or via mail or fax. Please be sure to include a copy of your receipt with your claim.

Claims must be received within six months from the date of service. You will receive a reimbursement check within 5 weeks of when your claim was submitted.

Submit your claim via mail or fax

Complete the claim form and attach a copy of your receipt or itemized bill that explains what services were provided.

Mail or fax these to:

PEP Vision
Attention: Claims Department
48 Courtenay Dr
Charleston, SC 29403

Fax: (843) 577-5895

Submit your claim online

Click or drag files to this area to upload. You can upload up to 5 files.