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  • 7759 South 4800 West Suite I, West Jordan, UT 84084
  • 801-561-2020
  • Open Mon-Thurs: 9am-5pm | Fri-Sat: By Appointment

Reimbursement forms

Reimbursement forms

Reimbursement forms for insurance companies

As mentioned here, we do not accept insurance plans to dedicate our staff and doctor time to providing exceptional patient care and reduce our prices for glasses.

We’d love to see you even if you do have insurance.

*Below are forms or website links for reimbursement for common insurance companies.
Please contact your insurance company directly to find out how much they will reimburse you for your eye exam and glasses.

*Due to the nature of insurance companies having multiple branches, subcontractors and variations in insurance plans, Eye Center of West Jordan assumes no liability for the relevance of the listed websites or hyperlinks to any one person’s particular insurance plan.  This list is far from all-inclusive of the many insurance companies that exist and is simply meant to be an effort to help patients who do have insurance to be reimbursed for visits to our office or other clinics or optical shops that do not accept insurance as payment.  We are not responsible for the amount that an insurance company may reimburse you for your visit with us.  We do take responsibility for making every effort to be transparent in our pricing so patients do not have to play guessing games with our prices and we seek to charge reasonable fees for products and services that we offer.