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Harvard Pilgrim - Adult Out-of-Network Vision Insurance Online

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Get in touch with Harvard Pilgrim - Adult about your coverage


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Harvard Pilgrim - Adult

Use Harvard Pilgrim - Adult Out-of-Network Vision Insurance Online

You can get reimbursed for your purchase if you have coverage under your Harvard Pilgrim - Adult policy and qualify for Out-of-Network reimbursement. Follow the instructions shown below to redeem your reimbursement.


How to submit your Harvard Pilgrim - Adult Out-of-Network Claim:

1. Download & complete the claim form.

Download Form

Full claim instructions may be available on the claim form. Your policy / membership id and/or authorization may be required. Service provider information is available on the online receipt, which may be obtained by following step 2.

2. Print a copy of your online receipt.

Print Receipt

Products or services must be paid in full. Your insurance provider may require the HCPCS / CPT Diagnostic Codes for the products itemized to be included on the Go-Optic.com receipt. Each code may be hand-written next to the relevant item on the itemized purchase receipt.

3. Send documents to provider

Mailing Address:

Harvard Pilgrim Health Care
PO Box 699183
Quincy, MA 02269-9183

Please Note:
  • Review policy to determine what tier of vision coverage they have. Not a true OON but memers get reimbursed up to the limit allowed. There are 2 different claim forms

How long does it take to receive reimbursement:

Many insurance providers will reimburse the purchase usually within 30-90 days. For details or status of a claim request, please contact the provider.

Buy glasses and eyewear online with your Harvard Pilgrim - Adult Out-of-Network coverage:

Search and shop through the vast selection of eyeglasses, sunglasses, lenses, contact lenses and more online in the online catalog for your Harvard Pilgrim - Adult Out-of-Network coverage.


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