Health Fund

Health Fund Claiming Guidelines and Instructions

To ensure a smooth process when claiming benefits for your contact lenses through your health insurance fund, please adhere to the following guidelines:

  1. Verify Your Coverage: Before submitting your claim, ensure you have extras optical cover included in your health insurance policy. Note that hospital cover alone does not include optical services.

  2. Valid Prescription Requirement: You must have a valid and current contact lens prescription from a qualified optometrist. Order only contact lenses prescribed explicitly for health fund insurance claims. Upload your prescription to your profile under My Profile -> Prescriptions -> Upload Prescription.

  3. Name Matching: To avoid complications during the claims process, ensure the name on your contact lens order matches exactly with the name registered on your health insurance policy. Any name discrepancies could result in the rejection of your claim.

  4. Non-Prescription/Plano Lenses Exclusion: Non-prescription or plano contact lenses, considered cosmetic products, are not eligible for health fund claims. You can only claim benefits for contact lenses prescribed for vision correction.

  5. Checking Your Coverage: To confirm if your health insurance covers specific items related to contact lenses, email info@eyecontactmart.com. List the items you plan to order, and our team will provide you with the corresponding item codes. Check these codes with your health fund provider to determine your cover.

  6. Initiating Your Claim:

    • Purchase a product online through the website.
    • Upload your prescription to your profile.
    • Email us at  info@eyecontactmart.com requesting an itemised invoice for your prescription contact lens.
    • We will provide you with all the necessary information to make a health insurance claim.

  7. Seek Assistance: If you encounter any challenges or need assistance during any stage of the claiming process, contact our team at  info@eyecontactmart.com. We are committed to ensuring a seamless experience for you.

We trust these guidelines will help you successfully claim benefits for your contact lenses through your health insurance fund. Your eye health and vision correction needs are our priority, and we are here to support you throughout the process.