GEHA stands by those who are affected by recent storms. GEHA Customer Service (including member ID lookup): 800.821.6136 Learn more

Connection Vision Out of Network Claim Form

You only need to complete this form if you are visiting a provider that is not a participating provider in the EyeMed network. Please complete and send this form to EyeMed within one (1) year from the original date of service at the out-of-network provider’s office.