Step 1: Fill out the claim form (click here to download)

Complete the claim form above and submit it with your itemized receipt to this address:

First American Administrators, Inc.
Attn: OON Claims
PO Box 8504
Mason, OH 45040-7111

Step 2: Include itemized receipt

Request an itemized receipt with at the end of your visit or You can by giving us a call at (516) 686-6294 or sending an email to glencoveeyecare@gmail.com

Step 3: Submit claim form and receipt to your insurance company

Step 4: Get money back

After submitting your claim, you will receive your reimbursement directly from your insurance company in about 2-3 weeks, depending on the plan.