Vision Exam Reimbursement

Did you know that your eyes can be a key indicator of your overall health? 
This is why Mountain Health CO-OP has added an adult vision exam reimbursement to
 your 2020/2021 medical plan and we have worked to keep it as simple as possible. 


Here’s how it works….


  • You pick your provider

    • Helpful hint: Please check with your provider regarding the cost of the exam ahead of time to make the most of the $60 reimbursement

  • Go to your appointment and pay direct – make sure you get a copy of your receipt

    • Helpful hint: The receipt should include one of the following standard vision exam codes: 92002, 92004, 92012, 92014, 92015, Z13.5, Z00.00, Z00.01


  • Submit your receipt along with the claim form, to Mountain Health CO-OP. For your convenience, we provide three ways for you to submit:


  • Mail to University of Utah Health Plans, PO Box 45180, Salt Lake City, UT 84145-0180;

  • Fax to 801-281-6121 Attn: Member Reimbursement; or

  • Email to


  • The CO-OP will reimburse you and your dependents listed on the policy up $60 each for the eye exam – reimbursement will be mailed to you within 15 business days of receipt


Want Vision Coverage?

Vision coverage is included without additional charge for all enrolled children under 18.

Adult vision coverage is available as a stand-alone plan administered by VSP. VSP is a national leader in vision and eye-care benefits offering vision insurance plans designed to save you money on doctor visits and eyewear.