Vision Exam Reimbursement

Did you know that your eyes can be a key indicator of your overall health? 
This is why MHC has added an adult vision exam reimbursement to
 your 2020 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 MHC. 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


  • MHC will reimburse you up to $60 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.

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Mountain Health CO-OP does not discriminate based on race, color, national origin, disability, age, sex, gender, sexual orientation, or health status in the administration of the plan, including enrollment and benefit determinations.


Contact Us with Questions About Coverage