Direct Billing Insurance

Direct billing is a quick and easy way to claim your health insurance benefits and avoid paying the full purchase amount upfront. We'll use your valid prescription and your insurance information to process your insurance claim before the full payment is taken out of your account.There's no waiting around to be reimbursed - with direct billing, you only pay for whatever is left over after your insurance has been applied.

In most cases, our team can process your direct billing vision insurance claim in-store. Please bring your insurance information and the prescription that matches the person you're claiming for.

Alberta Blue Cross members: We apologize for the inconvenience, but Alberta Blue Cross does not allow direct billing claims within our Alberta stores. However, you can still use direct billing when you shop for glasses and contacts online, or submit a claim after your store purchase. Here's how.

We will process your insurance coverage and apply it to your order total. If your order is not completely covered by your provider, you'll need to pay the remaining balance.

No, we don't have access to your full insurance information so we can't tell you the details of your coverage. To find out how much coverage you have, please reach out to your provider.

There are a few reasons why a claim may be rejected. Some of the most common ones are:

• Insurer details entered incorrectly
• Name on the prescription doesn't match the name of who you're claiming for
• Your provider doesn't cover you for the item(s) you're trying to claim for

If you have questions about why your claim was rejected, it's usually best to reach out to your provider directly. Our Customer Service team is also available 24/7 via live chat, email, or phone at 1-866-414-2326.

Claim processing availability times depend on your provider and their hours of operation.
Please see the complete table below and look for your provider to find out when you can process a direct billing claim:

We don't currently support secondary insurance. Please coordinate the remaining amount by filing a manual claim with your secondary insurance.

For more guidance on coordination of benefits, please see the Canadian Life and Health Insurance Association guidelines.

Yes, direct billing supports claims for the following:

• Self – The claimant and the person who holds the coverage are the same person.
• Spouse – The claimant is the spouse of the person who holds the coverage.
• Child – The claimant is a child of the person who holds the coverage.
• Disabled dependent – The claimant is a disabled child of the person who holds the coverage.
• Child and part-time Student – The claimant is a part-time student at a post-secondary institution and a child of the person who holds the coverage.
• Child and full-time Student – The claimant is a full-time student at a post-secondary institution and a child of the person who holds the coverage.
• Domestic partner – The claimant cohabits with the person who holds the coverage but is not considered the person’s spouse.

For more guidance on coordination of benefits, please see the Canadian Life and Health Insurance Association guidelines."

If a child is covered under both parents’ policies submit the claim under the policy of the parent whose birthday occurs earliest in the year.

For example, if Parent A was born on March 1 and Parent B was born on October 1, list Parent A’s policy as primary and Parent B’s policy as secondary.

To leverage the second parent’s coverage as a secondary claim, you’ll need to submit the remaining amount as a manual claim to the secondary provider.

For more guidance on coordination of benefits, please see the Canadian Life and Health Insurance Association guidelines.

In order to be deemed valid, your prescription must have been administered by a licensed eye care professional within the last 24 months (if it’s a glasses prescription) or the last 12 months (if it’s a contact lens prescription) or be otherwise noted as ‘non-expired’. The information on the prescription must also match the details entered into the claim, including the patient’s information and the parameters of the order. You can get a valid prescription when you get an eye exam from any licensed eye care professional. Book a comprehensive eye exam at your nearest Clearly store.

No, we are only able to process and verify claims that have a valid prescription that matches the name of the patient you are claiming for.

In order to be deemed valid, your prescription must have been administered within the last 24 months or be otherwise noted as ‘non-expired’.

Yes, products that have been purchased through direct billing are eligible for returns. If you need help with a return, please reach out to our Customer Service team.

You may exchange the product you purchase through direct billing if it meets the requirements of our exchange policy. The new product must match the insurance-approved product type and prescription on your original order

Please note: Last chance, final sale, clearance frames, and certain other exempt products are not eligible for exchanges.

Please see our return policy for details and exclusions.

Many vision insurance plans provide coverage for prescription sunglasses, which means you could be eligible to get a pair of free (or almost-free) prescription sunglasses by using direct billing with Clearly.  

First, check your plan details to find out exactly what you’re covered for. If you’re unsure whether you are covered for sunglasses under your insurance plan, reach out to your provider directly.  

If you are indeed covered, you’ll also need a recent, valid eyeglasses prescription from your optometrist to claim for sunglasses as part of your health benefits.  

When you’re ready to shop, here’s how to claim sunglasses on your health insurance: 

Pick out a pair of frames – you can add custom prescription sun lenses to most frames at Clearly, in-store and online. 

Choose your lenses – from classic sunglass lenses to polarized and Transitions®, make the most of your coverage and get quality UV protection. 

Enter your prescription and claim upfront with direct billing in the checkout.