Keratoconus Treatment Reimbursement Request

The NKCF Keratoconus Insurance Reimbursement Form helps to introduce and explain the condition of keratoconus to insurance companies, clarify the treatments necessary that may ot always be covered by insurance companies and help attain a reimbursement for KC patients for treatment costs.

PLEASE NOTE: Forms must be filled out by doctor/doctor office and submitted by doctor office TO insurance company. Please DO NOT SEND TO NKCF OFFICES.

Download the NKCF Reimbursement Form