Change Your Outlook With Raindrop Rebate Program
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Terms & Conditions
“Change Your Outlook” is a rebate program that works by providing you (the patient) $500 mail-in rebate from ReVision Optics, Inc. for electing to undergo one (1) Raindrop® Near Vision Inlay procedure and completing a follow-up exam with your treating physician approximately three (3) months after the procedure. All qualifying, eligible patients will receive a $500 mail-in rebate. To qualify for this offer, you must properly complete a redemption form (also available via ReVision Optics, Inc. authorized website at revisionoptics.com/rebate-form) and have your treating physician sign to the rebate form at your three (3) month appointment following the Raindrop procedure. You must further agree to all stated disclosures and waivers, print the submission form and bring it into your treating physician. Raindrop Near Vision Inlay used in your treatment must be purchased legally in the U.S. and administered in accordance with a valid prescription by a licensed physician. The Raindrop Near Vision Inlay placement must occur between October 20, 2017 and March 31, 2018. Submission forms must be signed by your treating physician at your three (3) month appointment following your Raindrop procedure and the Raindrop Near Vision Inlay serial number must be included. Please allow 6-8 weeks for processing. If you have questions about this offer, please email firstname.lastname@example.org. No submissions will be considered after August 1, 2018, and no rebates processed after October 31, 2018.
You must be 41 – 65 years of age to be eligible. Further, you must have self-paid for the Raindrop procedure and may not submit the procedure to any third party payor for reimbursement. Physician, pharmacist, and prescriber may not seek reimbursement for all or any part of the benefit received by the patient through the offer. This offer is available only to qualifying patients, excluding claims from ReVision Optics, Inc. employees and their spouses. This offer is non-transferable. No substitutions are permitted. No membership fees are associated with this offer. Offer valid only in the U.S., from participating physicians. Void where prohibited by law, taxed, or restricted. For a listing of participating physicians, visit revisionoptics.com.
This offer is limited to one redemption per person and cannot be combined with any other ReVision Optics, Inc. offer or promotion. No other purchase is necessary. This rebate is not insurance. By submitting a rebate request, you agree to all terms and conditions of this offer. ReVision Optics, Inc. reserves the right to cancel or modify this offer without notice. All rebate requests become the property of ReVision Optics, Inc. and will not be returned. ReVision Optics, Inc. assumes no responsibility for lost, late, damaged, misdirected, misaddressed or incomplete requests that fail to be properly delivered for any reason. Rebate checks will be issued in U.S. dollars only. Rebate checks are void if not cashed or used within 180 days. It is illegal to sell, purchase, trade, or counterfeit, or offer to sell, purchase, trade, or counterfeit the rebate check.