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Resources & Materials

Vision Plan PDFs

• Opticare 10-70c
• Opticare 10-120c
• Opticare 70c
• Opticare 120c
• Opticare 15-50c
• Opticare 15-70c
• Opticare 15-100c


• Opticare Basic
• Opticare Premier

Vision Plan PDFs (Español)

• Opticare 10-70c (Español)
• Opticare 10-120c (Español)
• Opticare 70c (Español)
• Opticare 120c (Español)
• Opticare 15-50c (Español)
• Opticare 15-70c (Español)
• Opticare 15-100c (Español)

Application / Enrollment

• Group Application PDF
• Group Enrollment-Benefits Change Form
• Group Enrollment-Benefits Change Form (Español)
• Opticare Individual Application

Claims / Reimbursements

• Out of Network Reimbursement Form
• Out of Network Reimbursement Form (Espanol)

Requests

• FAQ
• Contact Sheet
• Request ID Card PDF

Provider Information

• Refer a Provider PDF

Agents & Brokers

• Agent/Broker Cover Letter
• Agent Contract
• Agent Schedule of Commissions
• W9 Tax Form

HIPAA Privacy Policies

• HIPAA PDF
• HIPAA PDF (Español)

• Standard Optical
• Site Map
• Legal