GET COVERED NOW GRIEVANCE FORM INDIVIDUALS GROUPS BROKERS PROVIDERS SEARCH CONTACT US INFORMATION IN SPANISH You are here: Home \ Information in Spanish The following forms are available in Spanish: Member Forms Complaint Process Use this form if you need to file a complaint with Vision Plan of America about your vision plan. Change of Status Use this form if you need to make changes to your membership. (For Example: Change of Name / Address, Change of Provider, Add / Cancel Dependents, etc.) Brochures 4 Affordable Dental and Vision Plans A Pair You A Requirement Pharmacy Savings Program If you require language assistance at any time including during your eye exam process or during the diagnosis discussion after your eye exam please call “Plan” 1 (800) 400-4VPA. Language assistance is free to all Vision Plan of America members. If you require Language Assistance at any time including during the course of an eye examination or during the discussion of the diagnosis following an eye examination Please contact the “Plan” at 1 (800) 400-4VPA. The availability of Language Assistance is free to enroll. GET COVERED NOW GRIEVANCE FORM INDIVIDUALS GROUPS BROKERS PROVIDERS SEARCH CONTACT US Providers Click Here © 2018 Vision Plan of America

GET COVERED NOW GRIEVANCE FORM INDIVIDUALS GROUPS BROKERS PROVIDERS SEARCH CONTACT US PROTECTED: FOR PROVIDER REFERENCE You are here: Home \ For Provider Reference This page is password protected. To view it please enter your password below: Password: GET COVERED NOW GRIEVANCE FORM INDIVIDUALS GROUPS BROKERS PROVIDERS SEARCH CONTACT US Providers Click Here © 2018 Vision Plan of America