| 1) | Print this page | |
| 2) | Fill in information: | |
|
•
|
Group Name is the organization that provides you with vision benefits. | |
|
•
|
Participant Name is the person eligible for vision benefits. | |
|
•
|
Participant ID # is the unique number that identifies the participant. Usually the participant's social security number. | |
| 3) | Make an appointment with a network provider. | |
|