Documents & Forms Results

Vision Direct Reimbursement Claim Form

2026 SecureBlue Summary of Benefits Spanish

SecureBlue Resumen de Beneficios para 2026

2026 SecureBlue Summary of Benefits

2026 SecureBlue Member Handbook Spanish

Manual para miembros de SecureBlue 2026

2026 Medicare Advantage Metro Complete Annual Notice of Changes

Explains changes to a current Medicare plan for the upcoming year

2026 Over the Counter (OTC) Allowance benefit FAQ

For Medicare Advantage, Group Medicare Advantage and Platinum Blue (Cost) plans.

2026 SecureBlue Annual Notice of Change

Explains changes to a current Medicare plan for the upcoming year

2026 SecureBlue Member Handbook

Explains health care services, behavioral health services, drug coverage and long-term services

Eyewear Reimbursement Form (Medicare)

Request reimbursement for eligible eye care services you've received. For members of Medicare plans.

2026 SecureBlue Provider and Pharmacy Directory

List of in-network doctors, hospitals, pharmacies and other healthcare providers