AlwaysCare :: Refer a Dentist or Eye Doctor

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Refer a Dentist or Eye Doctor

AlwaysCare offers a national network of Dental & Vision Providers. By using a participating provider, Members eliminate balance billing and reduce out-of-pocket expenses. Click on the Dental Provider Locator or the Vision Provider Locator for a list of participating providers.

Is your Dentist or Eye Doctor not listed? Complete the information below and we will contact your provider and invite them to join our growing network of providers.

Are you a medical professional requesting information?

*Required information
Provider Information
*Type:
*Name:
Phone:
*Specialty:
Address:
*City
*State
Zip:
Provider Email:
Member Information
*Email Address:
*Patient Name:
Employee Name: (if different)
*Employer Name:
*Employer's City:
*Employer's State:
My name can be used when contacting my provider:
	Yes No

Tools

Manage your benefits with AlwaysAssist

Find a Dental Provider

Find a Vision Provider

Resources

Dental Claim Form*

Vision Claim Form*

Notice of Privacy Practices

Grievance Request Forms*

* These files are in Adobe PDF format. In order to view these files, you are required to have Adobe Acrobat Reader.