Forms are available on the SEANC website, www.seanc/insurance.org , ask your SEANC Member Action Coordinator or call the SEANC office and speak to an Insurance Specialist. Completed forms can be mailed or faxed to the SEANC office at 919-792-3321.
WHEN DOES MY PLAN GO INTO EFFECT?
Forms received by the 10 th of the month will become effective on the 1 st of the following month.(Example: Faxed June 10 th will be effective on July 1 st)
WILL I GET AN ID CARD? WHAT IF I’VE LOST MY ID CARD?
The SEANC insurance department mails out vision certificates in lieu of an ID card. You will receive a vision certificate before your plan goes into effect. If you need another one, just call us and we can mail another card.
WHAT DOCTORS USE THIS INSURANCE? CAN I GO TO ANY VISION PROVIDER?
You may find a provider within the network and benefit only paying the $15 co-pay. To find a provider you may call the customer support service by calling 800-638-3120 or visit the website at www.spectera.com . You can search by city, zip code and name of provider.
WHAT IF MY PROVIDER IS NOT IN THE NETWORK?
You can have a Spectera representative contact your provider by nominating that provider. You may nominate your provider by using this form on the Spectera website or by calling the SEANC office. This is one way to increase participation of providers in your area.
WHAT IF I NEED TO FILE A CLAIM? HOW DO I GET REIMBURSED?
To request reimbursement, submit your receipts to: Spectera Claims Department / PO Box 30978 / Salt Lake City, UT 84130 / -or-Fax: 248-733-6060
The following information should be included with your itemized receipt submission: Subscriber’s name and address Member or patient's name and date of birth Subscriber's unique identification number
CAN I ENROLL ANYTIME OF THE YEAR?
Yes, enrollment is an ongoing process. Your plan year will be based upon your effective date, which could be from July to July.
