Managed Care Plan Concerns
Assist the NOA in collecting challenges or abuses by managed care plans (vision benefits managers or health insurance). The NOA may share the information collected with the AOA's Third Party Center.
If you are filling out this form for the first time, please click the New Submission button on the left.
If you are returning to edit or complete a previous submission, please fill out the email address and access code you set up previously and click Edit Submission.
First time submission
Edit existing submission
(fill out email address and access code to edit form)