Medical Benefits

Medical/Dental/Pharmacy/Optical/Websites
Medical Provider:  MagnaCare mycreatehealth.com
Dental Provider:  Self Insured Dental Services asonet.com
Pharmacy Manager:  Optum  optumrx.com
Optical:  Davis Vision www.davisvision.com | Download Information
Members’ Assistance: LECSA lecsa.org | Download Information
COBRA Notice: HIPPA Special Enrollement, COBRA and Filing of Claims and Appeals

• The MagnaCare home page MagnaCare.com
• The machine-readable files will be under the “Resources” tab.
• The Table of contents for MRF are searchable and downloadable by Employer Name, EIN, Plan or Network Name.
• Under the Resources tab, your Rights and Protections Against Surprise Medical Bills notice can be found.

Medical/Dental Forms
Dental Benefit Claim Form
Optum Reimbursement Form
Davis Vision Claims Form
Summary of Material Modifications