You may
submit your comments by clicking the "Submit Comments" button below:
FirstSight will acknowledge receipt of this comment by sending a
written notice of receipt to you within five days of FirstSight's
receipt of this comment.
If you need assistance or have questions regarding the comments
process, please call FirstSight at 1-800-841-2790. The hearing
and speech impaired may use the California Relay Service's toll-free
telephone number (1-800-735-2929) (TTY) to contact FirstSight.
The
California Department of Managed Health Care is responsible for
regulating health care service plans. If you have a grievance against
your health plan, you should first telephone your health plan at
1-800-841-2790 and use your health plan's grievance process before
contacting the department. Utilizing this grievance procedure does not
prohibit any potential legal rights or remedies that may be available to
you. If you need help with a grievance involving an emergency, a
grievance that has not been satisfactorily resolved by your health plan,
or a grievance that has remained unresolved for more than 30 days, you
may call the department for assistance. You may also be eligible for an
Independent Medical Review (IMR). If you are eligible for IMR, the IMR
process will provide an impartial review of medical decisions made by a
health plan related to the medical necessity of a proposed service or
treatment, coverage decisions for treatment that are experimental or
investigational in nature and payment disputes for emergency or urgent
medical services. The department also has a toll-free telephone number
(1-888-HMO-2219) and a TDD line (1-877-688-9891) for the hearing
and speech impaired. The department's Internet Web site http://www.hmohelp.ca.gov
has complaint forms, IMR applications forms and instructions online.
FirstSight Vision Services, Inc.
Attn: Comments Administrator
1202 Monte Vista Avenue, Suite 17
Upland, CA 91786