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Passage Plan 1 (HMO)Vision and Hearing Aid Allowance Reimbursement Form Use this form to file a claim under your Passage Plan 1 (HMO) for reimbursement of the costs of eyeglass frames, lenses, contact

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What is vision and hearing aid?

Vision and hearing aid are devices designed to assist individuals with vision and hearing impairments.

Who is required to file vision and hearing aid?

Individuals with vision and hearing impairments who require assistance may be required to file for vision and hearing aid.

How to fill out vision and hearing aid?

To fill out vision and hearing aid, individuals need to provide information about their impairment and the specific type of assistance needed.

What is the purpose of vision and hearing aid?

The purpose of vision and hearing aid is to provide assistance and improve the quality of life for individuals with vision and hearing impairments.

What information must be reported on vision and hearing aid?

Information such as the type of impairment, the level of assistance needed, and any relevant medical history may need to be reported on vision and hearing aid.

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