UFA Dental Plan Details Links :

UFOA Dental Providers Under United Healthcare Dental PPO 20 Network

UFOA Retiree Dental Benefit Increase Information

UFOA Dental Benefit Chart

UFOA Optical Plan Information :

CHANGES TO OPTICAL PLAN: 
RETIREE AND COVERED DEPENDENT ONCE EVERY FISCAL YEAR

http://www.cpsoptical.com/
SELECT MEMBER AND
MEMBER LOG IN FROM DROP-DOWN MENU.
MEMBER LOG IN: 854retired

IF THERE ISN’T A PARTICIPATING PROVIDER IN THE AREA,
PRINT AN OUT OF NETWORK CLAIM FORM. NO MORE
VOUCHERS.

Forms and Administrative Documents

Notification Information and Fillable Forms Upon Death of Spouse

AIG Catastrophic Insurance Claim Form (UFA Members)

AIG Catastrophic Insurance Claim Form (UFOA Members)

Surgical Assist Form

 

Medical Forms

Surgical Assistant Form

VA Benefits Eligibility Checklist 2025

VA Health Coverage While Traveling Overseas

Grants for Seniors

Active Forms

Zero Co-Pay for WTC Medications

Medicare Part B Reimbursement Information

The MEDICARE Part B Reimbursement will be direct deposited on  APRIL 15, 2025. 

THE MEDICARE PART B REIMBURSEMENT IS $2,096.40 FOR SINGLE
AND $4,192.80 COUPLE

Medicare Info