Home > Join Online > Find a Dentist > New!  Plan Services > Find a Form > Broker > Contact Us >

  Dental ▪ Vision ▪ Hearing ▪ Pharmacy ▪ Chiropractic

  SecureOne Plan has provided the following forms in PDF format for your convenience. To view these forms you must have Adobe Acrobat Reader installed. If you don't have Adobe, you can install it by clicking on the link below.

1 Broker Forms
52 KB
2 Provider Directories
1487 KB
3 SecureOne Plan Forms
140 KB
200 KB
216 KB
73 KB
193 KB
216 KB
196 KB
159 KB
154 KB

Now there are even more reasons to smile
Vision, Hearing, Pharmacy and Chiropractic Services Included at No Additional Cost
Are you interested in group dental and vision plans for your company?
Click here to learn more about SecureCare Dental & Vision!
Disclosures THIS PLAN IS NOT INSURANCE and is not intended to replace health insurance. This plan does not meet the minimum creditable coverage requirements under M.G.L. c. 111M and 956 CMR 5.00. This plan is not a Qualified Health Plan under the Affordable Care Act. This is not a Medicare prescription drug plan. The range of discounts will vary depending on the type of provider and service. The plan does not pay providers directly. Plan members must pay for all services but will receive a discount from participating providers. The list of participating providers is at www.secureoneplan.com. A written list of participating providers is available upon request.

Discount Medical Plan Organization and administrator: SecureOne Plan, 777 E Missouri Ave, Suite 121, Phoenix, AZ 85014; phone 888-429-0914.

The program and its administrators have no liability for providing or guaranteeing service by providers or the quality of service rendered by providers.

© Copyright 2019 SecureOne Plan. All Rights Reserved.
A Southwest Preferred Dental Plan
SecureOne Plan Refund Policy | SecureOne Plan Privacy Policy