Grievances Form for California Residents

Please complete the form for any comments or concerns relating to your America's Best Vision Plan, its services, personnel, offices or any other aspect of the Plan that affects you as an enrollee.

Contact Information

You may submit your comments by clicking the "Submit" button. America's Best Vision Plan will acknowledge receipt of this comment by sending a written notified of receipt to you within five days of our receipt of this comment. If you need assistance or have questions regarding the comments process, please call America's Best at 800-735-2929) (TTY) to contact America's Best.

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 888-HMO-2219) and a TDD line ( has complaint forms, IMR applications forms and instructions online.  

America's Best Vision Plan 
Attn: Comments Administrator

1202 Monte Vista Avenue, Suite 17 - Upland, CA 91786