Policyholder Services



Refractive Lens Exchange (RLE) and PRELEX Exception Request Form

OMIC is willing to consider exceptions to the company’s underwriting requirements for refractive lens exchange (RLE) with respect to patient selection criteria on a patient-by-patient basis due to special situations.  However, insureds are encouraged to limit their performance of RLE to cases that fall within OMIC’s guidelines.  Exceptions may be requested only in extenuating circumstances.  If you have a patient who falls outside of OMIC’s approved patient selection criteria but for whom you believe RLE is the most appropriate option, please complete an Exception Request Form and return it to OMIC for consideration prior to scheduling surgery.  

Download OMIC’s exception request form for this procedure using the toolbar above.

Coverage for cases that deviate from OMIC’s underwriting requirements is included under your policy only after this form has been submitted, reviewed, and approved and applies only to procedures performed on the patient for whom the exception was sought.  If you have any questions about OMIC’s coverage visit the Coverage Q&A section or Contact Your Rep.

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Six reasons OMIC is the best choice for ophthalmologists in America.

#6. Supporting your specialty.

OMIC was founded by members of the American Academy of Ophthalmology nearly a quarter century ago and is the only carrier sponsored and endorsed by AAO. OMIC is also endorsed by 40 other ophthalmic societies. The OMIC partnerships with state and subspecialty societies qualifies their members for an exclusive 8% premium credit. Contact your state society for details.

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