New Advanced Beneficiary Notice (ABN)
Attn.: UVCA Members
We have updated the Advanced Beneficiary Notices (ABNs) in the VCA Vault.
In the VCA Vault:
(Be sure to log in first!)
1. Scroll down on the lefthand side and click on “Insurance”
2. Click on “Forms”
Below “Advanced Beneficiary Notice (ABN) – Through 1/31/2026” you’ll find links to all of the following:
- ABN in English (Word)
- ABN in English (PDF)
- ABN in English, Large Print (Word)
- ABN in English, Large Print (PDF)
- ABN in Spanish (Word)
- ABN in Spanish (PDF)
- ABN in Spanish, Large Print (Word)
- ABN in Spanish, Large Print (PDF)
A big thanks to Gold Star Medical Business Services for pulling these updated forms together for us to share with you!