PATIENT FORMS
WHAT TO BRING TO YOUR APPOINTMENT
Patient Checklist
Please bring the following items to your appointment:
- Your current eyeglasses or contact lenses
- Any medications, supplements, or eyedrops you use
- Your family health history
- Any health conditions or allergies
- Any health care cards or insurance information
- Your family doctor’s name and information
- Any questions you have about your eye health
INSURANCE PROVIDERS
Accepted Medical Insurance Plans
AARP
Aetna Mailhandlers,NAP
Aetna Medicare
Allegiance Benefit Plan Management
Bankers Life & Casualty - Secondary Plan
Blue Cross Blue Shield
Anthem
- Florida Blue
- BlueCare HMO - With Referral
- Blue Cross Blue Shield Select
- Federal Employee Program
CHAMPVA
Cigna
- PPO
- Open Access Plus
- HMO - with referral
Cigna Allegiance
Cigna Medicare Supplement
GEHA
Great American Life Insurance Co.
Health First
Health Partners
Humana - Out of Network
Manhattan Life Insurance Co. - Secondary Plan
Medicare Part B
Mutual of Omaha Insurance Company - Secondary Plan
National Elevator Industry Health Benefit
Principal Life Insurance Company
Railroad Medicare Part B
Selman & Company - Secondary Insurance State Farm Health Insurance - Secondary Plan Tricare for Life -Secondary Plan
Tricare Prime - with referral (Tricare East)
Tricare Select (Tricare East)
UMR
United American Insurance- Secondary Plan
United Health Care
- GE Health Benefits
- Health Select
- Medicare Complete Choice
- The Empire Plan
- Travelers Choice Plus Plan
- Choice Plus
- Community Plan
- AARP
- UMR
USAA Life Insurance Co. - Secondary Plan
WellMed Medical Management, Inc.
Workers Compensation
Not Accepted Medical Insurance Plans
Aetna
• Meritain
Blue Cross Blue Shield HMO Premier
Care Plus
Cigna Local Plus
Florida Health Care Plans
Freedom Health
Oscar Health
Simply Healthcare
Stay Well
Sunshine Health
United Health Care All Savers
United Health Care Dual Complete
US Health - Falls under UMR
Well Care