Covid-19: Learn More About Patient Safety Practices

Patient Forms and Financing

We provide all of our new patient forms online so you can complete them in the convenience of your own home.

Click the links below to fill out our forms online:
New Patient Packet (English) Fill Out My Forms Online

New Patient Packet (Spanish) Fill Out My Forms Online

Self Pay Form (English) Fill Out My Forms Online

Self Pay Forms (Spanish) Fill Out My Forms Online

Medical Release Form (English) Fill Out Medical Release Form (English) Online

Medical Release Form (Spanish) Fill Out Medical Release Form (Spanish) Online

Insurance Coverage

Here is a general list of insurance companies whose coverage we accept:

Vision Plans

  • Alwayscare
  • Community Eye Care
  • Envolve Vision
  • Eyemed
  • Superior Vision
  • VSP

Medical Plans

  • Aetna
  • Blue Cross Blue Shield NC
  • Blue Cross Blue Shield SC
  • Cigna
  • Cigna Healthspring
  • First Health
  • Humana
  • Medcost
  • Medicare
  • Railroad Medicare
  • Medicare Supplemental Plans (AARP, Mutual of Omaha, BCBS, Etc.)
  • Multiplan
  • NALC Health Benefits
  • NC Medicaid
  • PHCS
  • Tricare
  • Tricare for Life
  • UMR
  • United Healthcare

This is NOT a comprehensive list of accepted insurances. If you do not see your insurance listed, please call our office to confirm if we are in network with them.

Financing Information

Metrolina Eye Associates offers several excellent financing options with approved credit. Convenient, confidential applications are available in our office or online. One of our associates would be happy to provide you information on applying. Just ask!

care-credit

    • With CareCredit, you have a revolving credit line for repeat procedures, without the need to re-apply. It only takes a few minutes to apply for CareCredit and you may receive an online decision in seconds!