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:
Medical Release Form (English)

Medical Release Form (Spanish)

Patient Self Pay Form (English)

Medical vs. Vision Insurance (English)

Medical vs. Vision Insurance (Spanish)

Policies Agreement (English)

Policies Agreement (Spanish)

Please be aware of our excessive cancellations policy:
Excessive Cancellation Policy

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
  • VBA
  • 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.)
  • NALC Health Benefits
  • 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 with information on applying. Just ask!

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!


Metrolina Eye Associates