Thank you for booking an appointment with Chandler Eye Center. We appreciate having you as one of our patients.
Here you will find the paperwork for your first visit.
Please print out the following documents and have them filled out PRIOR to coming to your appointment. You also have the option to fill out your paperwork online and submit it to us electronically.
The refraction policy MUST be signed to signify that you understand our policy.
Make sure to bring your insurance card & driver license/ID!
New Patient Paperwork – View / Download PDF | Fill Out Online
Insurance
Below are a majority of the insurances that we accept.
| Insurance | PPO/HMO | Referral Required |
| Aetna | PPO/EPO/HSA | Call Insurance |
| Aetna | HMO | Yes-Primary Care |
| Allwell-only some networks (call us or insurance to verify) | PPO/HMO | Yes-Primary Care |
| Ameriben | PPO | No |
| Arizona Foundation | PPO | No |
| Bankers Life | PPO | No |
| Banner Choice | HMO or PPO | Yes-From Primary Doctor |
| BCBS Advantage | HMO | Yes-From Primary Doctor |
| Blue Cross Blue Shield | PPO/EPO/HSA | Call Insurance |
| Beech Street | PPO | No |
| Care First (Not AHCCCS) | PPO | No |
| Catholic Health West | PPO | No |
| Cigna (NOT Health Spring/or Health Partner) | PPO/EPO/HSA | Call Insurance |
| Coventry | PPO/HMO | Yes-if HMO from Primary Doctor |
| First Health | PPO | No |
| General American | PPO | No |
| Health Choice | AHCCCS | Yes-From Primary Doctor |
| Health Net | PPO/EPO/HSA | Call Insurance |
| Humana (We are NOT contracted with ANY HMO) | PPO Commercial | Call Insurance |
| Infinity | PPO | No |
| Medicare | No | |
| Mercy Care/Mercycare Advantage | AHCCCS | Yes-Primary Doctor |
| Meritain | PPO | No |
| PHCS | PPO | No |
| AARP United Healthcare Medicare Complete ** Banner Only | HMO | Yes-Primary Doctor |
| Schaller Anderson | PPO | No |
| Tricare- Needs Authorization | Yes-Primary Doctor or VA | |
| Unicare | PPO | No |
| United Health Care | PPO/EPO/HSA | Not all networks are contracted, check with insurance. |
Please note because we are a “Specialty” we DO NOT accept most majority of Vision Plans, also we DO NOT perform routine vision exams (unless otherwise noted by your insurance).
We DO NOT accept the following:
- Abrazo- AHCCCS
- Ambetter-Healthnet
- APIPA- AHCCCS
- Arizona Priority Care Plus-Healthnet
- Avesis
- Bridgeway Acute Plan Or Long Term Care- AHCCCS
- Care 1st Arizona- AHCCCS
- Cigna HMO
- Cochise Health Long Term Care- AHCCCS
- Cole Vision
- Community Connection- AHCCCS
- Coordinated Vision Care
- EverCare Select- Long Term Care- AHCCCS
- Gila County Long Term Care- AHCCCS
- Great West Health Care
- Healthchoice Generations
- Healthnet AHCCCS
- Health Partners-Healthnet
- Humana Hmo
- Maricopa Health Plan- AHCCCS
- Phoenix Health Plan- AHCCCS
- Pima Health Plan- AHCCCS
- Pima Health Plan Long Term Care
- Pinal Long Term Care- AHCCCS
- SCAN- AHCCCS
- SCAN Long Term Care- AHCCCS
- Sight Care
- Spectra
- United Healthcare Community-AHCCCS
- University Family Care- AHCCCS
- VSP
We accept Care Credit for all exams and surgical procedures.