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 PaperworkView / 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.