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FOR PATIENTS

 

 

Insurance and Financing

 

 

PPO & Vision Plans

  • AETNA
  • BLUE CROSS
  • BLUE SHIELD
  • CHOICE CARE (HUMANA)
  • CIGNA/CONNECTICUT GENERAL LIFE/GREAT WEST
  • COMPBENEFITS
  • COVENTRY (CCN/FIRST HEALTH)
  • EYEMED
  • FOUNDATIONS FOR MEDICAL CARE
  • GALAXY
  • HEALTH SERVICE GROUP OF CALIFORNIA
  • HEALTHNET
  • MEDI-CAL 
  • MEDICARE
  • MES (Medical Eye Services)
  • MULTIPLAN/PHCS/BEECH STREET
  • RAILROAD MEDICARE
  • SPECTERA
  • SUPERIOR
  • TRI-WEST
  • U.S. DEPT. OF LABOR
  • UNITED HEALTHCARE/PACIFICARE
  • V.C.H.C.P.
  • V.C.H.O.
  • VSP (No Healthy Family VSP Plans Accepted)

 

FINANCING

Our Office is now offering financing through Citi Health. Approval for financing will be processed through surgery schedulers as the financing will be for surgery procedures only. We are offering the following programs:

6-month payment plan
no interest  minimum $750
48-month payment plan
 
12.96 interest  minimum $1,250
 

Additionally, surgeries that are scheduled at our office will have the ASC fees financed as well. For more information, refer to surgery scheduler or Elizabeth.

 

Patient Forms



 

 

We ask all our new patients to fill out the forms below before their first appointment. Simply click on the links below, print the forms and fill them out before your first visit to our office.


** Please refer to Contact Page if you are unsure about which office you will be visiting.

AdobePlease note: These documents are in Adobe® PDF format. They require Adobe Reader to be viewed. If you do not have Adobe Reader, you can download it for free by clicking here.

Miramar Eye Specialists Patient Forms

 

 

Conejo-Simi Eye Medical Group Patient Forms

 

 

 

 

Copyright 2017 © Daniel A. Ebroon, M.D.- All rights reserved