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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)
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    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 2018 © Daniel A. Ebroon, M.D.- All rights reserved