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Premium Eye Centers
NOTE: We only accept
MEDICAL
insurance and do
not
accept
VISION
insurance. Please ensure that you provide the correct insurance details.
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Full Name
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What Insurance Do You Have?
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Aetna PPO Commerical
Avmed POS Commercial plans
Avmed Open Access
BCBS PPO
BCBS FEP (Federal Employee)
FLORIDA BLUE PPO
Cigna Open Access
Cigna PPO
Humana Gold Plus o Humana Medicare O HUMANA HMO
Humana HMO Commercial
Humana PPO
Medicare
Memorial Integrated
Meritain Health - PPO
Multiplan - PPO
Oscar-FL EPO- PPO
PHCS- PPO
UMR- PPO
United health Care commercial plans- PPO MERITAIN HEALTH - AETNA (POS II) - PPO
Preferred care partner HMO
Medica HMO
Preferred Care Network
Date of Birth
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Phone number
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Email
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Reason For Visit
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