Patient Intake Forms As an added convenience, we've provided these forms that you can print and fill out prior to your visit to speed along the process. These forms needs to be filled out to provide us with the necessary patient information and to give us a better idea of your situation and purpose of visit. The last two pages are a brief questionnaire about your vision lifestyle.
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Insurance Payments The Eger Eye Group is dedicated to keeping your eye care costs at a minimum while providing you with the highest quality and experienced eye care:

• We provide in-house billing services.
• We welcome and will assist you with any insurance questions and issues.


• We electronically file to Medicare and Highmark BC/BS and other HMOs and PPOs with whom we participate.
• We will provide eye care services even if we are not providers under your insurance. Our staff will prepare an itemized superbill so that you may be reimbursed appropriately.
• Please remember to obtain a referral from your physician if your health insurance so requires.
• Payment for certain services and materials are due at the time of your visit, so please supply our office with information about your coverage.

MEDICAL PLANS
Highmark
Aetna
Blue Cross Blue Shield
Cigna PPO & OAS
United Healthcare
Gateway (Referral Needed)
Gateway Medicare Assured
UPMC
UPMC for You
UPMC for Life
UPMC for Kids
Medicare


MEDICAL PLANS
Tricare (Referral Needed)
Health America
Health Assurance
Advantra

VISION PLANS:
Opticare
Blue Cross Blue Shield
Blue Chip
Davis Vision
National Vision Administrators (Exams Only)
Vision Benefits of America
Vision Service Plan
Eyemed
UPMC Vision Advantage
Superior Vision
Fill in the form below.

Full Name:

Office Hours:


Monday - Friday
8:00am - 5:00pm

Saturday
8:00am - 12:00pm




Phone:

Email Address:

Message/Questions/Inquiry:
If you would like to setup an appointment, obtain more information, or simply ask a question, we'd love to hear from you!

Address:

1501 State Avenue
Coraopolis, PA 15108-2051
Telephone:(412) 264-8830
FAX:(412) 269-7766
Emergency:(412) 523-3131
E-mail:  yoursight@egereye.com





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