Will My Insurance Cover LASIK?

Not usually, but there are exceptions, and we’ll be glad to check for you. Fill out this form and we’ll get back to you by phone or email.

Name of your MEDICAL Insurance carrier:

Name of your VISION Insurance carrier:

Please tell us anything you may know about your LASIK benefits (e.g. "I think they pay for part of it" or "I think I get a discount" etc.):

Please enter your name and contact info so that we can send you the results:

First Name:

Last Name:

Address:

City:

State:

Zip:

Cell Phone:

Home Phone:

Email:

Date of Birth (m/d/y):

Would you like us to CALL you with your results?

Yes, please CALL with my results.No, please just EMAIL my results.