Hassle-Free Insurance

What Do We Mean by Hassle-Free?

If you have vision insurance, you probably know how hard it can be to fill out and submit claims forms. Why not let Eye Boutique take the hassle out of insurance for you?

Since we accept HMO’S, PPO’s and most vision insurance plans, we can usually:

• determine your vision plan coverage
  
• calculate your benefits in advance
  
• complete and submit your claims forms after your visit

And best of all, there is absolutely no charge for this! It's just part of our exceptional customer service.

Insurance Benefits Pre-Check

To find out about your benefits and whether Eye Boutique is a participant within your health plan, complete the form below. Also, you may see our list of insurers to see if your plan is included. We will send you an email response within one business day.

Or, if you prefer, please call the Eye Boutique clinic of your choice for an appointment and we will take all necessary information over the phone.

Insurance Benefits Pre-Check HMO'S, PPO's and Most Vision Insurance Plans Accepted
Patient's Last Name:
Patient's First Name:	Middle:
Patient's Birthdate:
Name of Insured:
SSN of Insured:	-   -
Insurer:   Other / Unknown Vision Service Plan (VSP) Aetna PPO - Open Access (VSP) Allied Benefits Ameri-Plan America Medical Security (PHCS) American Airlines Ameritas Life AT & T Avesis Bankers Life - Local 727 Benefit Administrative Systems (BAS) Berlin Industries Block Vision Blue Cross Blue Shield - Electrical Insurance Trustees Blue Cross Blue Shield HMO1 Blue Cross Blue Shield Members First Blue Cross Blue Choice (UPS) BSSI Capital Administrators CCN Christian Brothers Cigna Healthcare Cigna-Siemens Clarity Vision - Highmark Coast-to-Coast Cole Managed Vision Comcast CoreSource Davis Vision Destiny Health Plan Difinity Empire Employee Benefit Corp Eyemed/ECPA Federal Express First Health Fox Valley Laborers Health & Welfare Gallagher Basset GE Capital Vision GE Financial GE Group Administrators General American General Motors Great West Group Administrators Harrington Benefits Health Network Humana HMO Humana PPO I.B.E.W. Local 461 Kehe Food Distributors Laborers Legacy Locals 3, 63, 73, 93, 136, 265, 399, 461, 597, 703, 705, 710, 731, 734, 786 Lumenos MidAmerica National Vision Association Nippon Life PBA Post Office - Federal Employee Preferred Plan, Inc. Principal Financial Group Private Health Care Provider (PHCS) - All Plans Regence Spectera Suberban Teamsters of Northern Illinois Superior Vision The Guardian Trustmark Vision UFCW Vision Care Plan (VCP) Vision Benefits of America (VBA)
Insurance Group #:
Insurance Phone #:    (as listed on insurance card)
Daytime Phone #:
Email:
Please double check the accuracy of your information, then click SUBMIT.

Web Address: http://www.eyeboutique.com/

Copyright © 2002 The Eye Boutique & Doctor's Eye Clinic - All Rights Reserved
Corporate Headquarters: 1760 Wise Road, Schaumburg , IL 60193
(847) 891-9096 office    (847) 891-9138 fax