Patient Forms

Please browse through our patient information listed below - including patient registration forms, medical record release forms, insurance and vision plan information and CareCredit financing information.

We participate with most insurance and vision plans, please call 434.385.5600 to confirm participation with your plan.

Insurance and Vision Plans

Harman Eye Center and its affiliate offices participate with the following insurance companies and vision plans:

  • Aetna
  • Anthem HMO (at certain locations)
  • Anthem PPO
  • Cigna
  • Coventry
  • Davis Vision
  • EyeMed
  • Humana (PPO/PFFS)
  • Medicaid (at certain locations)
  • Medicare
  • Medicare Private Fee-For-Service (PFFS)
  • Medicare Railroad
  • Medicare Replacement Plans
  • Optima
  • Piedmont Community Health Plan (Commercial/Medicare Advantage/HMO)
  • Spectera
  • Superior Vision
  • TRICARE Standard
  • United Healthcare
  • VA Premier
  • Veteran’s Choice
  • Vision Service Plan (VSP)

Participation with insurance and routine vision plans may vary by office. Please call 434.385.5600 Ext. 3 if you have any questions or to confirm participation with your plan.



At all of our locations, we gladly accept Medicare and participate with most insurance and vision plans. As a courtesy to our patients, we will file both your primary and secondary insurance forms.


Your best you is closer than you think! With Alphaeon Credit, you’ll find the widest array of monthly payment options to help your reach your individual wellness, beauty, and performance goals. Alphaeon Credit allows you to move forward today without delay. Plus, with special financing options not available with other credit cards, you may find Alphaeon Credit is the better way to pay. With Alphaeon Credit, you can receive the care your physician recommends with flexible payment options that fit your lifestyle. Apply today so you can focus on looking, feeling, and being your best.

Harman Eye Center also accepts CareCredit for payment for services – for more information or to apply on line, please visit

*CareCredit terms and conditions may apply.