Cart 0

Do you accept insurance for Ophthalmology & Neuro-ophthalmology care?

At Indiana Eye Institute we accept most major insurances including Medicare and Medicaid. Listed below are insurance companies we are in network with. Please contact the number listed on the back of your insurance card if you have any questions on your specific policy

Have questions about insurance? Give us a call at (574) 647-3580 or email us at

HMO, Trad, PPO, HHW Medicaid, HIP, Medicare Advantage

MDwise Excel Network

United Healthcare
Medicare Advantage, PPO, Navigate

Marketplace, HHW, HIP

Traditional Medicare

Davis Vision

Medicare Advantage, Commercial

Indiana Medicaid
Fee for service

RR Medicare


Managed Health Services (MHS)
HHW, HIP, HCC, Allwell, Ambetter

Spectera Vision

Superior Vision

New Patient Forms

Below you’ll find the forms you’ll need to complete prior to your first visit with us. You can print the forms from your computer so that you can complete them at your convenience.

Here's how it works:

  • Click the links below to open the documents

  • Print the forms and fill them out

  • Fax your completed forms to (574) 647-3585 or bring them with you to your appointment.

Patient Intake Form

Financial Policy

Privacy Practice

Cancellation / Reschedule Policy

New Patients


You're in great hands

You will be  greeted by one of our staff who will assist you with some limited paperwork prior to guiding you into the exam room to meet Dr. Alizai.  The exact type of exam will vary depending on your eye condition. But here is what you can expect.

  • Exam – eye health condition, health history, discuss with Dr. Alizai any pain or discomforts in your eye, etc.

  • Visual Fields Test – an exam to identify and delineate central and peripheral visual defects.

  • Optic Nerve Scan

  • Retinal Scan