Patient Center

Welcome to our Online Patient Center! Here you can get information about what to expect during your visit with our ophthalmologist as well as important forms you can complete before your appointment to save time.

We want your visit to be as stress-free as possible. Our staff will do everything we can to make sure your experience is pleasant and convenient. If you have any questions about these forms, please don’t hesitate to contact us.

Patient Forms

Please download and fill out each of the following forms.


  • Monday
  • 8:00am - 5:00pm
  • Tuesday
  • 8:00am - 5:00pm
  • Wednesday
  • 8:00am - 5:00pm
  • Thursday
  • 8:00am - 5:00pm
  • Friday
  • 8:00am - 1:00pm
  • Saturday
  • Closed
  • Sunday
  • Closed

What to Expect

When you visit our office, you will be warmly welcomed and we can answer any questions you may have about completing the paperwork so that Daynes Eye & Lasik may see you. Our team will work together to evaluate your eyes and provide relevant eye care treatment information, review your vision benefits and payment options, fit you for glasses or contact lenses, and focus on exceeding all of your expectations. If at any time you have questions about the process or your specific health information, please ask.

Payment Options

Daynes Eye & Lasik believes in providing the best value for you and your family. We have products and pricing that aims to accommodate all budgets and our office participates in most insurance programs. For patients who have little or no vision insurance coverage, flexible payment programs may be arranged. To learn more about our payment options, please call our office directly.

Our office accepts cash, check, and major debit and credit cards including MasterCard, American Express, and Visa, as well as Care Credit.

Don’t forget to use your:

  • Flexible Spending Plans
  • Health Savings Accounts (HSA)
  • Medical Savings Accounts (MSA)
  • Cafeteria Plans for most of your eye care needs

All of the above plans can be used for all your eye care and eyewear needs, including eyeglasses, contact lenses, routine office visits and medical office visits.

Care Credit

The Care Credit card is available to help people pay for health care expenses, often with an introductory period that is interest-free. We accept Care Credit for all of our services. To learn more or apply for the card, visit Care Credit here.


Since there are so many plans and coverage varies widely, please call us to find out if your plan covers care in our office. Our staff will verify and explain your benefits before your visit at no charge.

Insurance FAQs
Is my insurance accepted here?

We do accept most insurance plans including Medicare, BCBS, United Health Care Medical, DMBA, PEHP, Altius, Cigna, Select Med, Select Advantage Care, Aetna, Eyemed, VSP, and Davis to name a few. If you have Humana insurance you will need to have a referral from your primary care physician. If you do not see your insurance listed here please feel free to check with your insurance carrier to see if Dr. Daynes is on their panel.

Does my insurance cover a routine eye exam?

Most medical plans cover a routine eye exam once a year, but the patient is ultimately responsible for knowing if their insurance covers the eye exam. During your exam Dr. Daynes will check not only your vision, but the overall health of your eye. If a medical condition is found during the exam it will be billed accordingly and a routine eye exam may then be considered a medical exam. This will change how the insurance will process the claim, meaning co-pays, co-insurances, and deductibles may apply. Currently, some insurance companies are denying payment for Refraction (92015, the determination of the best glasses or contact lens prescription) as a non-covered service. Medicare does not cover the Refraction portion of the exam.

Will my contact lens evaluation be covered by insurance?

Most likely not. The reason most insurance companies do not cover a contact lens evaluation is because they consider it a cosmetic choice. If you have a medical condition of the eye which requires a specialized contact lens (keratoconus) your insurance carrier may pay for the fitting evaluation. However, it is your responsibility to find out if you have coverage on medically necessary contact lenses.

Does my insurance cover retinal photos or visual fields?

We have found that most major medical insurances do cover the retinal photos and visual fields, but it may also be subject to deductibles. We will usually try to submit them and then send in the photos from year to year.

If I don’t have insurance or choose not to bill my insurance can I still get an eye exam?

Yes! We offer a significant discount for the exam when you pay on the day you are seen. Please call our office at 801-294-8855 for more information on the special pricing.

What if I can’t find my insurance card at my appointment?

If at your appointment you are not able to find your insurance card we ask that as soon as you do find it you give our office a call with your information. If we do not receive your insurance information within or the next business day we will assume you will be personally responsible for charges incurred during the appointment. For state funded insurances we must have your monthly card presented at the time of service.

Why did my routine eye exam have a co-pay?

The co-pay is subject to your insurance plan. If you have a medical condition like glaucoma or diabetes you can expect to have a co-pay. If you have had a surgical procedure (outside of Lasik) you will not be subject to co-pays for post operative care during the first ninety days following surgery.

Why was my claim denied by my insurance?

Claims may be denied for many reasons:

  • Incorrect date of birth
  • The insurance company could think the patient may have other insurance and request information from the patient
  • They could only have one routine eye exam a year and we have seen them twice in a year
  • We could have been given the wrong identification numbers

If your claim has been denied your insurance company will be able to give you the best information regarding the denial. It is the patient’s responsibility to provide our office with the most current insurance information available, including secondary coverage or materials coverage.

When should I expect to hear if I owe something?

We do our best to bill insurance companies in a timely manner. Ultimately it depends on when we hear from the insurance company. It could take one week or up to two months. Also, if there is a second insurance it may take longer.

Will my insurance cover an emergency visit to your office?

We never know for sure what individual policies will cover, but we do submit to all the major insurance companies. Most visits will be handled according to their deductible and co-pays. Again, we don’t know what those are and the patient would be responsible to check on this.