New and existing patient forms & resources

Kelly Eye Center Financial Policy

We accept MasterCard, Visa, and Discover credit cards, ATM debit cards, and personal checks. A $25 fee will be charged for each returned check. You will be responsible for your co-pay, co-insurance or deductible at the time of services. Any questions regarding insurance should be directed to our insurance coordinator. We are currently in network with most major insurance companies.

The handbook that was provided by your insurance company will include detailed information about what is covered (or not covered) by your policy.  Our staff will assist you in determining if your services will be covered by your insurance. Most policies require patients to pay a portion of their health care costs as an “out-of-pocket” expense. We are obligated, by contract, to collect co-payments, co-insurance and deductibles. In most cases, we will request that you pay your out-of-pocket expenses on the day that services are performed.

Click here for a comprehensive list of medical insurances in and out of our network.

Financing Options

We accept all major credit cards (Visa, Mastercard, American Express and Discover), flexible spending accounts, and offer affordable financing through Alphaeon credit.


With the Alphaeon Credit card*, you’ll find a wide array of monthly payment options to help your reach your individual goals.

The Alphaeon Credit card allows you to move forward today without delay. Plus, with special financing options not available with other credit cards, you may find the Alphaeon Credit card is the better way to pay.

With the Alphaeon Credit card, 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.

With the Alphaeon Credit Card*, You Get:

  • A wide array of monthly payment options to help you reach your individual goals
  • Special financing plans that are not always readily available with traditional credit cards
  • The ability to use your card again for yourself or family members with no need to reapply and no annual fee

New Patient Forms

General Information

Additional Contact Information

  • Surgery Scheduling: 919-282-1117
  • Optical Shop: 919-282-1118
  • Billing: 888-856-1878
  • Physician Liaison: 919-282-1115