1. Insurance. We participate in most insurance plans including Medicare, Blue Cross/Blue Shield (BCBS), MVP, CIGNA, plans administered by Vermont Managed Care (VMC) and VT Medicaid. If you are not insured by a plan we do business with regularly or do not have medical insurance, payment in full is expected at each visit. If you are insured by a plan we do business with but you do not have an up-to-date insurance card, payment in full is expected at the time of each visit until you can present us with a valid proof-of-coverage card and/or until we can verify your coverage with your insurer. Knowing your insurance benefits is your responsibility. Please contact your insurance company and/or your employer with any questions you may have regarding your coverage.

2. List of Insurance Plans Rentina Center of Vermont participates in:

   • Medicare
   • Medicaid (Vermont)
   • Blue Cross Blue Shield
   • CBA (Comprehensive Benefits Administrator)
   • CIGNA
   • MVP
   • Vermont Managed Care
   • Great West
3. Retina Center of Vermont Co-Insurance and Deductible Payment Policy. Co-insurance (also known as co-payments) and deductibles are part of your (and our) contract(s) with your medical insurance company(ies). Therefore, while the claims for services provided to you by Retina Center of Vermont (RCV) will be submitted to your insurer for processing, co-insurance and/or deductible payments is/are expected from you at the time the service(s) is/are rendered. We will happily try to assist you in determining your co-insurance/deductible obligations, but not all insurers provide us with that information easily and/or quickly, so we expect you to have taken care of these inquiries before your appointment(s). If your insurer concludes after reviewing the claim we submit to them on your behalf that you owe RCV additional dollars, we will send you a bill in the mail and you will be responsible to complete that additional payment within 30 days. Any overpayments to RCV that become apparent after completion of your insurer's claims review process will be refunded to you.
4. Non-covered Services. Please be aware that some - and perhaps all - of the services that you receive may be non-covered or considered not medically necessary by your insurer. We do our best to obtain information regarding which service(s) may not be covered, but this information may not be available until the claim has been processed by your insurer. If we know in advance that the service will not be covered by your insurance we will notify you of that and payment from you is expected at the time that service is rendered. Any balance on your account for non-covered services will be billed to you and must be paid within 30 days of the statement date.
5. Co-Payments. All co-payments must be paid at the time of service. Failure to do so will result in additional processing fee of $10 for every co-payment not paid on the date of service. Co-payment is part of your (and our) contract with your insurance company and you should know your own predetermined co-payment amount.
6. Insurance Claims. We will submit your claims and assist you in any way we reasonably can to help get your claims paid. Your insurer may need you to supply certain information directly to them. It is your responsibility to comply with their request. Please be aware that the balance of your claim is your responsibility whether or not your insurer pays your claim.
7. Coverage Changes. If your insurance changes, please notify us before your visit so we can make appropriate changes to help you receive your maximum benefits. If your insurance company does not pay your claim within 45 days, the balance will automatically be billed to you.
8. Nonpayment. We generate monthly statements only to patients whose accounts have open balances (i.e., those where payment is owed to Retina Center of Vermont). Payment is expected within 30 days of the statement date. Please be aware that if the balance remains unpaid after 30 days and you have not arranged a pre-determined payment plan with our practice, service charges will be applied to your account and we may refer your account to a collection agency. If you are experiencing a financial hardship, please be sure to contact our Billing Manager to arrange a payment plan. (To do so, simply ask for that person at the time of your visit or call us at 802-864-3937 and ask for the Billing Manager.)
9. Patients with NO Insurance. Payment for all of the services is expected each time the service is provided. Please be sure to notify Dr. Weissgold if you do not have any insurance and/or if you are experiencing a financial hardship.
10. Missed Appointments. We reserve the right to charge you for missed appointments. All appointment cancellations and rescheduling should done at least 24 hours in advance.
11. Our Fees. Our practice is committed to providing the best treatment; testing and specialty care to our patients. Our prices are representative of the usual and customary charges for our specialty and locality.

Thank you for understanding our payment policy. Please let us know if you have any questions or concerns. If you would like a copy of this Policy, please ask our office staff, who will be happy to provide you with one.

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