We’ve developed the following practice policies to provide structure and clarity for our work together. Please initial each policy indicating that you have read and understand it. If you have any questions please feel free to contact our office.
All of our work together is confidential unless I think there is a risk of harm to yourself or another person. Please be aware that as nurses we are Department of Children and Families mandated reporters. This means that if we suspect a child may have been abused or neglected, we are required by law to report those suspicions to Family Services within 24 hours.
Payment and insurance:
Insurance: We participate in several insurance plans. Please contact your insurance company with any questions you may have regarding your coverage.
We also accept private payment, and are happy to set up payment plans. Please call us at (802) 654-3562 to find out our rates.
Copayments: All co-payments must be paid at the time of service.
Non-covered services: Please be aware that some – and perhaps all – of the services you receive may be non-covered or not considered “reasonable and necessary” by Medicare or other insurers. You must pay for these services in full. If this represents a hardship, we will be happy to work with you to set up a payment plan.
Claims submission: We will submit your claims and assist you in any way we reasonably can to help get your claims paid. Your insurance company may need you to supply certain information directly. 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 insurance company pays your claim. Your insurance benefit is a contract between you and your insurance company; we are not party to that contract.
Coverage changes: If your insurance changes, please notify us before your next visit so we can make the appropriate changes to help you receive your maximum benefits.
Laboratory Fees: We aren’t directly affiliated with any labs, although we will provide the needed order forms and test kits for the tests you need, and direct you to lab services we’ve found to be reliable. The labs will bill you or your insurance directly for their services.
We will be happy to give you contact information for the various lab customer service offices, and the insurance billing codes so you can find out what your lab costs will be. Many standard tests are usually covered by insurance, but our staff can’t answer questions about your specific plan.
No Show/Late Cancellations/Late for Appointment Policy:
We require 24 hours notice if you need to cancel an appointment. No-shows or late- cancellations will result in a charge billed to you personally (health insurance does not pay for cancelled or missed appointment charges.)
Because we understand that emergencies happen, every patient will get one “free pass” per calendar year. That means you can miss one appointment without the required 24-hour cancellation notice and not be charged.
Repeated no-shows will result in termination of our provider-patient relationship.
Our time together is the most important element of our health care partnership. If you arrive 15 minutes late or more to your appointment you will likely be asked to reschedule. If we get behind schedule, we will make sure that you get the full time allotted for your appointment.
Medication Refills and Controlled Substances:
Response to a request for medication refills may take 48-72 hours. Please plan ahead; you should contact our office at least three (3) days before your medication is due to run out. Medication refills should be requested by calling our Office Administrator at 802-654-3562, emailing her at Shannon@trilliumvt.com, or in person during your appointment.
Controlled substances (such as ADHD medications or medications for anxiety) are strictly managed. A urine drug screen may be required before a refill is given.
In case of a health emergency or if you have a reaction to a medication please call 911 or go to your local emergency department or urgent care center.
Once again, please feel free to contact our office to discuss any of these policies.