Consultation Procedure
Because every case is different, and because veins visible on the surface often have deeper sources hiding underneath, it is impossible to provide an accurate cost estimate over the phone. Appearance are often deceiving: what looks simple to you may actually be more complicated to treat, and what looks complicated may actually be simple to treat. Therefore, we offer low-cost consultations by appointment. This is not a cursory, momentary glance at your veins.
Vein disease is in fact a medical problem, and we treat it as such. We therefore allow time for the attention to detail necessary to make an accurate diagnosis, and to answer any questions you may have before you leave the office. We often start with a brief introductory video which provides answers to the questions most poeple ask about vein disease, including treatment options. After a careful review of your medical history and concerns, every vein patient receives a painless Doppler screening examination, and duplex ultrasound examination if indicated. Based on the specific findings in your case, Dr. Kanter will then personally: 1) discuss any recommended diagnostic procedures, 2) review the pros and cons of all treatment options appropriate for your case, both surgical and non-surgical, and 3) provide you with a written cost estimate. With your permission, a brief report will be sent to your referring primary care doctor as a courtesy.
The fee for initial consultation with Doppler depends on the complexity of the case: 30-minute consultations for spider veins are $75, and 60-minute consultations for large varicose veins are $95. The fee for duplex examination is $250.00 if needed; duplex is required for most varicose veins and rarely for spider veins. After the doctor's evaluation, one of our knowledgeable staff members will provide you with your own photocopy of the written estimate, and clarify any issues you may need more information on. Insurance reimbursement procedures are reviewed in cases of "medical necessity," along with financing options if requested. For those who schedule an appointment to begin treatment, an information sheet providing details and instructions specific to the type of treatment planned is given so you will know what to expect.
Medical Insurance and Medicare
VCOC currently accepts Health Net PPO insurance plans. For all other insurance plans our office uses a "fee-for-service" arrangement and does not accept assignment of benefits. We have opted out of Medicare and are not a Medicare provider. Payment is due at the time each service is rendered. We accept major credit cards and also offer financing through Glamour Credit. A detailed, properly coded statement of fees is provided for each visit to send to your insurance company for reimbursement. Insurance usually covers treatment when it is done for medical reasons, and not for cosmetic improvement. Only the above thorough consultation procedure can document the existence of medical necessity, which usually means that symptoms and examination findings attributable to vein disease are present. VCOC does not falsify codes or exaggerate findings in order to help obtain reimbursement. However, when medical necessity does in fact exist, you will be provided with a written consultation summary which documents the need for treatment in your case.
