Vermont § 6503 Exceptions

Vermont Statutes

§ 6503 — Exceptions

Vermont § 6503

Title 33Title 33: Human Services

Ch. 65Chapter 065: Medicare and General Assistance Beneficiaries; Balance Billing

This text of Vermont § 6503 (Exceptions) is published on Counsel Stack Legal Research, covering Vermont primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook

Vt. Stat. Ann. tit. 33, § 6503 (2026).

Text

The provisions of section 6502 of this title shall not apply and the physician may balance bill a Medicare beneficiary if:

(1)During the calendar year prior to treatment, the Medicare beneficiary (or his or her spouse with whom he or she lived at any time during that year):

(A)received Social Security benefits or railroad retirement benefits (Tier I treated as Social Security) that were subject to federal income taxation; or

(B)did not receive Social Security benefits or railroad retirement benefits (Tier I treated as Social Security) but, had such benefits been received, they would have been subject to federal income taxation.

(2)The Medicare beneficiary refuses to sign the statement authorized by section 6504 of this title; or

(3)The service for which the beneficiary is to be billed

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The provisions of section 6502 of this title shall not apply and the physician may balance bill a Medicare beneficiary if:
(1) During the calendar year prior to treatment, the Medicare beneficiary (or his or her spouse with whom he or she lived at any time during that year):
(A) received Social Security benefits or railroad retirement benefits (Tier I treated as Social Security) that were subject to federal income taxation; or
(B) did not receive Social Security benefits or railroad retirement benefits (Tier I treated as Social Security) but, had such benefits been received, they would have been subject to federal income taxation.
(2) The Medicare beneficiary refuses to sign the statement authorized by section 6504 of this title; or
(3) The service for which the beneficiary is to be billed is either an office or home visit. Office or home visits are listed as procedure codes 90000 through 90170 in the Physicians’ Current Procedural Terminology, Fourth Edition (1986) published by the American Medical Association, as amended annually. Office or home visit codes for dentists, podiatrists, optometrists, and chiropractors shall be the same (or equivalent) procedure codes used for doctors of medicine or osteopathy.