Self Pay 

Retina & Vitreous of Texas is happy to offer self-pay options

Patients who will not be using insurance for their appointments with us will be seen. We do require a $250 deposit at the time of service. This deposit will be applied to the actual charges of the visit. If the visit charges exceed $250, the remaining balance will be billed to you. In the event the the actual charges are less than $250, the difference will be refunded.

"Good Faith Estimate"

Patients who will not be using or do not have insurance have the right to an estimate of their bill upon request for health care items and services before those items or services are provided. 

  • You may request a "Good Faith Estimate" prior to receiving your medical items or services. This includes related costs like medical test, prescription drugs, equipment, and hospital fees.
     

  • Your provider must give you your requested "Good Faith Estimate" in writing for scheduled or unscheduled services within a specific timeframe. Learn more here.
     

  • If you receive a bill that is at least $400 or more for any provider/facility than the "Good Faith Estimate" you received, you can dispute that bill.
     

  • Ensure that you save an image or copy of your "Good Faith Estimate."

For questions or more information about your right to a "Good Faith Estimate," visit www.cms.gov/nosurprises/consumers, email FederalPPDRQuestions@cms.hhs.gov, or call 1-800-985-3059.