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Contrast sensitivity is paid in two different ways: as part of a covered service like an eye exam or as a non-covered service such as screening. Covered services are indicated for pathology or abnormalities while non-covered services include screening or routine eye care and are bill to the patient. Using notice of exclusion of benefits form when the test is for screening purposes, these forms notify the patient at the services not covered either by statute or by the insured policy and the beneficiary is financially responsible. An advance beneficiary notice form, or ABN, tells the patient that Medicare coverage is uncertain, for example, an ABN is an appropriate one at diseases suspected but not found or an indication is not covered by the local Medicare policy. An ABN may not be used to collect payment for the patient for services covered by medicare.