§ 4100k. Coverage of health care services delivered through telemedicine and by store-and-forward means
§ 4100k. Coverage of health care services delivered through telemedicine and by store-and-forward means (a)(1) All health insurance plans in this State shall provide coverage for health care services and dental services delivered through telemedicine by a health care provider at a distant site to a patient at an originating site to the same extent […]
§ 4099d. Midwifery coverage; home births
§ 4099d. Midwifery coverage; home births (a) A health insurance plan or health benefit plan providing maternity benefits shall also provide coverage for services rendered by a midwife licensed pursuant to 26 V.S.A. chapter 85 or an advanced practice registered nurse licensed pursuant to 26 V.S.A. chapter 28 who is certified as a nurse midwife […]
§ 4100a. Mammograms; coverage required
§ 4100a. Mammograms; coverage required (a) Insurers shall provide coverage for screening by mammography for the presence of breast cancer. In addition, insurers shall provide coverage for screening by ultrasound for a patient for whom the results of a screening mammogram were inconclusive or who has dense breast tissue, or both. Benefits provided shall cover […]
§ 4091c. Termination for nonpayment of premium or subscription charges
§ 4091c. Termination for nonpayment of premium or subscription charges (a) If a group health insurance policy or subscriber contract provides for automatic termination of the policy or contract after a premium or subscription charge has remained unpaid through the grace period allowed for such payment, the carrier shall be liable for valid claims for […]
§ 4091d. Notice of termination
§ 4091d. Notice of termination (a) A notice of termination of a carrier’s group health insurance policy or subscriber contract shall: (1) request the group policyholder or other entity involved to notify employees or members covered under the policy or subscriber contract of the date of termination of the policy or contract and to advise […]
§ 4091e. Extension of benefits
§ 4091e. Extension of benefits (a) Every group health insurance policy or subscriber contract issued on or after July 1, 1989, or under which the level of benefits is altered, modified, or amended on or after July 1, 1989, shall provide a reasonable extension of benefits in the event of total disability of the employee […]
§ 4091f. Replacement coverage
§ 4091f. Replacement coverage (a) General. When the group health insurance policy or subscriber contract of a carrier replaces a policy or contract providing similar benefits of another carrier, the liability of both carriers shall be as provided in this section and rules adopted pursuant to this section. (b) Liability of prior carrier. A prior […]
§ 4092. Newborn infants; coverage
§ 4092. Newborn infants; coverage (a) An individual or group health insurance policy providing coverage on an expense incurred basis and an individual or group service or indemnity contract issued by a nonprofit corporation which provides coverage for a family member of the insured or subscriber shall, as to those family members’ coverage, also provide […]
§ 4095. Definitions
§ 4095. Definitions As used in this subchapter: (1) “Home health agency” means a nonprofit home health agency which has been certified under Title 18 of the Social Security Act (42 U.S.C.A. § 1395 et seq.). (2) “Home health care” means care and treatment provided by a home health agency and designed and supervised by […]
§ 4096. Home health care; insurance
§ 4096. Home health care; insurance (a) An individual or group health insurance expense policy and an individual or group service contract issued by a nonprofit hospital corporation which provides hospital or medical coverage shall provide as an option coverage for home health care. An insurer may require evidence of insurability as a prerequisite to […]