§ 4089i. Prescription drug coverage
§ 4089i. Prescription drug coverage (a) A health insurance or other health benefit plan offered by a health insurer shall provide coverage for prescription drugs purchased in Canada, and used in Canada or reimported legally or purchased through the I-SaveRx program on the same benefit terms and conditions as prescription drugs purchased in this country. […]
§ 4088g. Coverage for covered services provided by athletic trainers
§ 4088g. Coverage for covered services provided by athletic trainers (a) To the extent a health insurance plan provides coverage for a particular type of health service or for any particular medical condition that is within the scope of practice of athletic trainers, a licensed athletic trainer who acts within the scope of practice authorized […]
§ 4088h. Health insurance and the Blueprint for Health
§ 4088h. Health insurance and the Blueprint for Health (a)(1) A health insurance plan shall be offered, issued, and administered consistent with the Blueprint for Health established in 18 V.S.A. chapter 13, as determined by the Commissioner. (2) As used in this section, “health insurance plan” means any individual or group health insurance policy, any […]
§ 4088i. Coverage for diagnosis and treatment of early childhood developmental disorders
§ 4088i. Coverage for diagnosis and treatment of early childhood developmental disorders (a)(1) A health insurance plan shall provide coverage for the evidence-based diagnosis and treatment of early childhood developmental disorders, including applied behavior analysis supervised by a nationally board-certified behavior analyst, for children, beginning at birth and continuing until the child reaches age 21. […]
§ 4088j. Choice of providers for vision care and medical eye care services
§ 4088j. Choice of providers for vision care and medical eye care services (a) To the extent a health insurance plan provides coverage for vision care or medical eye care services, it shall cover those services whether provided by a licensed optometrist or by a licensed ophthalmologist, provided the health care professional is acting within […]
§ 4088k. Physical therapy co-payments for certain plans
§ 4088k. Physical therapy co-payments for certain plans For silver- and bronze-level qualified health benefit plans and any reflective health benefit plans offered at the silver or bronze level pursuant to 33 V.S.A. chapter 18, subchapter 1, health care services provided by a licensed physical therapist may be subject to a co-payment requirement, provided that […]
§ 4088l. Coverage for hearing aids [Effective January 1, 2024]
§ 4088l. Coverage for hearing aids [Effective January 1, 2024] (a) As used in this section: (1) “Health insurance plan” means a group health insurance policy or health benefit plan offered by a health insurance company, nonprofit hospital or medical service corporation, or health maintenance organization, but does not include: (A) a qualified health benefit […]
§ 4088c. Chemotherapy treatment
§ 4088c. Chemotherapy treatment (a) A health insurance plan shall provide coverage for medically necessary growth cell stimulating factor injections taken as part of a prescribed chemotherapy regimen. (b) As used in this section, “health insurance plan” means an individual or group health insurance policy, hospital or medical service corporation service contract, or health maintenance […]
§ 4088d. Coverage for covered services provided by naturopathic physicians
§ 4088d. Coverage for covered services provided by naturopathic physicians (a) A health insurance plan shall provide coverage for medically necessary health care services covered by the plan when provided by a naturopathic physician licensed in this State for treatment within the scope of practice described in 26 V.S.A. chapter 81 and shall recognize naturopathic […]
§ 4088e. Notice of preferred drug list changes
§ 4088e. Notice of preferred drug list changes On a periodic basis, no less than once per calendar year, a health insurer as defined in 18 V.S.A. § 9471(2)(A), (C), and (D) shall notify beneficiaries of changes in pharmaceutical coverage and provide access to the preferred drug list maintained by the insurer. (Added 2007, No. […]