§ 4067.
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/vt/title-8/chapter-107/4067A research copy — for the controlling text, always check the official state or federal source. Not legal advice.
§ 4067. Application of subchapter
(a)Unless otherwise specified and to the extent not inconsistent with federal law, the benefits required in this subchapter:
(1)apply only to major medical insurance plans;
(2)may be subject to deductibles, co-payment and coinsurance amounts, fee or benefit limits, practice parameters, and utilization review consistent with any applicable rules and guidance adopted by the Department of Financial Regulation; and
(3)do not apply to Vermont Medicaid.
(b)A health insurer may require benefits mandated in this subchapter to be provided by a licensed health care provider under contract with the health insurer; provided, however, that this provision shall not be construed to relieve a health insurance plan from complying with the applicable network adequacy requirements adopted by the Commissioner by rule. (Added 2025, No. 11, § 2, eff. September 1, 2025.)