Large Business Health Insurance Plans

We offer a full array of health plans that meet you and your employees health care and financial needs. In general, our plans include services that cover a range of health benefits, including:

Employee working at a Vermont business
  • primary care and office visits for exams, treatment of an injury or illness, injections, diagnostic services, surgery, and therapy services
  • emergency and urgent care services
  • prescription drugs
  • medical equipment and supplies
  • mental health and substance abuse treatment services
  • specialist visits such as nutritional counseling and OB-GYN services
  • chiropractic care
  • diabetes services
  • telemedicine services
  • hospitalizations
  • maternity and newborn care
  • rehabilitation

In addition to the health plan benefits above, Blue Cross members have access to our suite of health and wellness programs at no additional cost, and can also participate in the BeWell@Work health and wellness program. Learn more about your health and wellness programs.

Our Plan Options

Our large group plans are designed to meet the needs of Vermont employers and their employees, offering the needed network access. Review the plan quick start guides below to help you and your employees learn more about your chosen plan.

Blue Cross and Blue Shield of Vermont Network

The Blue Cross and Blue Shield of Vermont network provides preferred level of benefits when members receive care from providers within Vermont and the bordering counties of New Hampshire (Coos, Grafton, Sullivan and Cheshire). Member use the BlueCard network outside of Vermont, which provides access to an international network of doctors and hospitals, including providers in more than 200 countries and territories.

Product Out-of-Network Coverage PCP Required PDF Download
Blue Cross and Blue Shield of Vermont Select (HMO) No Yes BlueCross BlueShield of Vermont Select HMO Quick Start Guide
Vermont Health Partnership (POS) Yes Yes Vermont Health Partnership Quick Start Guide
Vermont Freedom Plan (PPO) Yes No Vermont Freedom Plan Quick Start Guide
Vermont Freedom Plan (PPO CDHP) Yes No Vermont Freedom Plan Quick Start Guide
Exclusive Provider Organization (EPO) PCP No Yes EPO Quick Start Guide
Exclusive Provider Organization (EPO) PCP CDHP No Yes EPO Quick Start Guide
Exclusive Provider Organization (EPO) No No EPO Quick Start Guide
Exclusive Provider Organization (EPO) CDHP No No EPO Quick Start Guide
Open Access POS Yes Yes Open Access (POS) Quick Start Guide
Plan J/Comprehensive Yes No Plan J-Comprehensive Quick Start Guide

The Vermont Health Plan

The Vermont Plan Health Plan network consists of providers within Vermont and bordering counties in New Hampshire (Coos, Grafton, Sullivan and Cheshire).

Product Out-of-Network Coverage PCP Required PDF Download
Blue Care (HMO) No Yes Blue Care Quick Start Guide
Blue Care (POS) Yes Yes Blue Care Quick Start Guide
Blue Care (HMO CDHP) No Yes Blue Care Quick Start Guide

The Vermont Health Plan Access

The Vermont Health Plan network consists of providers within Vermont and bordering counties in New Hampshire (Coos, Grafton, Sullivan and Cheshire). Member use the BlueCard network outside of Vermont, which provides access to an international network of doctors and hospitals, including providers in more than 200 countries and territories.

Product Out-of-Network Coverage PCP Required PDF Download
Blue Care Access (HMO) No Yes Blue Care Access Quick Start Guide
Blue Care Access (CDHP) No Yes Blue Care Access Quick Start Guide

We are here to help

Blue Cross Sales Executive with customer

Contact us to learn more about our plans

Khifer O'Connor, Sales Executive

Hours

Monday - Friday: 8:00am to 4:30pm

Blue Edge Health Plans

Our Blue Edge health plans offer a flexible data-oriented solution to support local small to mid-sized local businesses. If you are looking to create a culture of health and wellness in your workplace as part of your health plan options, Blue Edge may be a fit for your organization. 

Learn more about Blue Edge

Additional Resources

Funding Options

Learn more about the available options for funding your organization's health benefits. We are here to help you choose the financial solution that best meets their cash flow and risk needs.

Enrollment

Find helpful resources to help ensure you have a smooth enrollment process - enrollment guide, enrollment form and other member resources.

Vermont Blue Rx Pharmacy

Vermont Blue Rx is our local solution to answer your pharmacy needs. We offer a local and national network of pharmacies to help you manage your care and reduce prescription drug costs.

Health Plan Contract Documents