Price and Quality Information
Use the tools below to help research price and quality information associated with your health coverage.
Pricing Tools
| Tool | Information |
|---|---|
| Price Tool * (Login: member | provider) |
Research the cost of in-network medical services and supplies. Login required |
| Pharmacy Resource Center (Express Scripts) |
Price prescription drugs under you pharmacy plan. Includes a pharmacy price comparison feature, so you can compare prices between pharmacies. Login required |
| Managing Out-of-Pocket Costs |
Tips on how to manage your out-of-pocket costs for: |
| Health Care Advisor (Login: member | provider | broker) |
Estimate physician and facility charges for both in-network and out-of-network services. Login required |
Quality Tools
| TOOL | Information |
|---|---|
| Provider Quality ** | Find doctors who have earned National Committee Quality Accreditation (NCQA) distinction. |
| Compare Hospital Quality *** |
Evaluate hospitals using any of these 3 tools: |
| Home Health Comparison *** | Research how well home health agencies in your area care for their patients. |
| Nursing Homes Comparison *** | Evaluate past performances of every Medicare and Medicaid certified nursing home in the country. |
DISCLAIMERS:
* Price reliability and reporting: Blue Cross and Blue Shield of Vermont (BCBSVT) used paid claims data for individual facilities, then applied an adjustment based on increased charges and updated contractual arrangements to determine the median price for inpatient, outpatient and physician services’, and durable medical equipment and medical supplies. Prior to publishing prices, the data is tested and reviewed to ensure its accuracy and reliability.
The standard reporting period for the data is October 1 through September 30 of the prior year. However, in some cases the reporting period may be adjusted to account for off-cycle contracts.
If you have questions about price information, call the BCBSVT customer service department toll free at 1-800-247-2583
**Quality reliability and reporting: Quality information is updated annually. The data for NCQA physician recognition is abstracted from the National Committee for Quality Assurance website.
If you have questions about quality information, call the BCBSVT customer service department toll free at 1-800-247-2583
*** 3rd Party Quality Links: Blue Cross and Blue Shield of Vermont (BCBSVT) shall not be held responsible or liable for data on other websites. BCBSVT is not responsible for the availability of such sites, does not endorse and is not responsible or liable for any content, advertising, services, products, or other materials on or available from such sites or resources. BCBSVT shall not be responsible or liable for any damage or loss caused or alleged to be caused by or in connection with use of or reliance on any such content, advertising, services, products or other materials on or through any such site.
