Vermont Medical Policies
These documents are provided for informational purposes only and are not an authorization, certification, explanation of benefits or a contract. Benefits and eligibility are determined before medical guidelines and payment guidelines are applied. Benefits are determined by the subscriber certificate that is in effect at the time services are rendered. Medical practices and knowledge are constantly changing and we reserve the right to review and revise medical policies periodically and without notice.
BlueCard Members: To look up out-of-area member's medical policies, please use the Medical Policy Router.
Fletcher Allen Health Care Members: To view medical policies for members with alpha prefix FAH, FAC or FAO, please click here. Medical policies listed below under the VERMONT Medical Policies heading do not apply to Fletcher Allen Health Care members.