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.
Fletcher Allen Health Care Members (alpha prefixes FAH, FAC or FAO):
To view medical policies for dates of service through December 31, 2013, click here.
For dates of service beginning January 1, 2014, please refer to the Fletcher Allen Health Care section first. If the service is not listed there, refer to the general 'Vermont Medical Policies' listed on this page.
Fletcher Allen Health Care Medical Policies_
These medical policies only apply to Fletcher Allen Health Care members, alpha prefixes FAH, FAC or FAO.
Note: These policies are currently under review. Once approved the policy will be posted.
- Compression Stockings
- Continuous Glucose Monitoring
- Home INR
- Infertility Benefits
- Outpatient Cardiac Rehabilitation