Plan Overview
| The Vermont Health Plan |
Blue Cross and Blue Shield of Vermont |
|||||
| HMO | POS | POS | PPO | INDEMNITY | ||
|
Brand
|
BlueCare HMO |
BlueCare Options |
Vermont Health Partnership |
Vermont Freedom Plan |
Comp. Major Medical |
|
|
|
ZIE | ZIE |
ZIA |
CWS, ZID, ZIB |
ZIA or ZIB |
|
| Benefits |
Phys Copay 1st Dollar In/Out Copay Gate Keeper Referrals |
Phys Copay 1st Dollar In/Out Copay Out of Network Gate Keeper Prior Approval |
Phys Copay 1st Dollar In/OutCopay Out of Network Gate Keeper |
Phys Copay Ded. Coinsurance BlueCard OOA Gate Keeper |
Ded. Coinsurance |
|
|
|
Local Restr. Statewide |
Local Restr. Statewide |
Statewide Inclusive |
Statewide Inclusive |
Statewide Inclusive |
|
|
|
Local PHO Tightly |
Local PHO Tightly |
Centralized |
Managed Ben. Loosely |
Managed Ben. Loosely |
|
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