8 V.S.A. § 4067: Application of subchapter

(a) Unless otherwise specified and to the extent not inconsistent with federal law, the benefits required in this subchapter:

(1) apply only to major medical insurance plans;

(2) may be subject to deductibles, co-payment and coinsurance amounts, fee or benefit limits, practice parameters, and utilization review consistent with any applicable rules and guidance adopted by the Department of Financial Regulation; and

(3) do not apply to Vermont Medicaid.

(b) A health insurer may require benefits mandated in this subchapter to be provided by a licensed health care provider under contract with the health insurer; provided, however, that this provision shall not be construed to relieve a health insurance plan from complying with the applicable network adequacy requirements adopted by the Commissioner by rule.