{"data":{"id":"us-vt/8-v.s.a.-4067","jurisdiction":"us-vt","citation":"8 V.S.A. § 4067","heading":"Application of subchapter","body":"(a) Unless otherwise specified and to the extent not inconsistent with federal law, the benefits required in this subchapter:\n(1) apply only to major medical insurance plans;\n(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\n(3) do not apply to Vermont Medicaid.\n(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.","path":["Title 8: Banking and Insurance","Chapter 107: Health Insurance","Subchapter 009: REQUIRED COVERED BENEFITS"],"source_url":"https://legislature.vermont.gov/statutes/section/08/107/04067","current_through":"2025 session","vintage":"","retrieved_at":"2026-09-05T13:43:51Z","sha256":"136a5081c12c082c5cb4fafb884a9fd20a31f962e850bb4af186b501f749147f","source_id":"us-vt","stale":false,"prev":"us-vt/8-v.s.a.-4064","next":"us-vt/8-v.s.a.-4068"},"notice":"GroundRules: Original legal text. Not legal advice."}