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Vermont Health Insurance Health insurance comes in two broad categories these days: individual and group. Those who opt for individual insurance are usually self-employed, or are employed by a company that does not have a health plan, or who have a family and who want individual insurance for their family members. When you buy an individual plan, you must pay an annual premium as well as a deductible for each insured dependent, up to a base amount. If you choose a group policy instead, you are required to pay an annual premium, co-payments payable at each medical service, and a deductible payable before insurance begins paying for your legitimate medical bills. In Vermont, individual health insurers cannot deny insurance because of a health problem and they must further offer family coverage if requested. If you have a pre-existing condition, insurers cannot impose elimination riders but can require exclusion periods not exceeding 12 months. They can review your health records for the six months prior to coverage. If you have had unbroken coverage of more than 63 days, you qualify for creditable coverage. Your insurance cannot be cancelled if you fall sick. According to Vermont regulations, no eligible person can be refused group health insurance or charged more due to a health problem. New employers can wait to offer group coverage to new employees. Insurers can review your medical history for the six months prior to coverage. If there is a pre-existing condition, the company can require an exclusion period not exceeding 12 months. Continuous coverage can be creditable toward your exclusion period. In Vermont, small businesses having one to 50 employees cannot be denied small group health insurance and the policies are required to be common health plans. Your insurance cannot be cancelled because of illness in your employee group. Vermont allows self-employed individuals to buy small group insurance. For information on the regulations governing professional or business associations, you may contact the Vermont Department of Banking, Insurance, Securities and Health Care Administration. Programs such as Medicaid and Ladies First offer assistance to
Vermont residents. The leading health insurance provider in Vermont is Blue Cross and Blue Shield of Vermont.
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