The Vermont Statutes Online
The Statutes below include the actions of the 2025 session of the General Assembly.
NOTE: The Vermont Statutes Online is an unofficial copy of the Vermont Statutes Annotated that is provided as a convenience.
Subchapter
009
:
REQUIRED COVERED BENEFITS
(Cite as: 8 V.S.A. § 4068)
-
§ 4068. Chiropractic services
(a) A health insurance plan shall provide coverage for clinically necessary health care
services provided by a chiropractic physician licensed in this State for treatment
within the scope of practice described in 26 V.S.A. chapter 10, but limiting adjunctive therapies to physiotherapy modalities and rehabilitative
exercises. A health insurance plan does not have to provide coverage for the treatment
of any visceral condition arising from problems or dysfunctions of the abdominal or
thoracic organs.
(b) A health insurer may require that the chiropractic services be provided upon referral
from a health care provider under contract with the health insurer.
(c) For silver- and bronze-level qualified health benefit plans and any reflective health
benefit plans offered at the silver or bronze level pursuant to 33 V.S.A. chapter 18, subchapter 1, health care services provided by a chiropractic physician may be subject
to a co-payment requirement, provided that any required co-payment amount shall be
between 125 and 150 percent of the amount of the co-payment applicable to care and
services provided by a primary care provider under the plan.
(d) Nothing in this section shall be construed as impeding or preventing either the provision
or coverage of health care services by licensed chiropractic physicians, within the
lawful scope of chiropractic practice, in hospital facilities on a staff or employee
basis. (Recodified and amended 2025, No. 11, § 2, eff. September 1, 2025.)