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. § 4075)
-
§ 4075. Craniofacial disorders
(a)(1) A health insurance plan shall provide coverage for diagnosis and medically necessary
treatment, including surgical and nonsurgical procedures, for a musculoskeletal disorder
that affects any bone or joint in the face, neck, or head and is the result of accident,
trauma, congenital defect, developmental defect, or pathology. Subject to subsection
(b) of this section, this coverage shall be the same as that provided under the health
insurance plan for any other musculoskeletal disorder in the body and shall be covered
when the diagnosis or treatment, or both, is prescribed or administered by a physician
or a dentist.
(2) This section shall not be construed to require coverage for dental services for the
diagnosis or treatment of dental disorders or dental pathology primarily affecting
the gums, teeth, or alveolar ridge.
(b) A health insurance plan may require a referral from a health care provider under contract
with the plan. (Recodified and amended 2025, No. 11, § 2, eff. September 1, 2025.)