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
001
:
QUALITY, RESOURCE ALLOCATION, AND COST CONTAINMENT
(Cite as: 18 V.S.A. § 9413)
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§ 9413. Health care quality and price comparison
Each health insurer with more than 200 covered lives in this State shall establish
an Internet-based tool to enable its members to compare the price of health care in
Vermont by service or procedure, including office visits, emergency care, radiologic
services, and preventive care such as mammography and colonoscopy. The tool shall
include provider quality information as available and to the extent consistent with
other applicable laws and regulations. The tool shall allow members to compare price
by selecting a specific service or procedure and a geographic region of the State.
Based on the criteria specified, the tool shall provide the member with an estimate
for each provider of the amount the member would pay for the service or procedure,
an estimate of the amount the insurance plan would pay, and an estimate of the combined
payments. The price information shall reflect the cost-sharing applicable to a member’s
specific plan, as well as any remaining balance on the member’s deductible for the
plan year. (Added 2015, No. 54, § 20, eff. July 1, 2016.)