Vermont Releases Outline of Health Benefits for Insurance Exchange

Vermont's Green Mountain Care Board (pdf) has released the designs for its qualified health plans that will be offered in its health insurance exchange in 2014.

The Green Mountain Care Board is the group tasked with designing the state's single-payor healthcare system. Currently, Vermont is the only state that has received a waiver to design a single-payor system, and Gov. Peter Shumlin signed the edict into law in May 2011.

Similar to the Patient Protection and Affordable Care Act, Vermont will offer QHPs that cover essential health benefits through an exchange. QHPs are grouped into four groups, or metal tiers: bronze, silver, gold and platinum.


Platinum plans would have the highest monthly premiums within the exchange, but they'd also provide the most coverage. For example, according to the Green Mountain Care Board's outline, a platinum QHP would have a $250 deductible and a $100 co-pay for an emergency room visit. A bronze QHP — those with the lowest monthly premium but higher deductibles — would have a $2,000 deductible and a $350 co-pay for an ER visit.

Vermont's board will reconvene in September to define QHPs further and how to approach more plans on its exchange.

More Articles on Vermont Healthcare:

Vermont's Green Mountain Care Board Establishes Hospital Budget Cap

Vermont Hospital Budgets to Grow 3.8% on Average for 2012

Single-Payor Healthcare: What Could it Do on the National Stage?

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