Health Care Benefits: Vermont

Federal law and guidance on this subject should be reviewed together with this section.

Author: Patricia A. Morley, Research and Writing Associates

Summary

• Vermont chose to establish a state-based Marketplace under the Affordable Care Act. See Health Insurance Marketplaces Under the ACA.
• Vermont has an individual health insurance mandate. See Individual Health Insurance Mandate.
• Vermont has taken steps to preserve certain benefits made available under the Affordable Care Act. See Preserving ACA Benefits.
• Same-sex marriage is legal nationwide. Vermont also recognizes civil unions. See Same-Sex Partner Benefits.
• Vermont employers are required to pay health care contributions for employees who do not have coverage. See Employers' Health Care Fund Contribution.
• Group health plans in Vermont must include coverage for certain maternity and dependent coverage. See Maternity and Dependent Coverage.
• Health plans in Vermont must include coverage for mental health and substance use treatments and provide mental health and substance use parity. See Mental Health and Substance Use Coverage.
• Health plans must provide coverage for certain illnesses, diseases, services, and medical and surgical procedures. See Diabetes; Contraceptives; Tobacco Cessation; Inherited Metabolic Diseases; TMJ Disorder.
• Plans issued in Vermont must provide coverage for prostheses. See Prosthetic Devices.
• Health plans in Vermont must cover certain forms of cancer screening and provide certain cancer treatments. See Mandatory Cancer Screening and Treatment.