Health Insurance Plans for Large Organizations
We offer a full array of health plans that meet you and your employees health care and financial needs. In general, our plans include services that cover a range of health benefits, including:
- primary care and office visits for exams, treatment of an injury or illness, injections, diagnostic services, surgery, and therapy services
- emergency and urgent care services
- prescription drugs
- medical equipment and supplies
- mental health and substance abuse treatment services
- specialist visits such as nutritional counseling and OB-GYN services
- chiropractic care
- diabetes services
- telemedicine services
- hospitalizations
- maternity and newborn care
- rehabilitation
In addition to the health plan benefits above, Blue Cross members have access to our suite of health and wellness programs at no additional cost, and can also participate in the BeWell@Work health and wellness program. Learn more about your health and wellness programs.
Our Plan Options
Blue Cross and Blue Shield of Vermont Network
The Blue Cross and Blue Shield of Vermont network provides preferred level of benefits when members receive care from providers within Vermont and the bordering counties of New Hampshire (Coos, Grafton, Sullivan and Cheshire). Member use the BlueCard network outside of Vermont, which provides access to an international network of doctors and hospitals, including providers in more than 200 countries and territories.
| Product | Out-of-Network Coverage | PCP Required | Download Plan Document |
|---|---|---|---|
| Blue Cross and Blue Shield of Vermont Select (HMO) | No | Yes | BlueCross BlueShield of Vermont Select HMO Quick Start Guide |
| Vermont Health Partnership (POS) | Yes | Yes | Vermont Health Partnership Quick Start Guide |
| Vermont Freedom Plan (PPO) | Yes | No | Vermont Freedom Plan Quick Start Guide |
| Vermont Freedom Plan (PPO CDHP) | Yes | No | Vermont Freedom Plan Quick Start Guide |
| Exclusive Provider Organization (EPO) PCP | No | Yes | EPO Quick Start Guide |
| Exclusive Provider Organization (EPO) PCP CDHP | No | Yes | EPO Quick Start Guide |
| Exclusive Provider Organization (EPO) | No | No | EPO Quick Start Guide |
| Exclusive Provider Organization (EPO) CDHP | No | No | EPO Quick Start Guide |
| Open Access POS | Yes | Yes | Open Access (POS) Quick Start Guide |
| Plan J/Comprehensive | Yes | No | Plan J-Comprehensive Quick Start Guide |
The Vermont Health Plan
The Vermont Plan Health Plan network consists of providers within Vermont and bordering counties in New Hampshire (Coos, Grafton, Sullivan and Cheshire).
| Product | Out-of-Network Coverage | PCP Required | Download Plan Document |
|---|---|---|---|
| Blue Care (HMO) | No | Yes | Blue Care Quick Start Guide |
| Blue Care (POS) | Yes | Yes | Blue Care Quick Start Guide |
| Blue Care (HMO CDHP) | No | Yes | Blue Care Quick Start Guide |
The Vermont Health Plan Access
The Vermont Health Plan network consists of providers within Vermont and bordering counties in New Hampshire (Coos, Grafton, Sullivan and Cheshire). Member use the BlueCard network outside of Vermont, which provides access to an international network of doctors and hospitals, including providers in more than 200 countries and territories.
| Product | Out-of-Network Coverage | PCP Required | Download Plan Document |
|---|---|---|---|
| Blue Care Access (HMO) | No | Yes | Blue Care Access Quick Start Guide |
| Blue Care Access (CDHP) | No | Yes | Blue Care Access Quick Start Guide |
We are here to help
Contact us to learn more about our plans
Khifer O'Connor, Sales Executive
Hours
Monday - Friday: 8:00am to 4:30pm
Blue Edge Health Plans
Blue Edge plans are flexible, data-oriented health plans designed for local, small to mid-sized organizations. If you are looking to create a culture of health and wellness in your workplace as part of your health plan options, Blue Edge may be a fit for your organization.
Additional Resources
Funding Options
Learn more about the available options for funding your organization's health benefits. We are here to help you choose the financial solution that best meets their cash flow and risk needs.
Enrollment
Find helpful resources to help ensure you have a smooth enrollment process – enrollment guide, enrollment form and other member resources.
Vermont Blue Rx® Pharmacy
Vermont Blue Rx is our local solution to answer your pharmacy needs. We offer a local and national network of pharmacies to help you manage your care and reduce prescription drug costs.
Health Plan Contract Documents
- Blue Cross Acupuncture Benefits Rider (280.294)
- Blue Cross Benefit Enhancement Rider (280.242)
- Blue Cross Exclusive Specialty Medication Network Rider (280-480)
- Blue Cross Infertility Medication Rider (280.327)
- Blue Cross National Preferred Formulary Rider (280-471)
- Blue Cross Prescription Drugs Rider (280-312)
- Blue Cross Vision Examination Rider (280.273)
- Blue Cross Vision Materials Benefit Rider (280.53)
- Blue Cross Wellness Drug Rider (280.271)
- TVHP Acupuncture Benefits Rider (280.305)
- TVHP BlueCare Expanded Provider Network Rider (280.240)
- TVHP Benefit Enhancement Rider (280.244)
- TVHP Exclusive Specialty Medication Network Rider (280-481)
- TVHP Infertility Medication Rider (280.342)
- TVHP National Preferred Formulary Rider (280-447)
- TVHP Prescription Drugs Rider (280-314)
- TVHP Vision Examination Rider (280.119)
- TVHP Vision Materials Benefit Rider (280.117)
- TVHP Wellness Drug Rider (280.279)