Accepted Insurance Plans

The Payers Rutland Regional Medical Center contracts with are the following:

• Aetna (for Bayada employer group)
• Blue Cross Blue Shield of Vermont (and Affiliates: CBA and participating BCBS plans)
• CDPHP (not NY Medicaid Plans)
• Cigna (and Affiliates: Great West, NALC and APWU. Excluded: Cigna Behavioral Health Plans)
• First Health (Access Only)
• Medicare
• Medicare Advantage Plans (please check with your carrier)
• Multi-Plan (see full list of PHCS Plans Only on their website)
• MVP VT Plans (not NY Plans or NY Medicaid Plans)
• United Healthcare (and Affiliates — Golden Rule, Oxford, VA UHC)
• US Family Health (Champus, Tricare, Healthnet)
• VA (Emergent/Urgent or Prior Authorized)
• Vermont Health Connect Plans
• Vermont Medicaid

Rutland Regional will send a standard bill to any verifiable insurance that is deemed out-of-network. You may be responsible for submitting additional information as requested by your insurance company.

Rutland Regional will bill patients for balances where the insurance has deemed that amount as patient responsibility.

HMO/PPO

If you are a member of an HMO or PPO, your health plan may have special requirements, such as prior approval for certain tests or procedures, or a co-pay that may be due at registration. It is your responsibility to make sure that your plan’s requirements are met; if they are not, you will be held responsible for all or part of the cost of services.

Medicare

If you are covered by Medicare, your program specifically excludes payment for certain items and services. We will copy your Medicare card to verify eligibility and process your claim.

As a Medicare patient, you also have the right to appeal your discharge and to have hospital services covered during your appeal. If you choose this option, your discharge will be independently reviewed by a Quality Improvement Organization (QIO) to provide a second opinion as to whether you are ready to leave the hospital.

To reach the QIO: Northeast Health Care Quality Foundation, call 800.722.0151 or TTY 877.486.2048.

Green Mountain Care

Green Mountain Care is for Vermonters who have Medicaid and Dr. Dynasaur. 

• Medicaid. Low cost or free healthcare coverage for children, young adults under age 21, parents, pregnant women, caretaker relatives, people who are blind or disabled, and those age 65 and older. Eligibility is based on household income and family size.
• Dr. Dynasaur. Low cost or free healthcare coverage for children, teens under age 18, and pregnant women. Eligibility is based on household income and family size.

PLEASE NOTE: Catamount, VHAP and Vscript ended on December 31, 2013. For information on Vermont health plans now available to you and your family, visit: VermontHealthConnect.gov or the Vermont Health Connect Information Page on our website. 

For information on state-sponsored Green Mountain Care programs, or to obtain applications, contact the Vermont Department for Children and Families directly at 800.287.0589.