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Division of Health Care Administration
Consumer Services
Toll-free: 800-631-7788
www.vthealthinsurance.info
HOW CAN WE HELP?
I need to talk with a
consumer help specialist about health insurance or a related
issue.
GO
I want to know about health insurance
products and rates available in Vermont.
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I want to appeal a denial of medical or
mental health benefits, and/or know more about my rights as a consumer.
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I want to know about
continuation of health insurance coverage (COBRA) if I leave my
current job GO
I want to explore filing a complaint against a health insurer.
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I want to see hospital data for Vermont
about quality and efficiency of patient care.
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I want to see a list of all the consumer
publications produced by the Health Care Administration.
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I'm interested in other sources of
consumer assistance outside of BISHCA.
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I would like information
about Vermont's new health care reform initiatives and the
Catamount Health Plan GO
I need to talk with a consumer help specialist
If you are a Vermont resident and need to talk to someone about
health insurance, managed care plans, or health care services you have received, the Vermont Division of Health Care Administration consumer services specialists are available to assist you.
The Health Care Administration's toll-free
help line
from within Vermont is:
1-800-631-7788.
I want to know about health insurance products and rates available in
Vermont
See
web page:
Health Care Administration Consumer
Publications.
Find the specific guide to purchasing the type of
insurance you are considering, as well as all available listings of
comparative rates and carriers, within the general listing of
consumer advisories and "consumer tips" topics.
I want to explore
filing a complaint against a health
insurer or find out the best way to solve my problem:
See web page:
How to File a Complaint.
This site contains both guidance about what the Health Care
Administration can do, and cannot do, to help you with a complaint.
There is also a downloadable complaint form.
I want to see
hospital data for Vermont
about quality and efficiency of patient care.
See web page:
Comparative Hospital Data. In 2003, the Vermont Legislature passed Act 53, "An Act Relating
to Hospital and Health Care System Accountability, Capital Spending,
and Annual Budgets." One of the requirements of Act 53 is that Vermont
hospitals publish annual hospital community reports containing information
about quality, patient safety, financial health, costs for services,
and other hospital characteristics. The law also requires the Department
of Banking, Insurance, Securities and Health Care Administration to
publish some of that same information in a comparative format on this
website. This site has links to the BISHCA data as well as to
individual hospital websites which contain community reports.
I want to see a list of all the consumer
publications produced by the Health Care Administration
See web page:
Health
Care Administration Consumer Publications
General listing of consumer advisories and
"consumer tips" topics including specific guides to purchasing the type of
insurance you are considering, as well as all available listings of
comparative rates and carriers.
I want to appeal a denial of medical or
mental health benefits, and/or know more about my rights as a consumer
In Vermont, if you have been denied payment or
provision of health care benefits and believe that your
insurance should have covered the benefits that were denied, you
must first attempt to settle any dispute with your insurer yourself,
through their internal appeal process. If you are unable to
resolve the problem, you may then pursue an external appeal.
There is one appeal process for medical claims, and another for
mental health claims.
See web page:
Health Insurance: Your Consumer
Rights
I'm interested in
other sources of
consumer assistance outside of BISHCA
See web page:
Other Health Care Consumer
Organizations and Websites A listing of other
sources of assistance, insurance coverage, and wellness resources
on-line.
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