Vermont Affordable Healthcare Insurance Coverage

Affordable health insurance is a critical consideration for those in Vermont, particularly those struggling with substance abuse. Substance abuse can be a devastating illness that requires longstanding help. Patients often need to have medical care to help them rid their bodies of their substance as well as help them progress towards a healthier lifestyle. Patients often need therapy and help even after they have finished rehab.

Although this care is critical, the price tag can be intimidating. Fortunately, with Affordable Health Care plans, patients can receive the coverage and the help they need to regain sobriety.

Substance Abuse And Affordable Health Plans In Vermont

For patients in Vermont, Affordable Health Plans are offered by two companies: Blue Cross and Blue Shield of Vermont and MVP Health Care. There are a variety of plans offered from each company, divided into four main categories: Bronze, Silver, Gold, and Platinum. The higher a particular plan is ranked, the more it will cost out-of-pocket each month for the premium.

In this state, the premiums can get as high as $660 for the Platinum plans, while the cost of the Bronze plans are more around $400. As the plans increase in costs, however, there are the added benefits of lower deductibles and a higher percentage of the care being covered. The Platinum plans have deductibles of only about $150 and they cover an average of 90 percent of the cost of care. The Bronze plans, on the other hand, have deductibles as high as $6,500 and they cover only about 60 percent of the patient’s healthcare costs.

When it comes to substance abuse coverage, patients and their loved ones need to consider the entire process when it comes to calculating potential costs. For example, many patients will begin their trip to recovery in the emergency room of the hospital, thanks to the potentially dangerous impact of most substances. The emergency room can come with a wide range of costs. Some plans will have as much as a 50% coinsurance payment. Other plans will have a flat copay, which can range from about $100 to several hundred dollars.

Facility Coverage

Once the patient realizes the need for treatment, they will be able to enter either an inpatient or outpatient facility. This flexibility will make it easier for patients to get the care they need based upon their unique personality and situation. Costs will again vary. Coinsurance may be between 10% to 50% or it might by a flat copayment of up to a few hundred dollars.

Prescription Medication Coverage

It is also important for patients and their loved ones to remember that prescription medications can be very beneficial. Those who are having trouble with detox may be helped by certain medicines. Others might be able to help those facing a co occurring disorders. Medications are typically divided on a multi-tier system for most insurance plans, with certain types of medications, such as generic, being the cheapest.

Other types, such as specialty drugs tend to be more expensive. Generic medications in Vermont can vary widely in price, with some having no charge after the deductible and others having a 10% to 50% coinsurance payment or a copay.

Continuing Care

After finishing rehab, continuing care, such as more outpatient therapy or a halfway house, are often necessary. This care will often come with more coinsurance and copayments, but patients and their loved ones might be able to use a health savings account to save the necessary funds. An HSA is an account that is compatible with certain plans and allows patients to put aside money in a tax-free account for medical expenses.

Need To Know More?

Contact us to get the help you need.Substance abuse is a devastating illness that impacts countless people throughout Vermont. Those interested in learning more about their insurance and treatment options can begin by using the resources available at We will be happy to get you started on the path towards sober living.

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