Vermont Statutes Title 24 Sec. 2689
Terms Used In Vermont Statutes Title 24 Sec. 2689
- Ambulance: means any vehicle, whether air, ground, or water, that is designed, constructed, used, or intended for use in transporting ill or injured persons. See
- Ambulance service: means a person licensed by the Department of Health to provide emergency medical treatment and transportation to ill or injured persons. See
- Contract: A legal written agreement that becomes binding when signed.
- Emergency medical treatment: means pre-hospital, in-hospital, and interhospital medical treatment rendered by emergency medical personnel given to individuals who have experienced sudden illness or injury in order to prevent loss of life, the aggravation of the illness or injury, or to alleviate suffering. See
- Person: means any person, firm, partnership, association, corporation, municipality, or political subdivision, including emergency medical services districts as provided for in this subchapter. See
§ 2689. Reimbursement for ambulance service providers
(a)(1) When an ambulance service provides emergency medical treatment to a person who is insured by a health insurance policy, plan, or contract that provides benefits for emergency medical treatment, the health insurer shall reimburse the ambulance service directly, subject to the terms and conditions of the health insurance policy, plan, or contract.
(2) The Department of Financial Regulation shall enforce the provisions of this subsection.
(b) Nothing in this section shall be construed to interfere with coordination of benefits or to require a health insurer to provide coverage for services not otherwise covered under the insured’s policy, plan, or contract.
(c) Nothing in this section shall preclude an insurer from negotiating with and subsequently entering into a contract with a nonparticipating ambulance service to establish rates of reimbursement for emergency medical treatment. (Added 2011, No. 150 (Adj. Sess.), § 5; amended 2019, No. 100 (Adj. Sess.), § 1, eff. May 14, 2020.)