1. (a) Unless otherwise specified and to the extent not inconsistent with federal law, the benefits required in this subchapter:

   1. (1) apply only to major medical insurance plans;
   2. (2) may be subject to deductibles, co-payment and coinsurance amounts, fee or benefit limits, practice parameters, and utilization review consistent with any applicable rules and guidance adopted by the Department of Financial Regulation; and
   3. (3) do not apply to Vermont Medicaid.
2. (b) A health insurer may require benefits mandated in this subchapter to be provided by a licensed health care provider under contract with the health insurer; provided, however, that this provision shall not be construed to relieve a health insurance plan from complying with the applicable network adequacy requirements adopted by the Commissioner by rule.

(Added 2025, No. 11, § 2, eff. September 1, 2025.)