Vermont § 4068 - Chiropractic services

§ 4068. Chiropractic services

• (a) A health insurance plan shall provide coverage for clinically necessary health care
  services provided by a chiropractic physician licensed in this State for treatment
  within the scope of practice described in 26 V.S.A. chapter 10, but limiting adjunctive therapies to physiotherapy modalities and rehabilitative
  exercises. A health insurance plan does not have to provide coverage for the treatment
  of any visceral condition arising from problems or dysfunctions of the abdominal or
  thoracic organs. (b) A health insurer may require that the chiropractic services be provided upon referral
  from a health care provider under contract with the health insurer. (c) For silver- and bronze-level qualified health benefit plans and any reflective health
  benefit plans offered at the silver or bronze level pursuant to 33 V.S.A. chapter 18, subchapter 1, health care services provided by a chiropractic physician may be subject
  to a co-payment requirement, provided that any required co-payment amount shall be
  between 125 and 150 percent of the amount of the co-payment applicable to care and
  services provided by a primary care provider under the plan. (d) Nothing in this section shall be construed as impeding or preventing either the provision
  or coverage of health care services by licensed chiropractic physicians, within the
  lawful scope of chiropractic practice, in hospital facilities on a staff or employee
  basis. (Recodified and amended 2025, No. 11, § 2, eff. September 1, 2025.)