Vermont § 4069 - Prosthetic devices
Full text of Vermont Vermont Statutes Online § 4069 — Prosthetic devices, with citation guidance and answers to common questions.
§ 4069. Prosthetic devices
- (a) As used in this section, “prosthetic device” means an artificial limb device to replace,
in whole or in part, an arm or a leg. (b) A health insurance plan shall provide coverage for prosthetic devices that is at least
equivalent to the coverage provided by the federal Medicare program. Coverage may
be limited to the prosthetic device that is the most appropriate model that is medically
necessary to meet the patient’s medical needs. Any dispute between the covered individual
and the carrier concerning coverage and the application of this section shall be subject
to independent external review under section 4063 of this title. (c) A health insurance plan may require prior authorization for prosthetic devices in
the same manner and to the same extent as prior authorization is required for any
other covered benefit. (d) A health insurance plan shall provide coverage under this section for the medically
necessary repair or replacement of a prosthetic device. (e) The coverage for prosthetic devices shall not be subject to a deductible, co-payment,
or coinsurance provision that is less favorable to a covered individual than the deductible,
co-payment, or coinsurance provisions that apply generally to other nonprimary care
items and services under the health insurance plan. (Recodified and amended 2025, No. 11, § 2, eff. September 1, 2025.)
Frequently Asked Questions About Vermont § 4069
What does Vermont Statutes Online § 4069 cover?
Section 4069 ("Prosthetic devices") is part of the Vermont Statutes Online, the codified statutory law of Vermont. It sets out the legal rule or procedure described in the text above. Statutes are amended regularly, so always verify against the official source.
How do I cite Vermont § 4069?
A common citation format is "Vermont Statutes Online § 4069" (Vermont). Legal writing may require the code abbreviation, section number, and year or edition. Match the style required by your court, professor, or publisher.
Is this the official text of Vermont law?
No. This page is for research and education and may not include the most recent amendments. For official current law, check the Vermont official source linked on this page or consult a licensed Vermont attorney.
How does Vermont § 4069 apply to my situation?
Statutes are interpreted in context, and application depends on your specific facts. Only a licensed attorney in Vermont can advise on how this section applies to you. Contact your state or local bar association for a referral.
Sources & Verification
Not legal advice. Verify against the official source and consult a licensed attorney in Vermont.