Please see below for all insurers contracted with University of Vermont Medical Center. Inclusion in this list does not guarantee participation of your specific insurance plan or coverage of your planned service. Please contact your insurer to determine your benefit coverage.

• Aetna
• Anthem Blue Cross Blue Shield NH
• Blue Cross Blue Shield of Vermont
• Blue Cross Blue Shield of Vermont (BCBSVT) / CBA (includes Dental)
• Capital District Physicians' Health Plan (CDPHP)
• Capital District Physicians' Healthcare Network (CDPHN)
• CHAMPVA
• Cigna / Great West (includes Dental)
• Cigna LifeSource
• Coventry Health Care/First Health
• Delta Dental
• EBPA
• Empire Blue Cross Blue Shield (HMO only)
• Evernorth (formerly Cigna Behavioral Health)
• Excellus Blue Cross Blue Shield
• Fidelis (New York Quality Healthcare Corporation) (excludes Essential Plan and Exchange products)
• Harvard Pilgrim Health Care (excludes NH Health Benefit Exchange, Medicare Advantage, and Managed Medicaid)
• MagnaCare
• Medicaid (VT and NY)* (VT Medicaid includes Dental)
• Medicare*
• MVP
• Optum Rx
• POMCO (must include POMCO Select Logo)
• St. Regis Mohawk Tribe (Medicare)
• The Vermont Health Plan (TVHP)
• TriCare Humana Military (excludes Humana Behavioral Health)
• TriCare Martin's Point Health Care (excludes Behavioral Health)
• United HealthCare – The Empire Plan
• United HealthCare (excludes United Behavioral Health)
• Vermont Blue Advantage
• Veteran's Administration Community Care Network (VA CCN) (United HealthCare)
• Workers' Comp (VT and NY)
• Zelis/Stratose

*Medicare — Not every provider type is eligible to enroll with Government Payers. Please consult your provider’s office prior to visit for confirmation.

Please see below for all insurers contracted with Golisano Children’s Hospital at University of Vermont Health. Inclusion in this list does not guarantee participation of your specific insurance plan or coverage of your planned service. Please contact your insurer to determine your benefit coverage.

• Aetna
• Anthem Blue Cross Blue Shield NH
• Blue Cross Blue Shield of Vermont
• Blue Cross Blue Shield of Vermont (BCBSVT) / CBA (includes Dental)
• Capital District Physicians' Health Plan (CDPHP)
• Capital District Physicians' Healthcare Network (CDPHN)
• CHAMPVA
• Cigna / Great West (includes Dental)
• Cigna LifeSource
• Coventry Health Care/First Health
• Delta Dental
• EBPA
• Empire Blue Cross Blue Shield (HMO only)
• Evernorth (formerly Cigna Behavioral Health)
• Excellus Blue Cross Blue Shield
• Fidelis (New York Quality Healthcare Corporation) (excludes Essential Plan and Exchange products)
• Harvard Pilgrim Health Care (excludes NH Health Benefit Exchange, Medicare Advantage, and Managed Medicaid)
• Medicaid (VT and NY)* (VT Medicaid includes Dental)
• Medicare*
• MVP
• Optum Rx
• POMCO (must include POMCO Select Logo)
• St. Regis Mohawk Tribe (Medicare)
• The Vermont Health Plan (TVHP)
• TriCare Humana Military (excludes Humana Behavioral Health)
• TriCare Martin's Point Health Care (excludes Behavioral Health)
• United HealthCare – The Empire Plan
• United HealthCare (excludes United Behavioral Health)
• Vermont Blue Advantage
• Veteran's Administration Community Care Network (VA CCN) (United HealthCare)
• Workers' Comp (VT and NY)
• Zelis/Stratose

*Medicare — Not every provider type is eligible to enroll with Government Payers. Please consult your provider’s office prior to visit for confirmation.

If your insurance carrier is not listed below, please call Patient Financial Services at 802-371-4600 option #1 then option #2.

Please Note: The below is a list of insurers contracted with Central Vermont Medical Center, but it does not guarantee participation of your specific insurance plan or coverage of your planned service (i.e. medical, dental, behavioral health, etc.). Although some exclusions may be called out below, this list does not fully capture covered lines of business (i.e. Commercial, Medicare Advantage, Managed Medicaid) or products. Please contact your insurer to determine your unique benefit coverage.

• Aetna
• Blue Cross Blue Shield of Vermont (BCBSVT) / FEP / CBA
• Capital District Physicians' Health Plan (CDPHP)
• Capital District Physicians' Healthcare Network (CDPHN)
• CHAMPVA
• Cigna / Great West
• Coventry Health Care/First Health
• Evernorth (formerly Cigna Behavioral Health)
• Harvard Pilgrim Health Care (excludes NH Health Benefit Exchange, Medicare Advantage, and Managed Medicaid)
• Medicaid (VT)*
• Medicare*
• MVP
• The Vermont Health Plan (TVHP)
• TriCare for Life – Skilled Nursing Facility
• TriCare Humana Military (excludes Humana Behavioral Health)
• TriCare Martin's Point Health Care (excludes Behavioral Health)
• United Behavioral Health/Optum
• United HealthCare
• United HealthCare – The Empire Plan
• Vermont Blue Advantage
• Veteran's Administration Community Care Network (VA CCN) (United HealthCare)
• Workers' Comp (VT)

*Not every provider type is eligible to enroll with Government Payers. Please consult your provider’s office prior to visit for confirmation.

Last Updated: 5/3/23

Champlain Valley Physicians Hospital participates with all major companies offering insurance in our region. If you don't see your insurance listed below, please call 518-562-7075 to verify if we accept your insurance.

Please Note: The below is a list of insurers contracted with Champlain Valley Physicians Hospital, but it does not guarantee participation of your specific insurance plan or coverage of your planned service (i.e. medical, dental, behavioral health, etc.). Although some exclusions may be called out below, this list does not fully capture covered lines of business (i.e. Commercial, Medicare Advantage, Managed Medicaid) or products. Please contact your insurer to determine your unique benefit coverage.

• Aetna
• Aither (formerly Resolve) / St. Regis Mohawk Tribal Health (Medicare)
• Beacon (Value Options) (excludes Commercial HMO, Medicare Advantage, and Managed Medicaid)
• Capital District Physicians' Health Plan (CDPHP)
• Capital District Physicians' Healthcare Network (CDPHN)
• CHAMPVA
• Cigna
• Coventry / First Health / Aetna (excludes HMO, EPO or QPOS)
• Emblem Health - GHI Family Health
• Empire Blue Cross Blue Shield
• Excellus Blue Cross Blue Shield
• Fidelis (New York Quality Healthcare Corporation) (excludes Exchange products)
• GEHA - The Affordable Network
• Harvard Pilgrim Health Care (excludes NH Health Benefit Exchange, Medicare Advantage, and Managed Medicaid)
• Highmark Northeastern New York (Highmark NENY) (formerly BSNENY)
• Humana / Choice Care Network
• MagnaCare
• Managed Physical Network (MPN)
• Medicaid (VT and NY)*
• Medicare*
• Multiplan / Private HealthCare Systems (PHCS) / Beech Street
• MVP
• Three Rivers Provider Network
• TriCare for Life – Skilled Nursing Facility
• TriCare Humana Military (excludes Humana Behavioral Health)
• TriCare Martin's Point Health Care (excludes Behavioral Health)
• United Behavioral Health/Optum
• United HealthCare
• United HealthCare – The Empire Plan
• Veteran's Administration Community Care Network (VA CCN) (United HealthCare)

*Not every provider type is eligible to enroll with Government Payers. Please consult your provider’s office prior to visit for confirmation.

Last updated: 11/15/24

Elizabethtown Community Hospital is a participating provider in many health plan networks. You can find a list of the plans in which we participate below.

Please Note: The below is a list of insurers contracted with Elizabethtown Community Hospital, but it does not guarantee participation of your specific insurance plan or coverage of your planned service (i.e. medical, dental, behavioral health, etc.). Although some exclusions may be called out below, this list does not fully capture covered lines of business (i.e. Commercial, Medicare Advantage, Managed Medicaid) or products. Please contact your insurer to determine your unique benefit coverage.

• Aetna
• Capital District Physicians' Health Plan (CDPHP)
• Capital District Physicians' Healthcare Network (CDPHN)
• CHAMPVA
• Coventry Health Care/First Health
• Emblem Health - GHI Family Health (Hospital only - no physician/clinic benefits)
• Empire Blue Cross Blue Shield
• Excellus Blue Cross Blue Shield
• Fidelis (New York Quality Healthcare Corporation)
• Harvard Pilgrim Health Care (excludes NH Health Benefit Exchange, Medicare Advantage, and Managed Medicaid)
• Highmark Northeastern New York (Highmark NENY) (formerly BSNENY)
• Humana / Choice Care Network
• MagnaCare
• Managed Physical Network (MPN)
• Medicaid (NY)*
• Medicare*
• MultiPlan / Private HealthCare Systems (PHCS)
• MVP
• TriCare Humana Military
• TriCare Martin’s Point Health Care
• United HealthCare
• United HealthCare – The Empire Plan
• Veteran's Administration Community Care Network (VA CCN) (United HealthCare)

*Not every provider type is eligible to enroll with Government Payers. Please consult your provider’s office prior to visit for confirmation.

Last Updated: 5/6/24

Alice Hyde Medical Center is a participating provider in many health plan networks. You can find a list of the plans in which we participate below.

Please Note: The below is a list of insurers contracted with Alice Hyde Medical Center, but it does not guarantee participation of your specific insurance plan or coverage of your planned service (i.e. medical, dental, behavioral health, etc.). Although some exclusions may be called out below, this list does not fully capture covered lines of business (i.e. Commercial, Medicare Advantage, Managed Medicaid) or products. Please contact your insurer to determine your unique benefit coverage.

• Aetna
• Aither (formerly Resolve) / St. Regis Mohawk Tribal Health (Medicare)
• Capital District Physicians' Health Plan (CDPHP)
• Capital District Physicians' Healthcare Network (CDPHN)
• CHAMPVA
• Coventry Health Care/First Health
• Emblem Health - GHI Family Health
• Excellus Blue Cross Blue Shield
• Fidelis (New York Quality Healthcare Corporation)
• Highmark Northeastern New York (Highmark NENY) (formerly BSNENY)
• Humana / Choice Care Network
• MagnaCare
• Medicaid (NY)*
• Medicare*
• MultiPlan / Private HealthCare Systems (PHCS)
• MVP
• Nascencia (formerly VNA Homecare Options)
• TriCare for Life – Skilled Nursing Facility
• TriCare Humana Military
• TriCare Martin’s Point Health Care
• United HealthCare – The Empire Plan
• United HealthCare (includes Dental)
• Veteran's Administration Community Care Network (VA CCN) (United HealthCare)
• Veterans Administration - Dental
• Workers' Comp (VT and NY)

*Not every provider type is eligible to enroll with Government Payers. Please consult your provider’s office prior to visit for confirmation.

Last Updated: 11/15/24

Please Note: The below is a list of insurers contracted with Porter Medical Center, but it does not guarantee participation of your specific insurance plan or coverage of your planned service (i.e. medical, dental, behavioral health, etc.). Although some exclusions may be called out below, this list does not fully capture covered lines of business (i.e. Commercial, Medicare Advantage, Managed Medicaid) or products. Please contact your insurer to determine your unique benefit coverage.

• Aetna
• Blue Cross Blue Shield of Vermont (BCBSVT) / FEP / CBA
• Capital District Physicians' Health Plan (CDPHP)
• Capital District Physicians' Healthcare Network (CDPHN)
• CHAMPVA
• Cigna / Great West
• Coventry Health Care/First Health
• Empire Blue Cross Blue Shield (HMO only)
• Fidelis (New York Quality Healthcare Corporation) (excludes Medicare Advantage)
• Harvard Pilgrim Health Care (excludes United Behavioral Health, NH Health Benefit Exchange, Medicare Advantage, and Managed Medicaid)
• Medicaid (VT and NY)*
• Medicare*
• Multiplan / Private HealthCare Systems (PHCS) / Beech Street
• MVP
• The Vermont Health Plan (TVHP)
• TriCare for Life – Skilled Nursing Facility
• TriCare Humana Military
• TriCare Martin’s Point Health Care
• United HealthCare
• United HealthCare – The Empire Plan
• Vermont Blue Advantage
• Veteran's Administration Community Care Network (VA CCN) (United HealthCare)
• Workers' Comp (VT)

*Not every provider type is eligible to enroll with Government Payers. Please consult your provider’s office prior to visit for confirmation.

Home Health & Hospice works with all private insurance companies to achieve the best outcome for your patients. Our insurance specialists work with private insurers on a daily basis and can help answer questions about what services can be covered and what, if any, liability your patient may incur. We will also obtain prior authorization if needed.

Understanding Medicare Coverage for Home Health

 Medicare pays 100% of home health care and services when the patient requires skilled care and is considered homebound. If you have questions about eligibility, we encourage you to contact our Intake and Referral staff at 802-658-1900. We can arrange an evaluation visit with your patient to determine coverage. We will do our best to ensure patients receive the care and services they need. 

What are examples of skilled care?

• Management and assessment of health condition by a registered nurse
• Rehabilitative therapies provided by physical, occupational or speech therapists
• Wound, ostomy, IV, tube feedings and continence care/education
• Social work and an LNA may be provided only when nursing or therapy care is required in the plan of care

What qualifies a person as homebound?

• The patient has a condition due to an illness or injury that restricts the ability to leave home
• Leaving home requires a considerable and a taxing effort
• Absences from the home are infrequent, for relatively short duration or are to receive healthcare treatment

Understanding Medicare Coverage for Hospice

Medicare pays 100% of hospice services provided in a patient’s home when the patient is considered clinically eligible. Hospice patients do not need to be home bound to be considered clinically eligible for hospice care. Eligibility for hospice care is dependent upon two factors:

1. Certification of Illness

A person is eligible for hospice if they have been diagnosed with a terminal illness and given a life expectancy of six months or less if the disease runs its expected course. The hospice medical director must agree with the doctor’s assessment.

2. Focus on Comfort Rather than Cure

The terminally ill person seeking hospice care or their representative must provide consent in writing that it is their intention to seek palliative care instead of curative care.

Hospice Care at the McClure Miller Respite House

Very short term stays at the McClure Miller Respite House for acute symptom management or a limited stay for caregiver respite are included in the Medicare Hospice Benefit; eligibility is determined on a case-by-case basis as part of a patient’s Hospice Plan of Care.

The Medicare Hospice Benefit does not include facility “room and board,” or residency fees for patients who choose to receive their routine hospice care in a setting other than a private residence. Receiving your hospice care at the McClure Miller Respite House may be subject to daily residency fees. Residency fees are determined on sliding scale, and financial aid is available. The McClure Miller Respite House accepts Medicaid Long Term Care, commercial insurance as applicable and private pay for residency.