Billing & Insurance

The Payers Rutland Regional Medical Center contracts with are the following:

• Aetna (for Bayada)
• Blue Cross Blue Shield of Vermont (and Affiliates: CBA and participating BCBS plans)
• CDPHP (not NY Medicaid Plans)
• Cigna (and Affiliates: Great West, NALC and APWU. Excluded: Cigna Behavioral Health Plans)
• First Health (Access Only)
• Medicare
• Medicare Advantage Plans (please check with your carrier)
• Multi-Plan (see full list of PHCS Plans Only on their website)
• MVP VT Plans (not NY Plans or NY Medicaid Plans)
• United Healthcare (and Affiliates — Golden Rule, Oxford, VA UHC)
• US Family Health (Champus, Tricare, Healthnet)
• VA (Emergent/Urgent or Prior Authorized)
• Vermont Health Connect Plans
• Vermont Medicaid

Rutland Regional Medical Center will send a standard bill to any verifiable insurance that is deemed out-of-network. You may be responsible for submitting additional information as requested by your insurance company.

Rutland Regional Medical Center will bill patients for balances where the insurance has deemed that amount as patient responsibility.

You will receive a bill from the hospital for services performed. Each insurance plan is unique and some insurance companies may cover both hospital charges and doctor charges, and some may not.

Insurance carriers who have a contract with Rutland Regional Medical Center may not require the same billing process as plans such as Medicare or Medicaid. You may not incur additional expenses but should check with the business office or your insurance plan.

In a hospital-based outpatient clinic, if you have Medicare, Medicaid, Medicare Advantage Plans or Tricare, you may receive two (2) separate bills for services provided in the clinic — one for physician services and another from the hospital.

Co-insurance and deductibles may be covered by a secondary insurance policy. Check with your benefits or insurance company for details related to your secondary coverage. For instance, you may ask whether the secondary insurance company covers facility charges or provider-based billing. If it does, ask what percentage of the charge is covered. Verify what your hospital outpatient insurance benefits are, as they typically are applied toward your deductible and co-insurance.

If you have questions, please contact Patient Financial Services at 802.747.1751 or toll free at 877.233.4561, or visit the Financial Counselors who are located just past Outpatient Registration on the first floor of the main Hospital building. For patient estimates, please contact the Financial Counselors at 802.747.1648. If you already have received services and have questions pertaining to your statement, please call the telephone number referenced on your bill.