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Making Health Plan Changes
Changing Your Primary Care Physician
We encourage you to develop a long-term relationship with your
Primary Care Physician. However, you may someday need to
change Primary Care Physicians.
It's easy to do. To change your Primary Care Physician:
Your change becomes effective the first of the month following
BCBSVT's receipt of your request. BCBSVT will make no
retroactive Primary Care Physician changes. Your new Primary
Care Physician may wish to review your ongoing care, so contact
him or her and introduce yourself as a new patient.
Changing Plans
School Districts: Changes to, or the addition of, health plan
options for an entire school district or bargaining unit are made
effective only on either January 1 or July 1. Your group benefits
manager must notify BCBSVT of any change or addition at least one
month prior to the effective date of the change.
School Employees: Changes in health plan options may be made
once in a 12-month interval, during the plan's "open enrollment
periods." To make these changes, get a Group Enrollment Form
from your school district's Group Benefits Manager. The Group
Benefits Manager will submit the completed form to BCBSVT. If
BCBSVT receives the request before January or July, the change will
be made effective on January 1 or July 1. If the request is received
during January or July, the change will be effective on the first of
the following month.
If the change is from a fee-for-service plan to the Vermont Health
Partnership, you must designate a Primary Care Physician for each
family member.
Family Status Changes
When families grow because of marriage, birth of a child or
adoption, or if your spouse loses coverage, we allow you to make
membership changes between open enrollment periods. In the
absence of one of these "qualifying events," employees may also
add or remove dependents (to or from single, two-person or family
memberships) during the plan's open enrollment periods. When
you add or remove dependents, your type of membership
(individual, two-person, or family) may change.
To make these changes, get a Group Enrollment Form from your
school district's Group Benefits Manager. The Group Benefits
Manager will submit the completed form to BCBSVT. If BCBSVT
receives the request before January or July, the change will be
made effective on January 1 or July 1. If the request is received
during January or July, the change will be effective on the first of
the following month.
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