Health Care Reform for All Vermonters
OneCare joins providers and communities together to improve the health of Vermonters and lower health care costs. OneCare gives doctors access to resources to help coordinate your care and to provide services within your community. By sharing information and working together, providers can do more to make sure you get the best possible care.
Will being in OneCare cost me money?
Being part of the ACO is completely free to patients. OneCare and your insurance company pay your provider for health services you receive. You will never receive a bill from OneCare.
If my doctor is in an ACO, will my health insurance benefits change?
If your doctor is part of OneCare, your health benefits and which providers you can see will not change in any way. You can still see any provider you choose, as allowed by your health plan.
How do I know if I'm part of the ACO?
If you are part of the ACO, you will receive a member notification letter from OneCare or from your insurance company. This letter contains information about how OneCare works, as well as how to opt out of sharing information with the ACO. If you have questions about the notification letter, please contact us.
How will you personally benefit from OneCare?
1. Connection with Your Doctor
OneCare works with your provider to help you stay healthy, avoid trips to the emergency room, and in some cases, support your health goals with a care coordination team. Your doctor also focuses on wellness and check-ups to improve your health and to help prevent you from becoming ill.
2. Health in Your Community
Our prevention programs, such as RiseVT, partner with your community to make the healthy choice the easy choice, by working on issues like affordable housing, walkable towns, and access to healthy food.
Overall, how will Vermonters benefit from OneCare?
OneCare lowers health care costs by helping providers identify Vermonters whose health may be at risk. This is part of population health management. Providers can reach out to people who could benefit from coordination of care. Providers work together to help patients find resources and services that support their health goals.
Here’s a real example of how this works.
Fred’s Story: A Case Study of Care Coordination
The basis of care coordination is providers working together and communicating with each other to better help patients find resources and services that support their health goals. This can result in improved health, reduction of health care costs, and even prevents duplication of expensive health care services and unneeded visits to the emergency department. Here’s a real example of how this worked for a real Vermonter, Fred, who had a long list of complex medical issues. As a result of care coordination, Fred’s health improved. Watch the video to learn more.
Frequently Asked Questions
How do I know if my doctor works with OneCare?
2021 Medicare Participants and Preferred Providers
(updated for 12/01/2021)