Blue Cross Blue Shield of VT
Blue Cross and Blue Shield of Vermont is a not-for-profit health insurance company and independent Blue Cross licensee providing medical, pharmacy, vision, and Medicare coverage to individuals, families, employers, and seniors throughout Vermont.
- Company typePrivate
- Founded2009
- HeadquartersWashington, United States
- Headcount501–1,000
- GTM typeB2B and B2C
- OfferingServices
What Blue Cross Blue Shield of VT does
Blue Cross and Blue Shield of Vermont (BCBSVT) is a not-for-profit health insurance company headquartered in Vermont and operating as an independent licensee of the Blue Cross and Blue Shield Association. The company provides health insurance coverage to individuals, families, employers, and Medicare beneficiaries exclusively within Vermont, distributing through direct website sales, broker partnerships, employer group sales, healthcare provider referrals, and free Medicare education seminars. It employs between 501 and 1,000 people.
The company's product portfolio is anchored on three core lines: Individual and Family Qualified Health Plans, Employer and Group Health Plans, and Medicare plans (including the Vermont Blue Advantage Medicare Advantage subsidiary and Medicare supplement plans). Member services are integrated through a member portal, 24/7 telemedicine, pharmacy benefit management via BenefitRx with home delivery, vision coverage through VSP, and hearing benefits through TruHearing. The technology stack is a conventional health insurance administration platform with provider network finders (Sapphire Care Select), pharmacy locators, and member self-service tools. In 2026 BCBSVT joined the ArrayRx multistate pharmacy discount coalition, offering members up to 80% off generic prescriptions.
Revenue is generated primarily through subscription-based health insurance premiums collected from individuals, families, employers, and Medicare members. Financial performance has been volatile: BCBSVT experienced four consecutive years of healthcare expenses exceeding premium income, including a $62+ million net loss in 2024, before recovering with a $53 million operating gain in 2025 (2.7% operating margin). The company is exiting the Medicare Advantage market for 2026 after Vermont Blue Advantage reported over $50 million in net losses covering 35,000 members, transitioning 7,000+ retired teachers to HealthSpring. Member reserves were rebuilt to $105 million in 2025, and a $30 million surplus note from Blue Cross and Blue Shield of Michigan was repaid. CEO Don George retired in 2025 after 16 years, with Beth Roberts identified as President and CEO.
Blue Cross Blue Shield of VT firmographics
Firmographics- Name
- Blue Cross Blue Shield of VT
- Legal name
- Blue Cross and Blue Shield of Vermont
- Website
- https://bcbsvt.com
- Company type
- Private
- Founded year
- 2009
- Operating status
- Operating
- Headcount range
- 501–1,000 employees
- Short description
- Blue Cross and Blue Shield of Vermont is a not-for-profit health insurance company and independent Blue Cross licensee providing medical, pharmacy, vision, and Medicare coverage to individuals, families, employers, and seniors throughout Vermont.
- Ownership category
- akta.pro rank
Blue Cross Blue Shield of VT industry classification
Industry- Product category
- Health Insurance
- NAICS
- Offices of Dentists (62121), Health Care and Social Assistance (62), Offices of Dentists (621210), Offices of Dentists (6212)
- SIC
- Insurance Agents, Brokers & Service (6411), Accident & Health Insurance (6321), Services-Health Services (8000)
- akta.pro industry
- Individual Dental InsuranceNonprofit / Social Services BOPFinancial & Insurance/Insurance — Motor, Property & Casualty/Commercial Package / Business Owners Policies (BOP)Medicare Quality, Risk Adjustment & Stars Analytics/Services
Keywords
Where Blue Cross Blue Shield of VT is headquartered
LocationHeadquarters
- HQ city
- Washington
- HQ country
- United States
- HQ region
- North America
Offices1 record
Markets served
Blue Cross Blue Shield of VT business model
Business model- GTM type
- B2B and B2C
- Offering type
- Services
- Cost components
- Operations, Personnel, Technology or R&D, Marketing or Sales, Infrastructure
Revenue model
- Health Insurance Premiums: Blue Cross Blue Shield of Vermont generates revenue primarily through health insurance premiums collected from individuals, families, employers, and Medicare members. Premium income is the core revenue stream, though the company reported that healthcare expenses from patient claims exceeded premium income for multiple consecutive years.
Pricing tiers
| Model | Billing | Price |
|---|---|---|
| Subscription | Annual | Qualified Health Plans |
Go-to-market motion1 record
Distribution channels5 records
Marketing channels6 records
Blue Cross Blue Shield of VT product offering
Product offeringCore offering
Blue Cross Blue Shield of Vermont is a not-for-profit health insurance company providing qualified health plans to individuals, families, employers, and Medicare beneficiaries across Vermont. The offering spans medical, pharmacy, vision, and telemedicine benefits, with member access to extensive provider networks, a member portal, and home delivery pharmacy services. It operates as an independent licensee of the Blue Cross and Blue Shield Association, leveraging the national Blue brand while maintaining a Vermont-specific focus.
Product overview
Blue Cross Blue Shield of Vermont offers a unified health insurance platform providing coverage for individuals, families, employers, and Medicare beneficiaries across Vermont. The core product portfolio centers on Individual & Family Health Plans, Employer and Group Health Plans, and Medicare Plans, with Vision coverage offered as an add-on. Member services include integrated telemedicine (24/7 virtual care), pharmacy benefit management through BenefitRx with home delivery options, and access to extensive provider networks including Sapphire Care Select (primary care), VSP (vision), TruHearing (hearing), and dental networks. The company also participates in the ArrayRx multistate pharmacy discount coalition and exited the Medicare Advantage market (Vermont Blue Advantage brand) in 2026. Health & wellness programs, care management, and community engagement round out the member experience.
Differentiator
Problem solved
Functional benefit
Products and services
- Individual & Family Health Plans Qualified health plans offered to individuals and families in Vermont, providing essential health benefits coverage with three levels of plan options.
- Employer and Group Health Plans
- Medicare Plans
- Vision Plans
- Pharmacy Benefit Management
- ArrayRx Pharmacy Discount Card Free pharmacy discount card program through the ArrayRx multistate coalition offering up to 80% off generic drugs and up to 20% off name-brand medications, with average savings of $259 per month reported in similar states.
Quantifiable outcome
- $259 average monthly prescription drug savings for residents in ArrayRx participating states
- +1 more outcomes
Companies that use Blue Cross Blue Shield of VT
Customer profileNamed customers4 records
Segments4 records
Ideal customer profiles3 records
Blue Cross Blue Shield of VT technology and API
TechnologyTechnology focussed No
API detail
- Has API
- No
- API docs
- API detail
Core technology
AI maturity
App detail
Integration7 records
Feature3 records
Blue Cross Blue Shield of VT partnerships and signals
Strategic signalPartnerships
Four partnerships are on record, tiered core.
- ArrayRxcoreVermont joined ArrayRx, a multistate coalition that pools purchasing power to reduce prescription drug costs. The partnership enables Vermonters to access a free pharmacy discount card offering up to 80% off generic drugs and up to 20% off name-brand medications. The program requires no additional taxes or fees and could generate more than $20 million in annual savings if 1% of Vermonters enroll.
- HealthSpringcoreHealthSpring assumed responsibility for retired teachers' health insurance previously provided by Vermont Blue Advantage (VBA) starting January 1, 2026. The transition affects over 7,000 retired teachers, with HealthSpring offering a plan with a 16.2% rate increase and capped rate hikes for the following two years, compared to VBA's proposed 50% rate increase.
- Blue Cross and Blue Shield AssociationcoreBlue Cross Blue Shield of Vermont operates as an Independent Licensee of the Blue Cross and Blue Shield Association, providing access to the national Blue Cross Blue Shield brand, network, and operational frameworks.
- Vermont Blue Advantage (VBA)coreVermont Blue Advantage was a Medicare Advantage plan operated by Blue Cross VT covering approximately 35,000 members. The company decided to exit the Medicare Advantage market for 2026 after VBA experienced a net loss exceeding $50 million, citing unsustainable market conditions.
Scale indicators10 records
Recent moves6 records
Expansion highlights4 records
Blue Cross Blue Shield of VT competitors and assessment
Company assessmentDirect peers
- Blue Cross Blue Shield of Michigan: Largest independent BCBS licensee and the party that previously provided a $30M surplus note to BCBSVT. Operates the same mutual/nonprofit BCBS model with comparable commercial and Medicare products and shared association infrastructure.
- Blue Cross Blue Shield of Massachusetts: Independent BCBS licensee serving a single New England state with a similar nonprofit, community-rated model, integrated provider networks, and individual/group/Medicare product portfolio comparable to BCBSVT.
Regional players
- MVP Health Care: Regional nonprofit health plan serving Vermont and neighboring New York with commercial, Medicare, and Medicaid plans. A direct in-state competitor of BCBSVT in the Vermont market.
- Harvard Pilgrim Health Care: New England regional nonprofit health plan providing commercial and Medicare products. Operates a similar nonprofit, community-focused model in adjacent geographies to Vermont.
Broad incumbents
- Anthem (Elevance Health): One of the largest U.S. health insurers operating BCBS-licensed plans across multiple states. Competes nationally with comparable commercial, Medicare Advantage, and group products but at vastly greater scale.
- UnitedHealthcare (Optum): Largest U.S. health insurer with national Medicare Advantage, employer, and individual coverage. Competes with BCBSVT in national accounts and through Medicare Advantage (now vacated by BCBSVT's Vermont Blue Advantage).
- Cigna Group: Major national health insurer offering employer-sponsored and individual plans plus health services. Overlaps with BCBSVT's commercial group book and represents a competitive threat in large employer accounts.
- Humana: National health insurer with a leadership position in Medicare Advantage, the very segment BCBSVT is exiting. A likely beneficiary of the Vermont Blue Advantage wind-down via HealthSpring partnership.
- Aetna (CVS Health): National health insurer offering employer, individual, and Medicare products under CVS Health. Competes with BCBSVT for large employer accounts and through Medicare Advantage offerings in Vermont-adjacent markets.
Emerging players
- HealthSpring: Took over retired teachers' coverage previously served by Vermont Blue Advantage for 7,000+ members starting January 1, 2026. A direct replacement competitor for the MA cohort BCBSVT exited.
Market position
Strengths4 records
Weaknesses5 records
Competitive moat5 records
Key risks6 records
Key highlights6 records
Customer concentration
Blue Cross Blue Shield of VT social profiles
Digital presenceBlue Cross Blue Shield of VT financial estimates
Financial estimateRevenue estimate
Valuation estimate
Blue Cross Blue Shield of VT leadership team
Management profileNumber of profiles
Profiles2 records
Blue Cross Blue Shield of VT subsidiaries and ownership
Company hierarchySubsidiaries1 record
Blue Cross Blue Shield of VT funding detail
Funding detailFunding overview
Funding rounds
Investors
Funding detail is available on the Subscription and Enterprise plan.Contact sales →
Blue Cross Blue Shield of VT M&A and investment
M&A and investmentM&A
Investments
M&A and investment is available on the Subscription and Enterprise plan.Contact sales →
Frequently asked questions about Blue Cross Blue Shield of VT
What does Blue Cross Blue Shield of VT do?
Blue Cross Blue Shield of Vermont is a not-for-profit health insurance company providing qualified health plans to individuals, families, employers, and Medicare beneficiaries across Vermont. The offering spans medical, pharmacy, vision, and telemedicine benefits, with member access to extensive provider networks, a member portal, and home delivery pharmacy services. It operates as an independent licensee of the Blue Cross and Blue Shield Association, leveraging the national Blue brand while maintaining a Vermont-specific focus.
Is Blue Cross Blue Shield of VT a public or private company?
Blue Cross Blue Shield of VT is a private company. It is classified as nonprofit foundation owned and is currently operating.
When was Blue Cross Blue Shield of VT founded?
Blue Cross Blue Shield of VT was founded in 2009. It employs 501 to 1,000 people.
Where is Blue Cross Blue Shield of VT based?
Blue Cross Blue Shield of VT is headquartered in Washington, United States, in the North America region.
How does Blue Cross Blue Shield of VT make money?
One revenue line is on record: health Insurance Premiums.
Who are Blue Cross Blue Shield of VT's main competitors?
Direct peers on record are Blue Cross Blue Shield of Michigan and Blue Cross Blue Shield of Massachusetts. Regional players are MVP Health Care and Harvard Pilgrim Health Care. Broad incumbents are Anthem (Elevance Health), UnitedHealthcare (Optum), Cigna Group, Humana and Aetna (CVS Health). HealthSpring is listed as an emerging player.
Does Blue Cross Blue Shield of VT have an API?
No public API is recorded for Blue Cross Blue Shield of VT.
What industry is Blue Cross Blue Shield of VT in?
Blue Cross Blue Shield of VT's product category is Health Insurance. Its primary akta.pro industry code is FSAIAEAE, Individual Dental Insurance, with a secondary code of FSAJAFAM, Nonprofit / Social Services BOP. Its NAICS code is 62121 and its SIC code is 6411.