Have all your medical questions answered
A FREE benefit provided to you by Vail Resorts
To learn more about the $200 Single Opinion Penalty that applies to specific procedures, visit: vailresortshealth.com
Use Grand Rounds when:
In addition to the above circumstances, completing a Grand Rounds service is required before certain procedures in order to avoid $200 in out-of-pocket surgery fees, referred to as the Single Opinion Penalty. Be sure to read the “What is the Vail Resorts Single Opinion Penalty” question and answer below for additional information.
Since it takes several weeks to review each procedure for an expert opinion, please make sure to begin the process at least 2-3 weeks prior to surgery. It only takes 5 minutes to get started. Once you have started, you will have a personal care team helping you every step of the way. You can call or message your care team at any time with any question you may have. The complete process of working with Grand Rounds for an expert opinion takes about 2-3 weeks.
Sign up today to get started from your online patient dashboard, mobile application, or call us at 800-929-0926.
We have found that certain surgeries and procedures have a higher rate of misdiagnosis and improper treatment. Because of this, those enrolled in a Vail Resorts medical plan should use Grand Rounds to get a Physician Referral or to complete an Expert Opinion prior to certain surgical procedures so that one of the country’s experts can confirm they are on the best treatment path.
Procedures subject to the penalty include: Joint surgery (shoulder, elbow, hip, knee, ankle & wrist), Back & spinal surgery, OB-GYN surgery, and Bariatric surgery.
You should allow at least 2-3 weeks to receive the expert second opinion through Grand Rounds prior to undergoing the procedure. For detailed information on which procedure codes apply to the Single Opinion Penalty, visit vailresortshealth.com/grand-rounds.
Yes. In fact most people who use Grand Rounds are not considering any of these procedures.
You have no obligation to follow the recommendations provided by Grand Rounds. To avoid the penalty, you must receive the Physician Referral or Expert Opinion prior to having the surgery or procedure. You are not required to use the provider identified or follow the expert recommendation provided by Grand Rounds. Your care decisions are between you and your provider, and ultimately the decision is yours.
If you have an emergency procedure, working with Grand Rounds will not affect your medical plan fees.
Grand Rounds is available to Vail Resorts employees and their dependents enrolled in either the Basic or Enhanced medical plans. Vail Resorts provides this service so that you have access to high-quality medical care and are able to achieve better health outcomes.
Grand Rounds is fully covered by Vail Resorts and is available at no cost to you and your covered dependents as long you are enrolled in a Vail Resorts medical plan. Simply enter your information and Grand Rounds will waive all fees. If you receive medical services in person, normal plan cost share guidelines apply regarding your deductible, coinsurance, etc.
Once you get started with Grand Rounds, a member of your Care Team will reach out to you to learn about your exact needs. They will then take care of all the logistics of your case, from finding the right doctor to collecting your medical records. After you have received guidance, your Care Team will follow up with you to answer any questions, make sure your needs have been met, and start any additional services if necessary.
Grand Rounds can help with all medical conditions and specialty areas. Our top areas include: neck or back pain, knee-related issues, chronic headaches or migraines, cardiac issues, IDB or IBS or Crohn’s, fibromyalgia, sports injuries, cancer, pediatric care, pregnancy complications and much more.
Grand Rounds physicians are selected on a number of different criteria, such as their institution, training, patient outcomes, and procedure volumes. In addition, we match you to a physician that specializes in your exact area of need based on your responses to a few quick questions.
Most physicians are highly receptive to receiving another opinion on a complicated medical issue. You should not be concerned about offending your treating physician as their primary goal is to help you get better, and this opinion is simply an additional resource to do so. A good way to frame the conversation with your local treating physician is:
In accordance with HIPAA, any personal health information you share with Grand Rounds is confidential and not shared with your employer. Grand Rounds will communicate the met requirement to your medical carrier (UMR) to ensure you avoid the $200 penalty, if applicable. Grand Rounds will not share any medical or case information, which is available only to you, your team members (who you can add personally), and your Grand Rounds Care Team.
Grand Rounds is not affiliated with your insurance and operates separately to guide your ongoing care. The goal of Grand Rounds is to provide you with useful information about your health so that you receive proper treatment.
The last four digits of your SSN are needed to confirm both your identity when creating an account and your eligibility for the Grand Rounds benefit.