M.D. Tuition Billing and Refund Protocol

Policy 942.00

Policy Statement

Current annual tuition and fee amounts for Medical Degree (M.D.) students are posted online. Billing occurs on a six-month semester basis, regardless of the Vermont Integrated Curriculum structure. The fall semester is July 1 to December 31, and the spring semester is January 1 to June 30. There are no distinct summer terms for the purposes of M.D. billing. Charges for the fall term are assessed each July and due in August; spring charges are assessed each December and due in January. Each billing cycle will reflect half of the annual tuition and fees. Current billing dates and payment deadlines are available online.

Tuition billing rates are based on period of enrollment and residency classification. They are not based on credit hours scheduled or year in the curriculum. A student who deviates from the scheduled curriculum may be charged a prorated tuition rate with a corresponding adjustment to the financial aid budget and awards if applicable. For example, a student who attends half the scheduled weeks of the six-month fall semester would be charged 50% of the standard semester tuition and comprehensive fee based on their residency (in these cases, a leave of absence is required), and if applicable, the financial aid budget and awards would be reduced in accordance with the abbreviated schedule. In the event that a student deviates from the scheduled curriculum after tuition has been billed or paid due to a leave of absence, unplanned withdrawal or dismissal, tuition will be refunded on a pro-rated basis as described above based on the student’s actual length of enrollment. If a student ceases enrollment during the first one-third of the first course or block in the semester (excluding longitudinal, multi-semester, or year-long courses), all tuition charges for the semester shall be removed. Financial aid budgets and awards will be adjusted to account for any adjustments to tuition and fee charges and length of enrollment.

Policy Elaboration

All students who complete graduation requirements will be charged a minimum of eight semesters, as standard tuition costs are established to account for the expenses associated with the complete medical education program.

Charges related to academic remediation:
  1. Students who receive a grade of Incomplete in a course or rotation do not re-enroll in the course; therefore, no additional tuition charges are incurred.
  2. Students who receive a final grade of Fail in a Foundations 1 Level course, who enroll in the spring semester of their first year, and who are approved by the Advancement Committee to remediate the failed course by re-enrolling in the course during the summer between the first and second year of medical school are not charged additional tuition for the summer course.
  3. First-year medical students who re-start the curriculum with a subsequent incoming class will be charged tuition and fees for the repeated semester(s), regardless of any tuition and fee proration granted due to a previous leave of absence and/or course withdrawal.
  4. Students who receive a final grade of Fail in a clinical clerkship, who are approved by the Advancement Committee to remediate the failed clerkship during the Advanced Integration Level, and who will do so using roughly the equivalent of their allotted fourth-year vacation weeks, such that their graduation date does not change, are not charged additional tuition for the repeated clerkship.

Students who enroll in University of Vermont coursework that is not part of the M.D. curriculum will be billed extra tuition accordingly based on the coursework. Please see related Medical Student Handbook Policy 915.00 - Enrollment in non-M.D. Coursework.

Refunds unrelated to tuition:
  1. UVM Student Health Insurance Plan Premium charges, and any associated refunds, are handled by the Center for Health & Wellbeing. Refer to the UVM Center for Health & Wellbeing for information on premium charges and refunds. website. If a student waived campus health insurance, they would not be charged and therefore ineligible for a refund.
  2. Disability insurance is charged once annually (every July), and coverage ensues until the following June. This shall only be refunded if a student will have no enrollment during the coverage period. This fee is never prorated; only charged or removed in its entirety.
  3. The comprehensive fee shall be prorated in the same manner as tuition in instances where tuition is prorated.
  4. One-time, year-specific curriculum fees are non-refundable unless a student’s enrollment is entirely cancelled before the start of the term for which the fee was charged, or if enrollment is cancelled before the first one-third of the first course or block in the semester has elapsed.

Individual tuition adjustments are assessed and completed by Student Financial Services.

Applicability of the Policy

All Medical Students

Related Larner College of Medicine Policies

Related University of Vermont Policies

Related Liaison Committee on Medical Education (LCME) Standard(s)

  • 12.2 Tuition Refund Policy
  • 12.1 Financial Aid/Debt Management Counseling/Student Educational Debt


  • 10/19/2017 Policy Adopted [Medical Education Leadership Team]
  • 12/19/2017 Policy Affirmed [Medical Curriculum Committee
  • 12/17/2019 Hyperlinks updated (UVM migration) [Medical Curriculum Committee]
  • 12/8/2020 Policy Revised [Medical Curriculum Committee]
  • 12/15/2020 Policy Revision [Medical Curriculum Committee]
  • 10/19/2021 Policy Edited [Medical Curriculum Committee]
  • 9/18/2023 Policy Revised [Medical Curriculum Committee]

Policy Oversight

Associate/Assistant Dean for Students (Student Financial Services Assistant Director)

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