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Vermont Medicaid (Green Mountain Care)

Vermont Medicaid provides medical assistance to eligible low-income families and to eligible aged, blind, and/or disabled people.

Green Mountain Care is Vermont’s Medicaid program. It provides medical assistance to eligible low-income families and to eligible aged, blind, and/or disabled people whose income is insufficient to meet the cost of necessary medical services.

Program Name Green Mountain Care
Expanded Medicaid Yes
Website greenmountaincare.org
Phone 800-250-8427
Apply Online https://portal.healthconnect.vermont.gov/
Appeal a Denial File an Appeal
Find a Local Office https://www.healthvermont.gov/local

Eligibility Requirements

To be eligible for Vermont Medicaid, you must be a resident of the state of Vermont, a U.S. national, citizen, permanent resident, or legal alien, in need of health care/insurance assistance, whose financial situation would be characterized as low income or very low income.

You must also be one of the following:*

  • Pregnant
  • Be responsible for a child 18 years of age or younger
  • Blind
  • Have a disability or a family member in your household with a disability
  • Be 65 years of age or older

* ACA Medicaid expansion covers eligible low-income adults.

Annual Household Income Limits (before taxes)

Household Size* Maximum Income Level (Per Year)
1 $17,131
2 $23,169
3 $29,207
4 $35,245
5 $41,284
6 $47,322
7 $53,360
8 $59,398

*For households with more than eight people, add $6,038 per additional person.

Available Services Include:

Ambulance Nutrition therapy
Chiropractic Occupational therapy
Dental Organ transplants
Diabetic supplies Physical therapy
Eye exams Podiatry
Family planning Prescription drugs
Hearing aids Primary care providers (PCP)
Home health services Prosthetics
Hospice Psychiatrists
Hospital services Psychologists
Immunizations Specialist services (non-PCP)
Lab tests and X-rays Speech/language therapy
Medical equipment and supplies Substance abuse treatment
Mental health services Transportation

Services Not Covered:

  • Dentures
  • Eyeglasses
  • Orthodontics

Copayments

Prescriptions that cost less than $30 $1
Prescriptions that cost $30 – $50 $2
Prescriptions that cost $50 or more $3
Dental Visit $3
Outpatient services $3

Copayments are not required for the following beneficiaries:

  • Individuals in a long-term care facility
  • Those under age 21
  • Those who are pregnant or in a 60-day post-pregnancy period

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