young woman in doctor's office

Health Insurance in Vermont

The State of Vermont offers no or low-cost health insurance programs to Vermonters--under the umbrella of Green Mountain Care.

More detailed information about the programs, a screening tool that can help you find the health care program that's right for you, and the application forms are available on the Green Mountain Care website.

Once you apply, the Economic Services Division will determine your eligibility for most programs, including Catamount Health Premium Assistance, Dr. Dynasaur, Medicaid, Vermont Health Access Plan, and Prescription Assistance. 

The Programs

The following programs offer no or low cost payments and premiums to keep your out-of-pocket costs reasonable. There may be a program for you, no matter how much you earn.

Catamount Health

Catamount Health provides comprehensive, quality health coverage at a reasonable cost, no matter how much you earn. You may also get help paying your premiums based on your income. It is designed for Vermonters age 18 or older and families who are not eligible for other state programs such as Medicaid, Medicare, or Vermont Health Access Plan AND who have been uninsured for 12 months or more OR have recently lost their insurance because of a life change such as a divorce or loss of a job. It is offered by Blue Cross Blue Shield of Vermont and MVP Health Care, in cooperation with the State of Vermont.

Dr. Dynasaur

Dr. Dynasaur provides low-cost or free health coverage for children, teenagers under age 18 , and pregnant women. Eligibility is based on family income. Income guidelines are based on your family size.

Employer-Sponsored Insurance Premium Assistance

Uninsured Vermonters can get help paying for their employer's health insurance premiums if they meet all of the following criteria: 1) they are eligible to enroll in Catamount Health or the Vermont Health Access Plan (VHAP); 2) their income is less than or equal to $2,718* a month for one person (higher for larger households); 3) their employer's plan has comprehensive benefits and have not yet enrolled; and 4) it is more cost-effective for the State to provide premium assistance to enroll in your employer's plan than to provide premium assistance to enroll in Catamount Health or VHAP.

*You may still qualify if your monthly income is up to $200 per month higher if you have earned income and/or child care expenses (higher for larger households).

Medicaid

Medicaid provides low-cost or free coverage for low-income children, young adults under age 21, parents, pregnant women, caretaker relatives, people who are blind or disabled, and those age 65 or older.

Vermont Health Access Plan (VHAP)

VHAP is a health insurance program for low-income uninsured adults age 18 and older who have been uninsured for 12 months or more OR have recently lost their insurance because of a life change such as a divorce or loss of a job.

Prescription Assistance

Vermont has several Prescription Assistance programs to help uninsured Vermonters and those enrolled in Medicare pay for prescription medicines based on income, disability status and age. These programs include:

  • VPharm helps Vermonters who are enrolled in Medicare Part D to pay for prescription medicines, with an affordable monthly premium. This includes people age 65 and older as well as people of all ages with disabilities.
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  • VHAP-Pharmacy helps Vermonters age 65 and older and people with disabilities who are not enrolled in Medicare pay for eye exams and prescription medicines for short-term and long-term medical problems and includes an affordable monthly premium.
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  • VScript helps Vermonters age 65 and older and people of all ages with disabilities who are not enrolled in Medicare pay for prescription medicines for long-term medical problems. There is also an affordable monthly premium based on your income.
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  • Healthy Vermonters provides a discount on short-term and long-term prescription medicines. There are no monthly premiums and eligibility is based on your family income.

Privacy Practices

The Health Insurance Portability and Accountability Act of 1996 (also known as HIPAA) requires that AHS health plans and health care providers protect the privacy of an individual's health information and provide for its security.