Vermont Medicaid (Green Mountain Care)Updated April 8, 2021 Medicaid
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|
|Appeal a Denial||File an Appeal|
|Find a Local Office||https://www.healthvermont.gov/local|
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:*
- Be responsible for a child 18 years of age or younger
- 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)|
*For households with more than eight people, add $6,038 per additional person.
Available Services Include:
|Diabetic supplies||Physical therapy|
|Family planning||Prescription drugs|
|Hearing aids||Primary care providers (PCP)|
|Home health services||Prosthetics|
|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:
|Prescriptions that cost less than $30||$1|
|Prescriptions that cost $30 - $50||$2|
|Prescriptions that cost $50 or more||$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