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 NameGreen Mountain Care
Expanded MedicaidYes
Websitegreenmountaincare.org
Phone800-250-8427
Apply Onlinehttps://portal.healthconnect.vermont.gov/
Appeal a Denialhttps://info.healthconnect.vermont.gov/appeals
Find a Local Officehttps://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:

AmbulanceNutrition therapy
ChiropracticOccupational therapy
DentalOrgan transplants
Diabetic suppliesPhysical therapy
Eye examsPodiatry
Family planningPrescription drugs
Hearing aidsPrimary care providers (PCP)
Home health servicesProsthetics
HospicePsychiatrists
Hospital servicesPsychologists
ImmunizationsSpecialist services (non-PCP)
Lab tests and X-raysSpeech/language therapy
Medical equipment and suppliesSubstance abuse treatment
Mental health servicesTransportation

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