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 |
| 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
