Vermont makes it relatively straightforward to apply for Medicaid, which the state calls Green Mountain Care. Whether you are an adult, a parent, pregnant, or applying on behalf of a child, the process runs through a single portal called Vermont Health Connect. This guide walks you through everything you need to know, from eligibility requirements and income limits to the step-by-step application process, so you can get covered as quickly as possible.
Not sure if you qualify? Use our free benefits screener to check your eligibility for Medicaid and other programs in just a few minutes. You can also visit our Vermont Benefits Overview for a full look at the assistance programs available in the state.
What Is Green Mountain Care?
Green Mountain Care is Vermont's Medicaid program. It provides free or low-cost health coverage to eligible residents, including doctor visits, hospital stays, prescriptions, mental health services, dental care, and vision care. Vermont is a Medicaid expansion state, meaning adults without children can qualify based on income alone. The state actually had broad coverage in place well before the Affordable Care Act required expansion in 2014.
For children under 19, Vermont offers Dr. Dynasaur, which combines Medicaid and the Children's Health Insurance Program (CHIP) into one program with generous income limits.
Who Is Eligible for Vermont Medicaid?
Eligibility for Green Mountain Care depends on your household size, income, residency, and citizenship or immigration status. Vermont does not apply an asset test for most Medicaid categories, which means your savings and property generally do not affect your eligibility.
Basic Requirements
- You must be a Vermont resident
- You must be a U.S. citizen or have a qualifying immigration status
- You must meet the income limits for your category
Income Limits by Category
Vermont uses Modified Adjusted Gross Income (MAGI) to determine eligibility. The limits below are based on the Federal Poverty Level (FPL) and include the standard 5% income disregard built into the calculation.
| Category | FPL Percentage |
|---|---|
| Adults (ages 19 to 64) | Up to 138% FPL |
| Children under 19 (Dr. Dynasaur) | Up to 317% FPL |
| Pregnant women | Up to 213% FPL |
Monthly Income Limits for Adults (138% FPL, 2025 to 2026)
| Household Size | Approximate Monthly Income Limit |
|---|---|
| 1 | $1,732 |
| 2 | $2,351 |
| 3 | $2,969 |
| 4 | $3,588 |
| 5 | $4,206 |
| 6 | $4,825 |
These figures are approximate and based on the most recent Federal Poverty Level guidelines. For the most current numbers, contact Vermont Health Connect at 1-800-250-8427.
Special Eligibility Groups
- Pregnant women qualify at higher income levels (up to 213% FPL) and receive 12 months of postpartum coverage after giving birth.
- Children under 19 can qualify through Dr. Dynasaur at incomes up to 317% FPL. Families above 138% FPL may need to pay small premiums.
- Aged, blind, or disabled individuals may qualify under different rules. Contact the Department of Vermont Health Access for details.
- Immigrants who would qualify for Medicaid except for their immigration status may be eligible for the Immigrant Health Insurance Plan (IHIP), which covers children and pregnant women.
How to Apply for Medicaid in Vermont: Step by Step
You can apply for Green Mountain Care at any time during the year. There is no limited enrollment period for Medicaid. Here is the step-by-step process:
Step 1: Gather Your Documents
Before you start, collect the following information for each person in your household:
- Social Security numbers
- Dates of birth
- Proof of income (pay stubs, W-2 forms, tax returns, or self-employment records)
- Proof of Vermont residency (utility bill, lease agreement, or mail with your address)
- Citizenship or immigration documentation
- Information about any current health insurance
- Employer information (if applicable)
Step 2: Choose Your Application Method
Vermont offers several ways to apply:
Online (Recommended) Visit Vermont Health Connect to create an account and complete your application. The online portal is available 24/7 and is the fastest way to apply.
By Phone Call Vermont Health Connect at 1-855-899-9600 for help completing your application over the phone. Representatives are available Monday through Friday, 8:00 AM to 4:30 PM.
For Medicaid-specific questions, you can also call 1-800-250-8427.
In Person Visit a local Department for Children and Families (DCF) district office. Staff can help you fill out and submit your application. Find your nearest office at dcf.vermont.gov.
By Mail Download a paper application from the Vermont Health Connect website and mail it to the address listed on the form.
Step 3: Complete the Application
The application asks for information about your household, including:
- Who lives in your home
- Your income from all sources
- Any current health coverage
- Whether anyone is pregnant
- Whether anyone has a disability
Answer all questions as completely and accurately as you can. Incomplete applications may be delayed.
Step 4: Submit Supporting Documents
You may need to provide verification documents to support your application. Vermont may verify your information electronically, but if additional proof is needed, you will receive a request. You can upload documents through the Vermont Health Connect portal, fax them, or bring them to a district office.
Step 5: Wait for a Determination
Vermont typically processes Medicaid applications within 45 days. If you have an urgent medical need, let the agency know and ask about expedited processing. You will receive a notice in the mail or through your online account once a decision is made.
Step 6: Choose a Provider and Start Using Your Coverage
Once approved, you can begin using your coverage right away. You will receive information about choosing a primary care provider and understanding your benefits. Green Mountain Care covers a wide range of services with little to no cost sharing for most members.
What Does Vermont Medicaid Cover?
Green Mountain Care provides comprehensive coverage, including:
- Primary care and specialist visits
- Hospital and emergency room services
- Prescription medications
- Mental health and substance use treatment
- Dental care
- Vision care
- Preventive care and screenings
- Lab tests and imaging
- Maternity and newborn care
- Long-term care services
- Home health services
- Transportation to medical appointments
Most services have no copays or cost sharing for individuals at or below 100% FPL. Some members with higher incomes may have small copays.
What If Your Income Is Too High for Medicaid?
If your income is above 138% FPL for adults, you may still have affordable options through Vermont Health Connect, the state's health insurance marketplace. Premium tax credits can significantly reduce your monthly insurance costs, and cost-sharing reductions can lower your out-of-pocket expenses.
Even if you do not qualify for adult Medicaid, your children may still qualify for Dr. Dynasaur at incomes up to 317% FPL, and pregnant household members may qualify at up to 213% FPL.
Use our free screener tool to check what programs you and your family may be eligible for.
Tips for a Successful Application
- Apply as soon as possible. Medicaid coverage can begin as early as the date of your application, and in some cases it can be backdated up to three months.
- Report your income accurately. Use your current monthly income, not last year's tax return, unless your income has not changed.
- Include all household members. Even if not everyone is applying for coverage, household size and income affect eligibility calculations.
- Respond to requests quickly. If Vermont Health Connect asks for additional documents, submit them promptly to avoid delays or denial.
- Keep copies of everything. Save copies of your application and any documents you submit.
- Ask for help if you need it. Navigators and certified application counselors are available at no cost to help you through the process. Call Vermont Health Connect at 1-855-899-9600 to find assistance near you.
Renewing Your Vermont Medicaid Coverage
Vermont reviews your eligibility periodically, usually once a year. The state will attempt to verify your information electronically first. If they can confirm you still qualify, your coverage may renew automatically. If they need more information, you will receive a renewal packet. Respond by the deadline to avoid a gap in your coverage.
Keep your contact information up to date with Vermont Health Connect so you do not miss important notices.
Frequently Asked Questions
How long does it take to get approved for Medicaid in Vermont?
Most applications are processed within 45 days. If you have an urgent medical situation, contact Vermont Health Connect to request faster processing.
Can I apply for Medicaid at any time?
Yes. Unlike marketplace health insurance, Medicaid has no open enrollment period. You can apply any day of the year.
Does Vermont Medicaid have an asset test?
For most categories (adults, children, and pregnant women), Vermont does not count your assets. Your eligibility is based on income. However, some programs for aged, blind, or disabled individuals may have asset limits.
What is Dr. Dynasaur?
Dr. Dynasaur is Vermont's combined Medicaid and CHIP program for children under 19. It offers comprehensive health, dental, and vision coverage. Children in families with incomes up to 317% FPL may qualify.
Can I get Medicaid if I am pregnant?
Yes. Pregnant women in Vermont may qualify for Green Mountain Care at incomes up to 213% FPL, and coverage continues for 12 months after giving birth.
What if I am an immigrant?
Vermont offers the Immigrant Health Insurance Plan (IHIP) for children and pregnant women who would qualify for Medicaid but do not meet federal immigration requirements. Contact Vermont Health Connect to learn more.
Can I apply for other benefits at the same time?
Yes. Vermont's unified application systems make it easy to apply for multiple programs. Through Vermont Health Connect, you can apply for Medicaid and marketplace plans. Through the myBenefits portal at dcf.vermont.gov, you can apply for 3SquaresVT (food assistance), Reach Up (cash assistance), and fuel assistance all at once.
What is the phone number for Vermont Medicaid?
For application help, call Vermont Health Connect at 1-855-899-9600. For questions about existing Medicaid coverage, call 1-800-250-8427.
Get Started Today
Applying for Medicaid in Vermont does not have to be complicated. Start by checking your eligibility with our free benefits screener, then head to Vermont Health Connect to submit your application. If you need help along the way, free assistance is available by phone at 1-855-899-9600.
For more information about all the benefits programs available in the state, visit our Vermont Benefits Overview.
