Applying for Catamount Health

This page contains the contact information and applications for both applying directly for Catamount Health and for applying for Catamount Health premium assistance.

Click here to download a Checklist for enrolling in Catamount Health with Premium Assistance (doc, pdf)

Click here to download a Checklist for enrolling in Catamount Health without Premium Assistance (doc, pdf)

Applying Directly for Catamount Health

If you don’t believe you are eligible for premium assistance you may complete this form: Catamount Health Application Form and mail directly to either:

If you are unsure about whether you are eligible for Catamount Health premium assistance click here for a table with income eligibility information or call the State of Vermont at 1800 250 8427.

It is up to the individual consumer to decide which version of Catamount Health to enroll in.

Applying for Catamount Health Premium Assistance

If you wish to apply for premium assistance you may complete this form: Catamount Health Premium Assistance Form and mail it to:

If you are unsure about whether you are eligible for Catamount Health premium assistance click here for a table with income eligibility information or call the State of Vermont at 1800 250 8427.