Applying for Catamount Health, VHAP, Medicaid and Dr. Dynasaur

The same application is used for all of Vermont's public health care programs: Catamount Health with premium assistance, VHAP, Medicaid and Dr. Dynasaur. Click here for the application This application can be filled out on your computer, but it must be printed and mailed to the state at the address in the application. You cannot apply online at this point

Vermonters should use this form if they are:

• Single and make less than $33,000/yr
• Married with no kids and have a household income of under $43,000/yr
• Married with one child and have a household income of under $54,000/yr
• Married with two children and have a household income of under $65,000/yr.
• For details, call our toll free helpline at 1 866 482 4723.

NOTE: There is no residency requirement necessary to apply for these programs. A household is generally defined as married individuals and their children under 21 living in the same house.

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

Applying Directly for Catamount Health

Vermonters who are over the income thresholds noted above can apply for Catamount Health without premium assistance which costs $432/mo.

Click here for the Catamount Health Application Form if you have a $10,000 or more annual deductible or believe you are over the income threshold for premium assistance. 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 us at 1 866 482 4723.

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

Click here to download a checklist for transferring from a high deductible plan to Catamount Health (doc, pdf)