This section refers to Medicaid for adults between the ages of 19 and 65.
Medicaid for children up to age 19 and pregnant women is called Dr. Dynasaur.
Vermonters who may be eligible for Medicaid because they are disabled, elderly (age 65 and older) or blind must meet different eligibility criteria.
To be eligible for Medicaid, individuals must meet the following criteria:
In addition to the Medicaid rules listed above, individuals must be both financially and categorically eligible to secure benefits.
As of January 1, 2014, Vermonters between the ages of 19 and 65 can be eligible for Medicaid as long as their household income is within the Medicaid income guidelines.
Income is defined as household Modified Adjusted Gross Income (MAGI). MAGI is approximately the Adjusted Gross Income amount from your tax return (line 37 of a 1040 form), plus any Social Security benefits that are not taxed, tax exempt interest (line 8b), and foreign earned income and housing expenses for Americans living abroad.
Assets are not counted as income, and assets are not considered in determining eligibility for Medicaid.
Medicaid provides comprehensive coverage. For adults, Medicaid covers doctors, hospitals, mental health and substance abuse care, naturopathic care, prescription drugs, chiropractic care, and a limited amount towards dental care.
There are no premiums for Medicaid.
Out of pocket costs are:
For more information on Medicaid, click here
Apply for Medicaid through the Vermont Health Connect web site
Or, call us for a paper application—866-482-4723