Vermont Medicaid Eligibility Requirements

This page provides general guidelines for the Vermont Medicaid eligibility requirements. This is an assistance program that provides medical coverage for low-income people of all ages. The department that handles the Medicaid program is Vermont Agency of Human Services. If you have questions or issues about the Medicaid application or the eligibility requirements, contact the Vermont Medicaid office.


Vermont Medicaid Overview

Medicaid is a program for people who can't afford to pay for medical care.


Vermont Medicaid Eligibility Requirements - Non Income

The enrollee must be a Vermont resident and a U.S. citizen or legal alien.


Documents Needed For Vermont Medicaid Application


Vermont Medicaid Benefits

It covers doctor visits, prescriptions, hospital care (including emergency care), tests, x-rays, family planning, mental health services, substance abuse services, home health care, dental care, eye care, occupational therapy, physical and speech therapy, and more.


Vermont Medicaid & CHIP Eligibility Levels

Below is the modified adjusted gross income (MAGI) eligibility levels for Vermont Medicaid and Children's Health Insurance Program (CHIP).

Eligibility Levels - By Percentage Of Federal Poverty Level (FPL)

Medicaid Expansion Medicaid Children Separate CHIP Pregnant Women Parents Other Adults
Yes
Age 0-1: 312%
Age 1-5: 312%
Age 6-18: 312%
312% Medicaid: 208%
CHIP: N/A
133% 133%

Eligibility Levels - Individual By Monthly Income

Medicaid Expansion Medicaid Children Separate CHIP Pregnant Women Parents Other Adults
Yes
Age 0-1: $3,034
Age 1-5: $3,034
Age 6-18: $3,034
$3,034 Medicaid: N/A
CHIP: N/A
$1,293 $1,293

Eligibility Levels - Family Of Two By Monthly Income

Medicaid Expansion Medicaid Children Separate CHIP Pregnant Women Parents Other Adults
Yes
Age 0-1: $4,090
Age 1-5: $4,090
Age 6-18: $4,090
$4,090 Medicaid: $2,727
CHIP: N/A
$1,743 $1,743

Eligibility Levels - Family Of Three By Monthly Income

Medicaid Expansion Medicaid Children Separate CHIP Pregnant Women Parents Other Adults
Yes
Age 0-1: $5,145
Age 1-5: $5,145
Age 6-18: $5,145
$5,145 Medicaid: $3,430
CHIP: N/A
$2,193 $2,193

Eligibility Levels - Family Of Four By Monthly Income

Medicaid Expansion Medicaid Children Separate CHIP Pregnant Women Parents Other Adults
Yes
Age 0-1: $6,201
Age 1-5: $6,201
Age 6-18: $6,201
$6,201 Medicaid: $4,134
CHIP: N/A
$2,643 $2,643