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
- Proof of income
- Proof of pregnancy if you're pregnant
- Proof of childcare or elderly care deductions
- Proof you live in Vermont
- Proof of citizenship/identification
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 |
|
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 |
|
$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 |
|
$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 |
|
$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 |
|
$6,201 | Medicaid: $4,134 CHIP: N/A |
$2,643 | $2,643 |