Application for Health Care Programs and WIC (includes Catamount Health Premium Assistance)
Complete this application for:
- Catamount Health Premium Assistance
- If you are unsure whether to apply for Catamount Health Premium Assistance or Catamount Health, please fill out this application.
- Vermont Health Access Plan (VHAP)
- Dr. Dynasaur
- Prescription Assistance
- Includes VHAP-Pharmacy, VScript, VPharm and Healthy Vermonters.
- If you are only applying for Prescription Assistance, please instead use the "Pharmacy Programs Application."
Catamount Health Application (for applicants NOT applying for Premium Assistance)
Complete this application for:
- Catamount Health (without premium assistance)
- If you believe you qualify for Premium Assistance, please complete the "Application for Health Care Programs and WIC.”
Application for Health Care Assistance
Complete this application for:
- Medicaid
- Although this application can also be used to apply for Catamount Health Premium Assistance, Vermont Health Access Plan (VHAP), Dr. Dynasaur and/or Prescription Assistance, it requires more detailed information than necessary.
Pharmacy Programs Application
Complete this application for:
- Prescription Assistance
- This application is only for Prescription Assistance programs including VHAP-Pharmacy, VScript, VPharm and Healthy Vermonters.
For information or assistance at any time, call Green Mountain Care at 1-800-250-8427.

