Green Mountain Care has a screening tool to help you find the application that may be right for you. Click here to get started.
Health Care Programs Application (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 "Health Care Programs Application."
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.
