Vermont Health Insurance Plans Catamount Health Qualifications
You can qualify for Catamount Health if you:
(a) Are a Vermont resident who is 18 years or older;
(b) Are currently not eligible for other Green Mountain Care plans such as Medicaid, VHAP or Dr. Dynasaur;
(c) Have been living without health insurance for 12 months or more, unless you meet any of the following exceptions:
- You have insurance that only covers hospital care or doctor visits (but not both).
- You had another Green Mountain Care plan but circumstances such as household income and size changed making you eligible for Catamount instead.
- Within the last 12 months, you had insurance but lost it because:
(1) Your job ended for any reason (quit, fired, laid off, or retired) or your work hours were reduced,
(2) You got divorced or your civil union dissolved,
(3) You had insurance through someone who passed away,
(4) Your COBRA ended, is about to end, or you choose to end it or state continuation coverage ("VIPER"),
(5) You are no longer a dependent on your parent's or caretaker's health insurance; or
(6) You were getting your insurance through college and can no longer do so because you graduated, took a leave of absence, reduced your credits or stopped going to college.
(7) You have been enrolled for at least six months in a nongroup insurance plan (i.e., a policy that is not sponsored by an employer or association) with an annual deductible of $7,500 or more for single coverage or $15,000 or more for two-person or family coverage. (Please note that you will not be eligible for Premium Assistance until you have been on Catamount Health for 12 months).
(8) You lost insurance due to domestic violence or abuse.
(d) Are over income for Catamount Health with Premium Assistance (CHAP),
(e) Do not have access to employer-sponsored insurance unless you meet any of the following conditions:
- You have access but it is not comprehensive, meaning it covers hospital care or doctor visits (but not both); or
- You are waiting to enroll in your employer's plan.
- If you lost insurance due to a business closure you may be eligible for coverage without a waiting period.
- For further information on the guidelines and exceptions, please contact Green Mountain Care Member Services at 1-800-250-8427 on business days between 7:45 a.m. and 4:30 p.m.
