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you are at: Home Vermont Health Insurance Plans Vermont Health Access Plan (VHAP) Vermont Health Access Plan (VHAP) Qualifications

Vermont Health Access Plan (VHAP) Qualifications

You can qualify for VHAP if you:

(a) Are a Vermont resident who is 18 years or older;

(b) Meet the income guidelines for VHAP;

(c) Have been living without health insurance for 12 months or more, unless health coverage was lost due to any of the following:

  • You have access to insurance that covers hospital care or doctor visits (but not both);
  • You had another Green Mountain Care plan such as Catamount*, Dr. Dynasaur or Medicaid but circumstances such as household income or size changed making you eligible for VHAP 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 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 parents' or caretaker's health insurance; or
    (6) You were getting insurance through college and can no longer do so because you graduated, took a leave of absence, reduced credits, or stopped going to college.
    (7) You lost insurance due to domestic violence or abuse.
    (8) You lost private health insurance and household income after deductions is:
    Household Size 1 2 3 4 5 6
    Household Income $680 $915 $1,150 $1,385 $1,620 $1,855
 

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.

* If you initially qualified for Catamount Health because you were previously enrolled in a high-deductible insurance plan, you must be in Catamount Health for 12 months before potentially qualifying for VHAP.

 

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