Green Mountain Care Medicaid is a health insurance program that uses technology to help members get the care they need. The program uses data to identify members who need extra help, and then it connects them with services to make sure they are getting necessary services. The program also uses technology to make it easier for members to understand their benefits and get the care they need.
Green Mountain Care: Vermont’s Medicaid Program
Green Mountain Care is Vermont’s Medicaid program, providing health coverage to low-income individuals, families, pregnant women, children, the elderly, and people with disabilities. The program is administered by the Vermont Department of Vermont Health Access.
History of Green Mountain Care
Medicaid was established in 1965 as a joint federal and state program to provide health coverage to low-income individuals and families. In Vermont, Medicaid was originally called the Vermont Medical Assistance Program (VMAP). In 2011, the state legislature passed Act 48, which transformed VMAP into Green Mountain Care. The new program expanded Medicaid eligibility to include all Vermonters with incomes up to 133% of the federal poverty level.
Benefits of Green Mountain Care
- Green Mountain Care covers a wide range of health care services, including doctor visits, hospital stays, prescription drugs, mental health services, and substance abuse treatment.
- The program also provides coverage for preventive care, such as screenings and immunizations.
- Green Mountain Care members can choose their own doctors and hospitals.
- The program is affordable, with premiums and co-pays based on income.
Eligibility for Green Mountain Care
To be eligible for Green Mountain Care, you must be a Vermont resident and meet certain income and asset requirements. You may also be eligible if you are pregnant, a child, elderly, or have a disability.
How to Apply for Green Mountain Care
You can apply for Green Mountain Care online, by phone, or in person at a local Department of Vermont Health Access office. You will need to provide proof of your income, assets, and identity. You can also apply for Green Mountain Care through Vermont Health Connect, the state’s health insurance marketplace.
Contact Information
For more information about Green Mountain Care, you can visit the Department of Vermont Health Access website or call 1-800-419-0514.
| Category | Income Limit | Asset Limit |
|---|---|---|
| Adults | 133% of the federal poverty level | $2,000 for an individual, $3,000 for a couple |
| Children | 133% of the federal poverty level | No asset limit |
| Pregnant Women | 133% of the federal poverty level | No asset limit |
| Elderly | 133% of the federal poverty level | $2,000 for an individual, $3,000 for a couple |
| People with Disabilities | 133% of the federal poverty level | $2,000 for an individual, $3,000 for a couple |
Eligibility for Green Mountain Care
Determining eligibility for Green Mountain Care, the Vermont Medicaid program, depends on various factors. It is crucial to note that qualification criteria can change over time, and it is recommended to visit the official website or directly contact the Green Mountain Care office for the most up-to-date and accurate information.
Income and Assets
- Income:
- Assets:
Income limits vary based on household size and composition. To be eligible for Green Mountain Care, income must fall below specific thresholds set by the program.
Asset limits also apply to determine eligibility. These limits include cash, bank accounts, stocks, bonds, and real estate (excluding a primary residence).
Age and Disability
- Age:
- Disability:
Green Mountain Care provides coverage to individuals of all ages, including children, adults, and seniors.
Eligibility is available to individuals with disabilities who meet specific medical criteria.
Pregnancy and Children
- Pregnancy:
- Children:
Pregnant women may be eligible for Green Mountain Care, and coverage can extend through the postpartum period.
Children under the age of 19 are generally eligible for Green Mountain Care, regardless of their parents’ income or immigration status.
Additional Factors
- Residency:
- Citizenship and Immigration Status:
Individuals must be residents of Vermont to be eligible for Green Mountain Care.
Eligibility is not restricted to U.S. citizens; certain non-citizens and legal immigrants may also qualify.
Table of Income Limits
| Household Size | Income Limit |
|---|---|
| 1 | $18,754 |
| 2 | $25,200 |
| 3 | $31,646 |
| 4 | $38,092 |
| 5 | $44,538 |
| 6 | $50,984 |
| 7 | $57,430 |
| 8 | $63,876 |
To learn more about eligibility requirements, visit the official Green Mountain Care website or contact the program office directly.
Green Mountain Care: An Overview
Green Mountain Care is Vermont’s Medicaid program. It provides health coverage to low-income individuals and families, children, pregnant women, people with disabilities, and people who are eligible for Medicare. The program is funded by both the state and federal governments.
Services Provided by Green Mountain Care
- Doctor visits
- Hospital care
- Prescription drugs
- Mental health services
- Substance abuse treatment
- Dental care
- Vision care
- Hearing aids
- Durable medical equipment
- Home health care
- Nursing home care
Eligibility for Green Mountain Care
To be eligible for Green Mountain Care, you must meet certain criteria. These criteria include:
- Being a resident of Vermont
- Having a low income
- Being a child, pregnant woman, person with disabilities, or person who is eligible for Medicare
Applying for Green Mountain Care
You can apply for Green Mountain Care online, by phone, or in person. The application process is simple and straightforward. You will need to provide information about your income, household size, and health status.
Benefits of Green Mountain Care
There are many benefits to having Green Mountain Care. These benefits include:
- Access to affordable health care
- Peace of mind knowing that you are covered in case of illness or injury
- The ability to get the care you need to stay healthy
Green Mountain Care: Costs and Coverage
| Type of Coverage | Cost |
|---|---|
| Monthly Premium | $0 |
| Copays | $0-$5 |
| Deductible | $0 |
| Annual Out-of-Pocket Maximum | $1,500 |
Green Mountain Care: Your Medicaid and CHIP Healthcare Option
Green Mountain Care is Vermont’s Medicaid and Children’s Health Insurance Program (CHIP) program. It offers health insurance to Vermonters of all ages. It can help you get the health care you need, including doctor visits, hospital stays, prescriptions, and more.
Costs:
- Free or low-cost health insurance for eligible individuals and families
- Co-pays may apply for certain services
Application Process:
- Apply online at www.healthcare.vermont.gov
- Call 1-800-272-0073 for assistance
- Visit your local Department of Health and Human Services office
- Complete and submit an application form
- Provide proof of identity, income, and residency
| Eligibility | Income Limit |
|---|---|
| Pregnant women | Up to 200% of the federal poverty level (FPL) |
| Children under 19 years old | Up to 150% of the FPL |
| Adults with disabilities | Up to 138% of the FPL |
| Low-income adults | Up to 138% of the FPL |
Benefits:
- Preventative and wellness services such as checkups, screenings, and immunizations
- Medically necessary services such as doctor visits, hospital stays, and surgeries
- Mental health and substance use disorder treatment
- Prescription drugs
- Dental and vision care
Thanks for reading! I hope this article has helped you understand the relationship between Green Mountain Care and Medicaid. If you have any further questions, please don’t hesitate to reach out to us. Though you may have learned a lot today, there’s always more to discover. So, please visit again soon for more informative content like this. Until then, take care and stay updated on all things healthcare!