Vermont Application for Presumptive Eligibility for Medicaid

State:
Multi-State
Control #:
US-0538BG
Format:
PDF
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Description

Use this form to find out quickly if you qualify for presumptive eligibility for Medicaid. Presumptive eligibility offers you and your family immediate access to health care while you apply for regular Medicaid or other health coverage.
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How to fill out Application For Presumptive Eligibility For Medicaid?

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FAQ

Presumptive eligibility allows a qualified entity, as deemed by the State, to determine a person's eligibility for Access Plan based on preliminary information they attest to on behalf of the State.

Who is eligible for Vermont Medicaid? To be eligible for Vermont Medicaid, you must be a resident of the state of Vermont, a U.S. national, citizen, permanent resident, or legal alien, in need of health care/insurance assistance, whose financial situation would be characterized as low income or very low income.

Q. Can I use my Medicaid coverage in any state? A: No. Because each state has its own Medicaid eligibility requirements, you can't just transfer coverage from one state to another, nor can you use your Medicaid coverage when you're temporarily visiting another state, unless you need emergency health care.

Income guidelines If this many people live in your home...You CAN earn UP TO this amount of money in 20$36,450 per year This equals: $3,037 each month Or $701 each week2$49,300 per year This equals: $4,108 each month Or $948 each week3$62,150 per year This equals: $5,179 each month Or $1,195 each week3 more rows

The request should be made using the Medicaid Coverage Exception Request form linked below. Call the DVHA Exception Coordinator at (802) 241-0454 or email AHS.DVHAMedicaidExceptions@vermont.gov with questions.

Do I have to have health insurance? When Vermonters file their state taxes, they must report if they had health insurance (including Medicaid and Medicare) for each month of the year. There is no cash penalty for not having health insurance, but it is important that every Vermonter is covered.

At or below $29,160 a year for a single person. At or below $39,440 a year for a couple. At or below $60,000 a year for a family of four.

Please call the Customer Support Center at 1-800-250-8427 if you have questions about your coverage.

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Vermont Application for Presumptive Eligibility for Medicaid