Vermont Medicaid is part of Green Mountain Care. It helps low-income residents get health care. The program is run by the Department of Vermont Health Access.
Income limits are crucial in 2025. They determine who can join. With health costs rising, these limits help families afford care. Limits adjust for inflation and federal poverty guidelines.
The program supports low-income adults, children, pregnant women, seniors, and people with disabilities. This guide includes full 2025 income charts and how to qualify. Figures reflect 2025 updates.
How Vermont Medicaid Works (Quick Overview)
Vermont Medicaid is under Green Mountain Care. It covers doctor visits, pregnancy care, hospital stays, prescriptions, mental health, and preventive care.
Major categories include Dr. Dynasaur for kids, Medicaid for Adults, Medicaid for Pregnant Women, and Medicaid for Children. It serves low-income groups with comprehensive benefits.
Vermont Medicaid Income Limits 2025 (Simple Breakdown)
Income limits in 2025 are based on federal poverty level (FPL). FPL for one person is $15,650 annual. Add $5,500 for each extra person.
Different limits apply to groups. Adults use 138% FPL. Kids go up to 312% under Dr. Dynasaur. Pregnant women up to 208%.
Income counted includes wages, tips, benefits, and child support. Use modified adjusted gross income for most. Seniors and disabled use SSI levels.
Below are the updated Vermont Medicaid income limits for 2025 by household size.
Vermont Medicaid Income Limits 2025 Full Eligibility Table
| Household Size | Monthly Income Limit | Annual Income Limit |
| 1 | $1,800 | $21,597 |
| 2 | $2,432 | $29,184 |
| 3 | $3,065 | $36,780 |
| 4 | $3,698 | $44,376 |
(Add $462 monthly / $5,544 annual for each additional person beyond 8.)
Income Limits by Category
Medicaid for Adults (19–64) 2025 Income Limits
Adults qualify up to 138% FPL. No kids needed. Covers low-income workers.
| Household Size | Monthly Limit | Annual Limit |
| 1 | $1,800 | $21,597 |
| 2 | $2,432 | $29,184 |
| 3 | $3,065 | $36,780 |
| 4 | $3,698 | $44,376 |
Dr. Dynasaur (Children) 2025 Income Limits
Dr. Dynasaur covers kids under 19 up to 312% FPL. Premiums suspended. For ages 0–18.
| Household Size | Monthly Limit | Annual Limit |
| 1 | $4,069 | $48,828 |
| 2 | $5,499 | $65,988 |
| 3 | $6,929 | $83,148 |
| 4 | $8,359 | $100,308 |
Pregnant Women Medicaid 2025 Income Limits
Pregnant women qualify up to 208% FPL. Unborn child counts in size. Covers prenatal and postpartum.
| Household Size | Monthly Limit | Annual Limit |
| 1 | $2,715 | $32,552 |
| 2 | $3,669 | $44,012 |
| 3 | $4,623 | $55,472 |
| 4 | $5,577 | $66,932 |
Aged, Blind & Disabled (ABD) Medicaid 2025 Limits
ABD covers seniors 65+ and disabled up to $1,333 monthly single outside Chittenden County ($1,441 in Chittenden). Assets $2,000 single, $3,000 couple. Spend-down available.
Who Qualifies for Vermont Medicaid in 2025?
- Must be a Vermont resident.
- Meet income limits for your group.
- U.S. citizen or qualified immigrant.
- Fall under a covered category like adult, child, pregnant, disabled, or elderly.
What Medicaid Covers in Vermont (2025)
- Doctor visits.
- Prescription drugs.
- Hospital care.
- Mental health services.
- Pregnancy and postpartum care.
- Dental care (limited for adults, full for kids).
- Preventive care.
Documents Needed to Apply in 2025
- ID.
- Proof of Vermont residency.
- Income documents (paystubs, tax forms).
- Pregnancy proof (if applicable).
- Social Security number or immigration documents.
- Medical bills (for ABD categories).
How to Apply for Vermont Medicaid (Step-by-Step)
- Apply online through Vermont Health Connect.
- Call customer support at 1-855-899-9600.
- Submit documents online or by mail.
- Wait for eligibility review (up to 45 days).
- Receive your Medicaid card if approved.
Frequently Asked Questions
What are the Vermont Medicaid income limits for 2025?
Limits vary: Adults $1,800 monthly for one at 138% FPL, kids $4,069 at 312%, pregnant $2,715 at 208%, ABD $1,333.
Does Vermont check bank accounts for Medicaid in 2025?
No for most; assets checked for ABD, limit $2,000 single.
Can adults without children get Medicaid in Vermont in 2025?
Yes, up to 138% FPL via expansion.
What is the Dr. Dynasaur income limit for 2025?
Up to 312% FPL, like $4,069 monthly for one.
How long does Medicaid approval take in Vermont in 2025?
Up to 45 days for most, 90 for disability.
Final Thoughts
Vermont Medicaid is one of the most accessible in New England. It helps many with affordable care. Knowing 2025 income limits lets you see if you qualify. Eligible households should apply early. Limits update every year. Check Vermont Health Connect for the latest.
