Jeffrey Wade
Medicaid is a government-funded health insurance plan for income-eligible people and people who are categorically eligible. In Vermont, Medicaid is run by the Department of Vermont Health Access. The state's Medicaid renewal process began in April 2023, with a gradual review of enrollee eligibility over the next 12-14 months. If you need to renew your Medicaid insurance in Vermont, you will receive a renewal notice in the mail, and you may also be contacted via email, text, or phone. To renew your coverage, carefully read and complete the entire notice, providing any requested documents, and mail the renewal form to Vermont Health Connect.
| Characteristics | Values |
|---|---|
| Who runs Medicaid in Vermont | Department of Vermont Health Access |
| Medicaid coverage | Medical care and prescription drugs |
| Medicaid eligibility | Income-eligible people and people who are categorically eligible |
| Medicaid cost | Low-cost or free health coverage for adults |
| Dr. Dynasaur coverage | Low-cost or free health coverage for children, teenagers under 19, and pregnant women |
| Medicaid renewal notice | Received in the mail |
| Medicaid renewal form | Complete, sign, and mail the form |
| Medicaid renewal review | Vermont Health Connect or Green Mountain Care will review the paperwork |
| Medicaid renewal period | Started in April 2023 and will last 12-14 months |
| Medicaid renewal assistance | Customer Support: 1-855-899-9600 or 1-800-250-8427 |
| Medicaid renewal documents | Send by mail, upload securely, or bring copies to an Economic Services Division district office |
| Medicaid renewal deadline | Coverage will end if documents are not submitted by the due date |
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What You'll Learn
Medicaid renewal notices
Receiving Your Renewal Notice
Vermonters enrolled in Medicaid will receive a renewal notice before their coverage is up for renewal. This notice will be sent to you in the mail, and it serves as a reminder to take action to keep your health coverage. Most households will also receive a text message or postcard in advance of this mailing. The renewal notice will include a due date by which you need to take action.
Completing the Renewal Process
Once you receive your renewal notice, you will need to complete, sign, and mail the renewal form to the Vermont Health Connect address provided. This form will require you to provide financial and non-financial information to confirm your eligibility for Medicaid. You can also renew online at Medicaid member services by filling out the relevant renewal form on your computer. It is important to respond by the due date to avoid losing your health coverage.
Maintaining Coverage
If you are no longer eligible for Medicaid, you will receive a Medicaid closure notice. This does not mean your coverage will end immediately, as loss of Medicaid provides a 60-day enrollment window to find new coverage. You can explore health coverage options through Vermont Health Connect, which offers a range of commercial plans that meet state standards for essential benefits and services. You may also be eligible for a Qualified Health Plan with zero or near-zero monthly premiums.
Staying Informed
To ensure you receive important notices and reminders about your Medicaid coverage, keep your contact information up to date. Log into your account or call customer support to provide your current mailing address, email address, and phone numbers. You can also add a cell phone number to receive text message reminders.
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What to do if you can't renew by the deadline
If you are unable to renew your Medicaid insurance in Vermont by the deadline, there are a few things you can do. Firstly, it is important to understand the reasons why you are unable to renew on time. For instance, during the COVID-19 public health emergency, some copays were stopped, and many people lost their Medicaid benefits even though they still qualified, simply because they missed a deadline or failed to correctly navigate the paperwork.
If you are unable to meet the deadline due to administrative reasons, such as failing to respond to your renewal notice or not submitting the required documents, you can contact the Department of Vermont Health Access (DVHA) as soon as possible. The DVHA staff will need to confirm your basic information and update any changes in your personal circumstances. Make sure your contact information, including your address, phone number, and email, is up to date by logging into your account at Vermont Health Connect or by calling their customer support at 1-855-899-9600.
If you are unable to renew by the deadline due to exceptional circumstances, such as the recent flooding in Vermont, there may be special accommodations available. For example, in August 2023, the state offered a special health insurance enrollment period and extended Medicaid benefits to flood survivors. In such cases, there may be no deadline for the special enrollment period, but you are encouraged to enroll as soon as possible to ensure coverage.
Additionally, if you are unable to renew your Medicaid insurance by the deadline, you may want to explore other health coverage options. Vermont Health Connect offers various health insurance plans, including Qualified Health Plans with zero or near-zero monthly premiums for eligible individuals. You can also check if you qualify for any Marketplace subsidies or employer-sponsored group health insurance plans.
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How to submit verification documents
The State of Vermont will contact you before it is time to provide information to renew your Medicaid coverage. You will receive a renewal notice in the mail with a due date printed on it. If you need to take action, the notice may come in an envelope with a red stripe. You may also be contacted via email, text, or phone.
If you are asked to provide documents, it is important to send them as they may be required for you to maintain your coverage. You can mail copies to:
Vermont Health Connect
Customer Service
Department of Vermont Health Connect
280 State Drive
NOB 1 South
Waterbury, VT 05671-8100
You can also take pictures of your documents and use the secure document uploader. If you need help gathering your verification documents, you can call the Customer Support Center at 1-855-899-9600 or 1-800-250-8427 for Long-Term Care (LTC) Medicaid help. You can also contact a certified Assister in your area.
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Medicaid coverage renewal for children and pregnant people
In Vermont, Medicaid is a government-funded health insurance plan for income-eligible people and those who are categorically eligible. The program for children and pregnant women is called Dr. Dynasaur. Dr. Dynasaur provides low-cost or free health coverage for children and teenagers under the age of 19, as well as pregnant women.
Children with household incomes up to 317% of the federal poverty level (FPL) are eligible for Medicaid and CHIP/Dr. Dynasaur. Premiums are charged if the household income is above 138% FPL. Coverage is available through IHIP if the child would be eligible for Medicaid but isn't due to immigration status.
Pregnant women with incomes up to 213% of FPL are eligible for Dr. Dynasaur. Coverage for the mother continues for 12 months after the baby is born. Coverage is available through IHIP if the pregnant woman would be eligible for Medicaid except for her immigration status.
To renew your Medicaid or Dr. Dynasaur coverage in Vermont, you will receive a renewal notice in the mail with a due date printed on it. Complete, sign, and mail the renewal form to the following address:
Vermont Health Connect
280 State Drive NOB 1 South
Waterbury, VT 05671-8100
Vermont Health Connect or Green Mountain Care will then review your paperwork to determine if you are still eligible for Medicaid. You can also call 1-800-250-8427 or write to [email protected] for more information.
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Medicaid renewal customer support
The Department of Vermont Health Access provides Medicaid as a government-funded health insurance plan for eligible Vermonters. The state's Medicaid program covers medical care and prescription drugs.
The renewal process for all Medicaid members in Vermont began in April 2023. This process happened gradually over the next 12-14 months. Vermont Health Connect or Green Mountain Care will determine if you are still eligible for Medicaid.
If your Medicaid coverage is going to end because you are no longer eligible, you will get information on how to apply for other health insurance. You can also contact Medicaid Renewal Customer Support by calling 1-800-250-8427 or 1-855-899-9600. You can also write to them at [email protected].
You will receive your renewal notice in the mail with a due date printed on it. Complete, sign, and mail the renewal form to the following address:
Vermont Health Connect
280 State Drive
NOB 1 South
Waterbury, VT 05671-8100
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Frequently asked questions
You will receive a renewal notice in the mail with a due date printed on it. Complete, sign, and mail the renewal form to Vermont Health Connect.
Vermont Health Connect, Customer Service, Department of Vermont Health Connect, 280 State Drive, NOB 1 South, Waterbury, VT 05671-8100.
Contact Customer Support at 1-855-899-9600 or 1-800-250-8427 for Long-Term Care (LTC) Medicaid help.
Your Medicaid coverage will end, and you will receive a notice ending your coverage. The notice will include instructions on how to appeal the decision.
If you are no longer eligible for Medicaid, you will receive information on how to apply for other health insurance plans, which may have zero or near-zero monthly premiums.
