Medicaid is a state administered health insurance program, intended to make health care benefits more affordable to qualified individuals. The Department of Prevention, Assistance, Transition and Health Access (PATH) determines the qualification and enrollment requirements of Medicaid program in Vermont. Here we specify the Medicaid rules in Vermont.
PATH Department of Vermont manages four major Medicaid programs: Dr. Dynasaur program, offers insurance cover to pregnant women who are uninsured; Vermont Health Access plan (VHAP) offers benefits to other individuals who are uninsured; Dr. Dynasaur program is also available for children below 18 years; in certain situations, the adults, who take care of these children, can also obtain Medicaid benefits.
As per the specifications of 2010, the resources of parents and guardians of children eligible for Medicaid should be at or below $2,000 for individuals and $3,000 for couples. If a resident of Vermont, who is uninsured, wants to receive benefits of VHAP, he/she must be without any health insurance plan for at least 12 months. You are required to apply through the Department for Children and Families in Vermont for any Medicaid program. If you want to receive long term Medicaid benefits, then you should provide your eligibility proof for each year.
Medicaid programs of Vermont state provide both mental and physical health care facilities, including doctor visits, hospital inpatient care and prescription drug coverage. Services provided for children are more comprehensive, than the services provided to adults under Medicaid.
In certain cases, recipients of Medicaid are required to pay for a part of their benefits known as co-pays. Pregnant women receiving the benefits of Dr. Dynasaur, having income in the range 185-200% of federal poverty level, will be required to pay towards their care. Families having children with Medicaid benefits are also required to pay for the benefits of their children, if their income ranges between 185-225% of federal poverty level.