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Important Message: System issues may affect prescription processing for Medicaid Members. Visit https://dvha.vermont.gov/providers/pharmacy for more information.

Medicaid and Dr. Dynasaur

Medicaid offers health coverage to many people—including those with low incomes and disabilities. Medicaid is run through a partnership between state and federal governments. After the Affordable Care Act was passed in 2010, Vermont expanded its Medicaid programs to cover more people. 

There are different types of Medicaid. In Vermont, Medicaid is run by the Department of Vermont Health Access (DVHA) which includes Vermont Health Connect and Green Mountain Care. Medicaid covers medical care and prescriptions drugs. Learn more about all Vermont Medicaid programs. For a full list of benefits and co-pays, read the Vermont Healthcare Programs Handbook

Vermonters who are eligible for Medicaid can enroll at any time of year. How to apply?

Medicaid for Children and Adults (MCA)

Medicaid for Children & Adults (MCA) includes the Dr. Dynasaur program. These programs are run by Vermont Health Connect, and offer free, or low-cost, health coverage for eligible Vermonters. Eligibility for MCA is based on family size and household income. You may be eligible for Medicaid for Adults if you:

Dr. Dynasaur (for pregnant people and people under 19 years old)

You may be eligible for Dr. Dynasaur (Medicaid for pregnant persons and children) if you are:

  • A child under the age of 19 with household income below 312% FPL; or
  • Pregnant with income below 208% FPL

Dr. Dynasaur is free for pregnant people who meet the rules. Vermont now also offers free coverage for 12 months after the pregnancy ends. This improves access to health care services and continued care after a pregnancy ends.

During this 12-month period, people only lose coverage for a few reasons. These reasons include moving out of Vermont. It also includes not returning required proof of citizenship or immigration status.

Learn more about how to take care of yourself before, during, and after pregnancy.

The cost of Dr. Dynasaur for children depends on household income and family size. For children under 19, the monthly cost may be up to $60 per household. *During the Medicaid renewal period, people don't pay Dynasaur monthly costs.

2023 Monthly Premium Income Levels for Children Who Qualify for Dr. Dynasaur (effective April 1, 2023)
Household Size* $0 Premium $15 premium per family per month $20 premium per family, per month if child(ren) have other insurance. $60 premium per family, per month if child(ren) are uninsured
1 $2,370 $2,880 $3,791
2 $3,205 $3,895 $5,128
3 $4,040 $4,910 $6,464
4 $4,875 $5,925 $7,800
5 $5,711 $6,941 $9,137
6 $6,546 $7,956 $10,473
7 $7,381 $8,971 $11,810
8 $8,216 $9,986 $13,146

Medicaid for Former Foster Care Youth

Medicaid for Former Foster Care Youth is free. It does not matter how much income you have. You may be able to get Medicaid IF you:

  • Are a young adult under age 26 AND
  • Aged out of foster care in Vermont or another state.

Medicaid for Former Foster Care Youth is free. It does not matter how much income you. Apply online at www.VermontHealthConnect.gov.

    Medicaid for the Aged, Blind and Disabled (MABD)

    Medicaid for the Aged, Blind, and Disabled (MABD) is free health coverage for individuals who are:

    • Age 65 or older
    • Disabled; and/or
    • Blind