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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.

Financial Help

Eligible Vermonters can get help paying for a qualified health plan. To get financial help, you must enroll through Vermont Health Connect plan. You can enroll in any qualified health plan in the marketplace – bronze, silver, gold, or platinum. If eligible, you can apply premium tax credits to the plan of your choice.

If you enroll directly with your insurance company, you can’t get financial help (even if you have a qualifying income). However, there are two ways you or your family members could get a qualified health plan.

Want to know which plan will best meet your needs? Do you qualify for financial help? Check out the Plan Comparison Tool to get an estimate.

In general, to get financial help for a VHC plan, this is a list of musts and cannots.

If you enroll in a qualified health plan through Vermont Health Connect, there are three basic types of help you can get, if you qualify:

  • Advance premium tax credits (APTC). This is a program that helps lower your monthly premium. It's based on your federal income taxes. Many people take this tax credit each month to lower their health insurance premiums. Your household's APTC amount is calculated based on the applicable percentage of your income. OR you can take the tax credit when you file your federal tax return. Learn more about premium tax credits.
    • The applicable percentage is the portion of a subsidy-eligible household's income that can be spent on the marketplace's benchmark plan (second lowest-cost Silver plan).
  • Vermont Premium Assistance (VPA) is money from the State of Vermont that lowers your monthly health insurance bill. Your household's VPA amount is calculated based on the applicable percentage of your income. The State sends your VPA to your insurance company for you. VPA lowers your monthly health insurance bill by 1.5% of your household income.
    • The applicable percentage is the portion of a subsidy-eligible household's income that can be spent on the marketplace's benchmark plan (second lowest-cost Silver plan).

To apply for a qualified health plan, login to your secure online account, or call our Customer Service Center at 1-855-899-9600.