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Important Message: Did you receive a red-striped envelope? Did you send in your Medicaid renewal? If there is any missing information, our Customer Service team may reach out to you by phone to complete the application. Keep your information up to date! Report any changes. We want to make sure we can stay in touch with you. Questions about Medicaid renewals? Visit dvha.vermont.gov/unwinding.

Exceptional Circumstances Special Enrollment Period

Type your first name here.
Type your last name here.
Select your date of birth.
Address:
Enter your mailing address.
Type your phone number here.
Tell us why you are asking for an Exceptional Circumstance Special Enrollment Period.
Select the date your exceptional circumstance started.
For example: if you became medically incapacitated on 2/15/2020, that is the start date. If you were released from the hospital on 3/1/2020, that is the end date.
Do you need medical care right now? For example, doctor's appointments or prescriptions?
Tell us why you need access to care right now.
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