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Migrant Workers and Health Coverage

Migrant workers who are lawfully present and otherwise eligible can get qualified health plans (QHP) through Vermont Health Connect. There are two types of lawfully present migrant workers:

  1. Workers who have a Permanent Resident Card (also called a Green Card) or Employment Authorization Document from U.S. Citizenship and Immigration Services
  2. Workers who have an H2A or H2B visa from U.S. Citizenship and Immigration Services

Qualified Health Plans

If you're a migrant worker, you can apply for a Vermont Health Connect qualified health plan if you meet ALL conditions below:

  • You are a Vermont resident; AND
  • You are lawfully present in the United States; AND
  • You are not in jail.

Eligible migrant workers who file taxes in the United States may also get financial help paying for a qualified health plan—including advance premium tax credits (APTC) and cost-sharing reductions. If you're a migrant worker, you may be eligible for financial help paying for a Vermont Health Connect qualified health plan if you meet ALL conditions below:

Undocumented workers are not eligible. Married migrant workers may want to get tax advice before applying for Vermont Health Connect coverage.

Medicaid

Migrant workers who are in Vermont with an Employment Authorization Document, or an H2A or H2B visa cannot get Medicaid. Workers with a Green Card from U.S. Citizenship and Immigration Services may be able to get Medicaid coverage after they have been lawfully present in the United States for more than five years. There are some exceptions. The following migrant workers may be eligible for Medicaid coverage:

  • Eligible pregnant women 
  • Eligible children under age 21

Emergency Medical Coverage

Migrant workers who are denied Medicaid coverage due to immigration status (and no other reason) may be able to get financial help paying for medical care in an emergency, such as unscheduled childbirth. Please call Vermont Health Connect at 1-855-899-9600 to learn more.

When Can Migrant Workers Enroll in a Qualified Health Plan?

  • Open Enrollment (usually November 1 to December 15 each year)
  • Immigrants who gain lawfully present status will have a 60 day Special Enrollment Period (SEP) to apply for coverage.
  • Migrant workers who lose coverage because they can’t prove they are lawfully present in the United States may get a 60 day Special Enrollment Period (SEP) once they can prove they’re lawfully present.
  • Migrant workers who move to Vermont to work will have a 60 day Special Enrollment Period to apply for coverage, starting from the day they arrive in the United States.