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Notices

What are notices?

Notices tell you important information about your coverage. Vermont Health Connect or Green Mountain care notices let you know what information is needed to keep your health insurance and/or financial help.

Once you sign up for health insurance, look for important information about your health insurance in the mail. Notices come in the mail in white envelopes, some with the words "Important Renewal Notice." You can also find notices in your Vermont Health Connect account.

Notices are time sensitive and may impact your health insurance. It's important that you read them and take action, if required. Look at the date on your notice. If we don't get the information we need by the date on your notice, you may not be able to enroll, or your financial help may change, or your coverage may end.

Here are 3 notices we send to customers:

  • Notice of Decision. This is the most common notice sent to customers. It tells you which benefits your household is eligible for. This notice is sent when a change is made, such as household size or income. Such change of circumstances may affect your monthly payments or eligibility for Medicaid/Dr.Dynasaur.
  • Verification of Information. This notice is sent to customers who are applying for or are enrolled in qualified health plans (QHP) and Medicaid/Dr.Dynasaur. You will get this notice if we need to verify financial or non-financial information. Sometimes we do not need documents from you, but only a verbal response. If we do not hear from you, your coverage may be re-determined, denied or terminated.
  • Annual Health Plan Renewal
    • At Open Enrollment, this notice is sent to QHP customers stating that their health coverage (the same health plan and the same insurance company) will be renewed. It states the amount of financial help which you can get to help pay for your health costs. The notice also reminds those with a QHP the opportunity to change their plans (a different level of coverage or a different insurance coverage) or cancel.
    • A separate notice is sent to Medicaid/Dr.Dynasaur customers. Some plans are automatically renewed while others will need to complete a renewal application.

 


WHAT SHOULD I DO IF:

I got a notice from Vermont Health Connect asking me for personal information. What should I do?

Vermont Health Connect needs information to find out if you are eligible for health coverage programs and financial help. For example, we may ask about:

  • Household income
  • Citizenship status
  • Immigration status
  • Social Security numbers

If we ask for information, please upload or send it as soon as possible to avoid delays or loss of coverage. If you want to be sure a notice you get is really from Vermont Health Connect, please call us at 1-855-899-9600.

I’m enrolled in Medicaid, and I got a notice asking for more information. What happens if I do nothing?

If you’re enrolled in Medicaid and you get a notice from Vermont Health Connect asking for information, you must respond. If you don’t respond by the date on your notice, your Medicaid coverage may end.

If you don’t respond to a notice and your Medicaid coverage ends or doesn’t start, you can re-apply for Medicaid. If you re-apply and you are no longer eligible for Medicaid, you must wait until you have an enrollment period to get a qualified health plan (QHP).

If you’ve applied for Medicaid and you get a notice from Vermont Health Connect asking for information, you must respond. If you don’t respond by the date on your notice, you may get another notice reminding you to respond. If you still don’t respond, you won’t get Medicaid coverage.

I have a Vermont Health Connect qualified health plan and I got a notice asking for more information. What happens if I do nothing?

If you have a qualified health plan through Vermont Health Connect and you get a notice that asks for more information, you must respond. If you don’t respond by the date on your notice, you may lose financial help and your coverage may end.

I got a notice from Vermont Health Connect and I don’t understand what it means. Who can help me?

Notices give you important information about your health coverage. If you don’t understand what your notice means, call our Customer Service Center at 1-855-899-9600. We will be happy to help you. If you want to speak to someone in person, use our assister directory to find an in-person assister in your area. You can also ask for help from Vermont Legal Aid's Health Care Advocate by calling 1-800-917-7787.

I got a notice of decision, but I don’t agree with what it says. What can I do about it?

If you think Vermont Health Connect made a mistake, you can appeal the decision. An appeal is a way to tell Vermont Health Connect that you think we made the wrong decision and to ask for a fair hearing. Every notice of decision has a page that explains your right to appeal, and how to start an appeal. You have 90 days from the date on the notice to ask for an appeal on an eligibility decision. To file an appeal, you can:

  • Call Customer Support toll free: 1-855-899-9600
  • Send a letter to: Human Services Board, 14-16 Baldwin Street, 2nd Floor, Montpelier, VT 05633-4302
  • Send an e-mail to: AHS.VTHealthConnect@vermont.gov. Write “Appeal” as the subject.
  • Sign in to your VHC account. Click on the “Appeal” button.

You can choose someone to help you with your appeal. If you have questions about filing an appeal, please call Vermont Health Connect at 1-855-899-9600.