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2020 Eligibility Tables

Vermont Health Connect (VHC) is the state of Vermont’s health benefit exchange. Vermonters with qualifying incomes may get financial help paying for their VHC health plan. The tables below show the type of financial help you can if you have an income that qualifies. The tables are based on the Federal Poverty Level, which is updated each year by the federal Department of Health and Human Services (HHS). You can compare your Modified Adjusted Gross Income (MAGI) to the tables below to find out if you’re likely eligible for financial help. 

2020 Income Thresholds for APTC/VPA/CSR (Using 2019 FPLs)

Vermont Household Income Thresholds for Advanced Premium Tax Credits (APTC), Vermont Premium Assistance (VPS), and Cost Sharing Reductions (CSR)
Eligibility for 2020 Benefits Determined Based on 2019 Federal Poverty Level (FPL)
Upper FPL% and annual income limits for: Silver 94 Silver 87 Silver 77 Silver 73 APTC only
Household Size* 100% (for reference) 150% 200% 250% 300% 400%
1 $12,490 $18,735 $24,980 $31,225 $37,470 $49,960
2 $16,910 $25,365 $33,820 $42,275 $50,730 $67,640
3 $21,330 $31,995 $42,660 $53,325 $63,990 $85,320
4 $25,750 $38,625 $51,500 $64,375 $77,250 $103,000
5 $30,170 $45,255 $60,340 $75,425 $90,510 $120,680
6 $34,590 $51,885 $69,180 $86,475 $103,770 $138,360
7 $39,010 $58,515 $78,020 $97,525 $117,030 $156,040
8 $43,430 $65,145 $86,860 $108,575 $130,290 $173,720
For each additional person add: $4,420 $6,630 $8,840 $11,050 $13,260 $17,680
*Household size = tax filer + spouse (even if they live apart) + tax filer's dependents. Married couples must file jointly to be eligible for APTC and CSR.

Modified Adjusted Gross Income (MAGI) relative to the 2019 Federal Poverty Level (FPL) is used to determine eligibility for 2020 Advanced Premium Tax Credits (APTC), Vermont Premium Assistance (VPA), and Enhanced Silver plans with cost-sharing reductions (CSR). MAGI relative to 2019 FPL will be used to determine eligibility for Medicaid and Dr. Dynasaur until April 2020 when 2020 FPL will be adopted.

Income Thresholds for Medicaid and Dr. Dynasaur - April 2020 through March 2021

Eligibility for Benefits Determined in Relation to
2020 Federal Poverty Level (FPL)
Upper FPL% and monthly income limits for: Medicaid for Adults Pregnant Women Children under 19
Household Size* 133% of FPL + 5% disregard 208% of FPL + 5% disregard 312% of FPL + 5% disregard
1 $1,468.20 N/A $3,371.20
2 $1,982.85 $3,060.85 $4,554.85
3 $2,498.50 $3,855.50 $5,738.50
4 $3,013.20 $4,651.20 $6,921.20
5 $3,528.85 $5,445.85 $8,104.85
6 $4,043.50 $6,241.50 $9,288.50
7 $4,559.20 $7,036.20 $10,472.20
8 $5,073.85 $7,831.85 $11,655.85
*Effective 1/1/14, Medicaid for Children and Adults (MCA) has no resource test. The FPL% limits listed above include the program threshold plus a 5% income disregard.
Eligibility requirements for the Aged, Blind and Disabled (MABD) can be found at http://www.greenmountaincare.org/mabd

 

Click here to see FPL tables for a different year.