Accessing Health Care

Is your health insurance meeting your family’s needs? We can help you with accessing health care, by:

  • Answering questions about health care financing
  • Assisting with applications
  • Helping with the appeals process
  • Brainstorming solutions to gaps in your health care coverage

Medicaid is a low cost or free health coverage program for Vermonters. Eligibility is based on household income, family size, disability, and other criteria.

  • Dr. Dynasaur is Vermont’s Medicaid for children under the age of 19 and pregnant woman. Eligibility and cost (premium) is based on household income and family size.
  • Children with special health needs may qualify for Medicaid through Disabled Children’s Home Care (DCHC). This program is also known as Katie Beckett Medicaid. Eligibility is based on your child’s disability and their income and resources. Parent’s income and resources are not counted.
  • Children (birth through age 18) may receive Medicaid if they are eligible for Supplemental Security Income (SSI). Eligibility is determined by the child’s disability and household income. Children over the age of 18 with a disability may qualify for SSI based on their own income and resources.
  • Our Six Ways to Access Medicaid guide explains additional ways to access Medicaid. It is a great resource covering topics including: managing health care for children with special needs, available public programs, the benefits of Medicaid and EPSDT (Early and Periodic Screening, Diagnosis, and Treatment), grievance and appeals, and more.
Front page of the VFN guide to "Six Ways to Access Medicaid"

The front page of the VFN guide to “Six Ways to Access Medicaid”

Applying for Health Care

Vermont’s Early Childhood Developmental Disorders Insurance

Vermont law requires health insurance carriers to provide coverage for evidence-based therapies for children with early childhood developmental disorders. The law indicates the treatments, including Applied Behavior Analysis (ABA), be a covered service for children birth to age 21, and who have an early childhood developmental disorder, such as Autism Spectrum Disorder (ASD), Down Syndrome, Fragile X, Williams Syndrome, and others. For information on how to obtain coverage, see our Early Childhood Developmental Disorders Insurance fact sheet.

For more information related to accessing health care, visit our health resources page.

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