Vermont Medicaid Eligibility Calculator (2026)
Vermont’s Dr. Dynasaur covers children up to $7,218 a month for a family of three; pregnancy coverage stops lower, at $4,850, and adults qualify up to $1,836.
Verified
Eligibility checklist
Dr. Dynasaur is Medicaid
Vermont covers children of every age to 312% of the poverty line, using CHIP funds above the base Medicaid level rather than a separate CHIP.[MACPAC] Pregnancy coverage reaches 208% — more than 100 points below the children’s line.[MACPAC]
| Group | FPL | 1 | 2 | 3 | 4 | 6 |
|---|---|---|---|---|---|---|
| Adults 19–64 | 138% | $1,836 | $2,489 | $3,142 | $3,795 | $5,102 |
| Pregnancy | 213% | $2,833 | $3,842 | $4,850 | $5,858 | $7,874 |
| Children | 317% | $4,217 | $5,717 | $7,218 | $8,718 | $11,719 |
Spend-down by region
Vermont’s medically needy income level varies by location; MACPAC lists the highest at about 110% of the poverty line, one of the most generous spend-down levels in the country.[MACPAC]
Postpartum
Vermont’s 12-month postpartum extension was approved August 11, 2023.[KFF] Newborns of covered mothers are deemed eligible to 208% of the poverty line.[MACPAC]
Unlike most New England states, Vermont does not use the optional poverty-level group for older adults; instead SSI recipients are covered automatically, the regional medically needy levels apply above that, and long-term care uses the 300%-of-SSI cap of $2,982 a month.[MACPAC]
Applying
Vermont Health Connect, run by the Department of Vermont Health Access, takes Medicaid and private-plan applications together. The parent/caretaker group reaches 40% before the expansion takes over.[MACPAC]
Worked example
A pregnant Burlington mother of one (three people for Medicaid, counting the baby) reports $4,900 a month. That is 215.2% of the poverty line for 3.
| Pregnant | over by $50 | $4,850 |
| Parent / caretaker | over by $1,758 | $3,142 |
Nearby: New York · New Hampshire · Massachusetts. How limits are applied · Vermont Health Connect · Report a correction