Vermont Medicaid Income Limits
Updated August 2026
Income limits for Vermont Medicaid (Green Mountain Care) vary by coverage group and household size. Figures below are approximate — verify current thresholds with Vermont Medicaid (Green Mountain Care) directly.
Vermont has some of the highest Medicaid income limits in the country, especially for children and pregnant women
Vermont covers children (Dr. Dynasaur) up to 312% FPL and pregnant women up to 208% FPL — well above the national Medicaid average. Adults qualify under standard ACA expansion at 138% FPL. Verify current figures at dvha.vermont.gov/members or by calling 1-855-899-9600.
Vermont Medicaid income limits by coverage group (2026)
| Coverage group | FPL threshold | Program name |
|---|---|---|
| Adults ages 19–64 | Up to 138% FPL | Vermont Medicaid |
| Children under age 19 | Up to 312% FPL | Dr. Dynasaur |
| Pregnant women | Up to 208% FPL | Vermont Medicaid |
| Aged, blind, or disabled (MABD) | Separate rules apply | DVHA/MABD pathway |
Adults ages 19–64
- FPL threshold
- Up to 138% FPL
- Program name
- Vermont Medicaid
Children under age 19
- FPL threshold
- Up to 312% FPL
- Program name
- Dr. Dynasaur
Pregnant women
- FPL threshold
- Up to 208% FPL
- Program name
- Vermont Medicaid
Aged, blind, or disabled (MABD)
- FPL threshold
- Separate rules apply
- Program name
- DVHA/MABD pathway
Dr. Dynasaur: Vermont's children's program at 312% FPL
Dr. Dynasaur is Vermont's integrated children's health coverage program that spans both Medicaid and CHIP populations. At 312% FPL, it reaches well into moderate-income families — a family of four earning approximately $100,000 per year would still qualify their children for Dr. Dynasaur coverage in 2026.
This is one of the most generous children's programs in the country by income threshold. Very few states cover children above 300% FPL. Vermont's ability to maintain this level reflects the Global Commitment to Health waiver's flexibility, which allows Vermont to use Medicaid funds in ways that standard federal rules would not permit.
No asset test for MAGI-based Vermont Medicaid
MAGI-based Medicaid — covering expansion adults, children (Dr. Dynasaur), and pregnant women — does not use an asset test. Savings, vehicles, and home equity are not counted.
MABD (Medicaid for the Aged, Blind and Disabled) and Long-Term Care Medicaid (Choices for Care) do apply financial eligibility rules beyond income. Contact DVHA at 1-855-899-9600 or visit dvha.vermont.gov/members/long-term-care for specifics on LTC financial eligibility.
Medicare Savings Programs (QMB) in Vermont
Vermont covers children and pregnant Vermonters at some of the highest income thresholds in the country, as the callout above notes — and it also runs three Medicare Savings Programs (MSPs) for Medicare beneficiaries with limited income, administered by the Department of Vermont Health Access (DVHA) at dvha.vermont.gov rather than by Medicare. Apply through DVHA or by calling 1-855-899-9600.
| Program | Situation | Monthly income limit |
|---|---|---|
| QMB | Individual | $1,350 |
| QMB | Married couple | $1,824 |
| SLMB | Individual | $1,616 |
| SLMB | Married couple | $2,184 |
| QI | Individual | $1,816 |
| QI | Married couple | $2,455 |
QMB
- Situation
- Individual
- Monthly income limit
- $1,350
QMB
- Situation
- Married couple
- Monthly income limit
- $1,824
SLMB
- Situation
- Individual
- Monthly income limit
- $1,616
SLMB
- Situation
- Married couple
- Monthly income limit
- $2,184
QI
- Situation
- Individual
- Monthly income limit
- $1,816
QI
- Situation
- Married couple
- Monthly income limit
- $2,455
Qualified Medicare Beneficiary (QMB) is the most comprehensive MSP tier: it covers the Part A premium for those who owe one, the full $202.90 monthly Part B premium in 2026, and all Medicare deductibles, coinsurance, and copayments. No provider — in Vermont or anywhere else — is legally allowed to bill a QMB enrollee for these Medicare costs.
Specified Low-Income Medicare Beneficiary (SLMB) and Qualifying Individual (QI) only cover the Part B premium. QI draws from a fixed annual federal pool awarded first-come, first-served and must be reapplied for every year, so Vermonters close to the QI limit shouldn't delay. All three tiers bring automatic enrollment in Extra Help, which caps 2026 covered prescription-drug costs at $12.65 per drug.
Vermont Medicaid (Green Mountain Care)
Visit the official Vermont Medicaid websiteIncome Limits in Nearby States
Related guides
Income Limits
Current income cutoffs by state and household size, tied to the Federal Poverty Level.
Read more →Spend-Down
How to qualify by deducting medical bills from income that's above the limit.
Read more →QMB Program
What the QMB program covers, what a QMB card proves, and how to apply.
Read more →