Do you have a Medicare Savings Program?
Did you lose Medicaid coverage between January 2021 and March 2023?
If you answered yes to these two questions, you may be able to get Medicaid back. You should have gotten a letter telling you how to get Medicaid back. This page has more information.
Who can get Medicaid back?
Most people who have a Medicare Savings Program and lost Medicaid between January 2021 and March 2023. You get Medicaid back by calling 1-800-250-8427. You don’t need to apply.
Did you lose Medicaid because you moved to another state or asked to disenroll? Then you can’t just call. You must re-apply.
Why is this happening?
The federal rules have changed. Vermonters get Medicaid back if they meet the rules.
What if I did not get a letter about this opportunity?
Call 1-800-250-8427 if you have a Medicare Savings Program and lost Medicaid between January 2021 and March 2023. We will tell you how to get Medicaid back.
Why get Medicaid back?
It might cover some medical costs that the Medicare Savings Program doesn’t cover.
How can I get Medicaid back?
Call 1-800-250-8427. If you qualify to get Medicaid back, the start date will be the date you lost Medicaid. You will get a letter telling you your start date.
Did you get services while you were off Medicaid that Medicaid usually pays?
You may have had a doctor visit or bought prescription drugs since the date you lost Medicaid. Tell your doctor or drug store your Medicaid coverage start date. Ask them to bill Medicaid for covered services you got during that time.
Did you pay for doctor visits or drugs yourself since your Medicaid start date? You can ask your doctor or drug store to pay you back and bill Medicaid. They don’t have to do this.
What if I had VPharm during this time?
The VPharm premiums you paid can be returned to you. You will get a check after you call and get your Medicaid start date.
You will lose VPharm if you get Medicaid. But Medicaid covers the same things as VPharm. Your copays for drugs may be different.
What if I was already in a Medicare Savings Program and moved to a different one between January 2021 and March 2023?
You may be able to switch back to one that covers more costs. Call 1-800-250-8427 to find out.
Will my Medicare Savings Program continue if I get Medicaid back?
If I get Medicaid back, how long will I have it?
You will have it until we find you no longer meet the rules. During your annual review we will see if you still meet the rules.
What if I don’t call?
You will not get Medicaid back. You can re-apply for Medicaid anytime.
What if I have questions or need help?
Call us for free at 1-800-250-8427. We are open Monday to Friday from 8 a.m. to 4:30 p.m. (except holidays).