Prescription Assistance

What help is available?

There are currently two programs:

1. Healthy Vermonters: provides a discount on prescription medicines with no monthly premiums.
2. VPharm: helps pay for prescription medicines with affordable monthly premiums.
   • For more information on what VPharm covers, please refer to the Pharmacy Member Handbook.

Who is eligible?

1. Healthy Vermonters: individuals who meet the income guidelines AND have no prescription coverage or have reached their maximum benefit amount on their current prescription coverage.
2. VPharm: Individuals who meet the income guidelines AND are enrolled in Medicare Part D coverage.

How do I apply?

To apply for prescription assistance only:

1. Complete the 201P Pharmacy Programs Application:
   Print a copy or call 1-800-250-8427 and ask that one be mailed to you.

2. Mail your completed application, along with copies of required supporting documents to:
   Green Mountain Care
   Application and Document Processing Center
   280 State Drive
   Waterbury, VT 05671-1500

To apply for prescription assistance AND Medicaid for the Aged, Blind, or Disabled (MABD):

1. Complete the 205ALLMED non-LTC by hand or as a fillable form:

   • Complete it by hand: PRINT THIS FORM or call 1-800-250-8427 and ask that a 205ALLMED non-LTC be mailed to you. Fill it out completely. Be sure to sign and date it.

2. Mail your completed and signed application, along with copies of required supporting documents to:
   Green Mountain Care
   Application and Document Processing Center
   280 State Drive, NOB 1 South
   Waterbury, VT 05671-1500

How do I renew?

1. Complete by hand the 201P Review renewal form sent to you in the mail. Use the envelope with the green stripe included in the renewal packet. OR

2. Fill out the 201P Review health benefits renewal form on your computer. Print AND sign your completed renewal form. You can either:

• Submit the renewal form online using the Document Uploader. Select "healthcare" as the program you are submitting the renewal form for and upload it. (Read the Uploader instructions) OR

• MAIL your completed AND signed renewal form, along with copies of required documents to:

Green Mountain Care
Application and Document Processing Center
280 State Drive, NOB 1 South
Waterbury, VT 05671-1500

3. Call us at 1-855-899-9600. Monday-Friday 8am-4:30pm.

4. Contact an in-person Assister to help with the renewal form.

If we don't get the renewal form by the deadline, your health benefits will end.

Have questions? Need help applying?

If you have questions about your eligibility for Prescription Assistance or how to apply? Or now to renew your health benefits? Please call 1-800-250-8427.

How do I apply for other health care programs?

You can learn about and apply for two other health care programs through Green Mountain Care:

1. Long-Term Care Medicaid (Choices for Care); and
2. Medicaid for the Aged, Blind and Disabled (MABD Medicaid).

For all other health care plans in Vermont contact Vermont Health Connect at 1-855-899-9600 or go to VermontHealthConnect.gov/.