Paying for Coverage
Many Vermonters purchasing their individual/family plans through Vermont Health Connect will receive assistance in paying for coverage through new tax credits and/or public assistance. What you qualify for and how much you qualify for depends on your household income and size.
NOTE: The household incomes listed below apply to eligibility for 2018 benefits based on
2017 Federal Poverty Level (FPL) guidelines.
Help Paying Your Premium
You may qualify for a new federal premium tax credit and/or state subsidy to help you pay your monthly premium. If your household income is below the following amounts, there’s a possibility you may qualify.
- Up to $48,240 per year for an individual
- Up to $64,960 per year for a family of two
- Up to $98,400 per year for a family of four
Help Paying for Care
Some individuals and families may also qualify for health care products with a reduced cost share through cost share reduction plans. These plans offer lower costs for deductibles, co-payments and co-insurance – the costs you pay when you get care.
If your household income is below the following amounts, there’s a possibility you may qualify.
- Up to $30,150 per year for individuals
- Up to $40,600 per year for a family of two
- Up to $61,500 per year for a family of four
Cost share reduction savings only apply to Silver level Qualified Health Plans.
If you qualify for a cost-share reduction (out-of-pocket savings) plan, you must select a silver level Qualified Health Plan when you enroll through Vermont Health Connect to get the savings. You still have the option to choose any level of coverage (metallic level), but the savings only applies to silver plans. View BCBSVT’s plan offerings and learn more about “metallic levels”
See if you’re eligible
When you apply for coverage through Vermont Health Connect, you’ll find out if you are eligible for premium and/or cost share reduction assistance.
This assistance is offered by the federal and state governments and will depend on your household size and income. Assistance is calculated based on monthly modified adjusted gross income (MAGI) and are subject to IRS rules. Please consult your tax accountant for precise information regarding your eligibility.
To see if you qualify for assistance, use the Vermont Health Connect subsidy calculator