Vermont Medicare Insurance Plans

The state flag of Vermont | Vermont Medicare Insurance Plans

Certain residents in the state of Vermont may qualify to receive low-cost or free insurance coverage through Medicare, a program administered by the federal government. Specifically, individuals over the age of 65, and some younger than 65 with qualifying ailments and/or disabilities, may be eligible to obtain coverage. In some cases, the state of Vermont may also provide financial assistance to Medicare beneficiaries, depending on their circumstances.

Medicare Savings Programs In Vermont

Importantly, if you are receiving Medicare coverage in Vermont, you may be able to receive assistance in paying for premiums and other costs through one of the following four Medicare Savings Programs.

The following data is from 2016 and is based on federal amounts.  These amounts may increase in 2017.  If your income and resources are slightly higher, you should still apply, you may qualify for benefits even if your income is higher than the limits listed.*

  • Qualified Medicare Beneficiary: covers Medicare Part A and B premiums, copays, deductibles, and coinsurance. You may qualify if you make $1,010 or less per month or you and your spouse make $1,355 or less monthly.
  • Specified Low-Income Medicare Beneficiary: covers Medicare Part B premiums and is available for individuals or couples who earn less than $1,208 or $1,622 a month, respectively.
  • Qualifying Individual: covers Medicare Part B premiums. You may qualify if you earn less than $1,357 per month alone or $1,823 per month combined with your spouse.
  • Qualified Disabled and Working Individual: covers Medicare Part A premiums. Certain individuals and couples may qualify if they monthly earn less than $4,045 or $5,425, respectively.
  • Some individuals or couples may also be eligible to receive Extra Help paying for prescription medication.  In 2016, you may qualify if you have up to $17,820 in yearly income ($24,030 for a married couple).*Data from**According to, you should be aware that several States may even disregard all resources for individuals or couples in certain categories.


Of course, some Medicare beneficiaries find that their coverage does not meet all of their needs. If this is the case, they may choose to buy supplemental insurance, known as Medigap. These policies are available through private insurers in Vermont.

Mini-COBRA in Vermont

Some individuals choose to utilize the insurance coverage provided by their employers as they transition. In the event they are terminated and lose their job, however, Vermont law allows these individuals to retain coverage for an additional period of up to nine months.

Extra Help From the State

Oftentimes Medicare beneficiaries may simply need additional information about insurance coverage or have questions on how to compare Vermont Medicare insurance plans. Because of this, the state of Vermont created the Vermont State Health Insurance program, an organization dedicated to providing Medicare assistance to beneficiaries throughout the state. Through this entity, counselors are available who can answer questions and provide other information.

Furthermore, Medicare beneficiaries should not be afraid to turn to Medicare Solutions for help. We employ licensed sales agents who are prepared to help in any way possible.