802-371-4100

Financial Assistance

Get information on Central Vermont Medical Center's financial assistance programs and application process for uninsured patients and those with financial hardships.

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Central Vermont Medical Center is a patient-centered organization committed to treating all patients equitably, with dignity and respect regardless of the patient's healthcare insurance benefits or financial resources. For persons who have essential healthcare needs that are medically necessary and are uninsured, underinsured, ineligible for a government program or otherwise unable to pay, we have financial assistance programs in place, including discounted and free care. Your inability to pay for medical services should not prevent you from receiving the care you need.

Financial Assistance Program

For patients who express financial hardship, the Central Vermont Medical Center offers free or discounted assistance programs, sometimes referred to as charity care. Our program is based upon the Federal Poverty Level Guidelines (FPLG) and eligible patients must pass both an income and assets test to qualify. In addition:

  • Patients must live in our service area. They must be full time Vermont residents or residents living greater than 6 months in Vermont.
  • Patients living outside of the service area would qualify for emergency care only.
  • Service must be medically necessary (e.g. Cosmetic, IVF, Sterilization reversals, are not eligible).
  • Patients who are eligible for government sponsored programs are required to apply for Medicaid before they will be considered for this program.
  • Household income and assets must be below 400% of the FPLG.
  • Patients above 400% of the FPLG are invited to present extenuating circumstances in the form of a letter to be reviewed by an appeals committee.
  • If services are above 400% of the FPLG and are catastrophic in nature, coverage is available when the balance due exceeds 50% of the annual household income.
   

MEDICAID

HAP

HAP

HAP

HAP

HAP

100%  FPL

 

<138%

<200%

201-250%

251-300%

301-350%

351-400%

 

GRANT
DISCOUNT

 

100%

85%

75%

65%

55%

 

HH SIZE

           

 $11,880

1

 $16,394

 $23,760

 $29,700

 $35,640

 $41,580

 $47,520

 $16,020

2

 $22,108

 $32,040

 $40,050

 $48,060

 $56,070

 $64,080

 $20,160

3

 $27,821

 $40,320

 $50,400

 $60,480

 $70,560

 $80,640

 $24,300

4

 $33,534

 $48,600

 $60,750

 $72,900

 $85,050

 $97,200

 $28,440

5

 $39,247

 $56,880

 $71,100

 $85,320

 $99,540

 $113,760

 $32,580

6

 $44,960

 $65,160

 $81,450

 $97,740

 $114,030

 $130,320

 $36,730

7

 $50,687

 $73,460

 $91,825

 $110,190

 $128,555

 $146,920

 $40,890

8

 $56,428

 $81,780

 $102,225

 $122,670

 $143,115

 $163,560

               

 $4,160

ADD'L

 $5,741

 $8,320

 $10,400

 $12,480

 $14,560

 $16,640

To be considered for the Central Vermont Medical Center Financial Assistance Program, complete the application below:

Financial Application Form   Policy Summary

The following documents that apply to your situation are also required:

  • Your most recent Federal Income Tax return, including schedule C if self-employed.
  • If employed, copies of pay stubs for the last 3 months (or those available), or statement from Employer.
  • If you are receiving Social Security benefits and/or pension payments, please send a copy of your check or deposit statement.
  • If you receive unemployment compensation, general assistance or food stamps, please send a copy of a recent document showing the amount of your benefit

Central Vermont Medical Center
P.O. Box 547
Barre, VT 05641
Attn: Patient Financial Assistance Program

If you have any questions regarding Central Vermont Medical Center’s Financial Assistance Program or your application status, contact the Financial Counseling office at 802-371-4398.

Prescription Drug Assistance

CVMC offers a Discount Pharmacy Program for eligible applicants. If you would like to apply for discounted prescription medication benefits, please fill out and submit the application below. If you have questions about this program, please call 371-4109.

 CVMC Discount Pharmacy Application

Government-Assisted Programs

The state of Vermont's Green Mountain Care is a family of low-cost and free health coverage programs for Vermonters. Green Mountain Care provides uninsured Vermonters with access to quality, comprehensive healthcare coverage at a reasonable cost, including the Dr. Dynasaur and Medicaid programs. To learn more about these programs or to find out which program is best for you, visit www.greenmountaincare.org.

Vermont Health Connect

Vermont Health Connect logoIf you are an individual or own or work for a small business without health insurance, visit Vermont Health Connect to enroll in a health plan.

Financial assistance is available for most Vermonters who buy a health plan through Vermont Health Connect.

Financial Assistance Provider Coverage

The following document provides a list of providers NOT covered by our financial assistance policy:

PDF icon Financial-Assistance-Provider-Coverage-081517.pdf