What is Catamount Health?
Catamount Health is the state of Vermont’s new insurance plan targeted at the estimated 60,000 uninsured Vermonters. Enrollment applications for Catamount Health can be submitted beginning October 1st, 2007 with the health benefits beginning on November 1st, 2007.
Who is eligible for Catamount Health?
Vermont residents 18 years old or older are eligible for Catamount Health if they are uninsured and if they have not had insurance for the past 12 months. This 12-month waiting period will NOT prevent you from enrolling, however, if you lost your health insurance for one of the following reasons: loss of a job; the death of a household’s principle insurance policy holder; divorce or dissolution of a civil union; no longer qualifying as a dependent under the insurance plan of a parent or relative; no longer qualifying for, or voluntarily choosing to end, COBRA coverage; college or university-sponsored health insurance is no longer available because of graduation, a leave of absence or the termination of studies.
How much does Catamount Health cost?
Vermonters whose gross household income is between $1,276 and $2,553 a month may be eligible for a premium subsidy from the state. These figures are different for 2 person households, 3 person households, etc.
| For a single person making: | Catamount Health Will Cost: |
| Less than $1,702/month | $60/mo |
| $1,702-$1,194/month | $90/mo |
| $1,195-$2,127/month | $110/mo |
| $2,128-$2,339/month | $125/mo |
| $2,340-$2,553/month | $135/mo |
| Over $2,553/month | $393/mo |
Annual in-network, maximum out-of-pocket
costs for deductibles and co-insurance
combined are $800 for single coverage
and $1,600 for a family plan. There
are some co-pays for prescription
drugs and doctor’s visits.
What does Catamount Health cover in
the way of health benefits?
Catamount Health is offered by both Blue Cross Blue Shield and MVP. The core benefits of the plan offered by both insurance carriers are comprehensive and mandated by the State of Vermont. They include hospitalization and drug benefits, doctor visits for primary and specialty care, and mental health and substance abuse treatment.
How does a person enroll in Catamount Health?
If you think you qualify for a premium subsidy, contact Maximus Member Services at 1 (800) 250-8427. Or you can contact Blue Cross Blue Shield (1 800 255-4550) and MVP (1 800 687-6277) directly if you don’t think you qualify for a premium subsidy.
For more information:
Call Peter Sterling, Vermont Campaign for Health Care Security Education Fund at 1 (866) 482-4723 or go to www.catamounthealth.org
Champlain Valley Office of Economic Opportunity