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Vermont Consumer Assistance

Vermont no longer operates a Consumer Assistance Program under the Affordable Care Act. The consumer protections and benefits of the Affordable Care Act still apply to you, however.

The agencies listed below can help you take advantage of some of these new protections and benefits and they can answer your questions about different types of coverage.

If you need health insurance, be sure to check out HealthCare.gov’s Plan Finder. It will help you find and compare health care coverage options in your area.

If you have questions about insurance you bought for yourself and/or your family or you have insurance provided by an employer who does business only in Vermont, contact: 

Vermont Division of Financial Regulation
Street address:
89 Main Street
Montpelier, VT 05620-3101
(802) 828-3301
(802) 828-3302
(800) 964-1784
http://www.dfr.vermont.gov/insurance/health-insurance/health-insurance

If you have a hard time affording health coverage and you have questions about eligibility for Medicaid or about current Medicaid benefits, go to:

Vermont Department of Human Services
Street address:
103 South Main Street
Waterbury, VT 05676-1500
http://dcf.vermont.gov/esd/health_insurance

You may apply in person at the County Offices of the Department of Health and Human Services, federally qualified rural health centers, and at most hospitals. If you need help, please call (855) 899-9600.

If you are not eligible for Medicaid, your child may still be eligible for the Children’s Health Insurance Program. For questions about eligibility or benefits, go to: 

Department for Children and Families
Call to speak with an enrollment counselor
(855) 899-9600
http://dcf.vermont.gov/contact

If you have a question, complaint, or dispute regarding insurance you get through a “self-insured” employer (typically a large company or one with locations in multiple states or countries), go to: 

U.S. Department of Labor
Employee Benefits Security Administration
200 Constitution Ave., NW
Washington, DC 20210
(866) 4-USA-DOL ((866) 487-2365)
http://www.dol.gov/ebsa/consumer_info_health.html

If you are on Medicare and have a question, or if you have a disability or end stage renal disease and want to enroll or find out if you are eligible for Medicare, contact: 

Department of Vermont Health Access (DVHA)
(800) 250-8427

Senior Health Insurance Benefits Assistance Program 
(800) 642-5119
http://www.cvaa.org/ship.html

If you are a veteran and have a question or concern about veterans’ health care benefits, go to: 

US Department of Veterans Affairs
(877) 222-VETS (8387)
http://www1.va.gov/health/

If you have questions about your health insurance that are not covered by the above resources, call the Health Insurance Assistance Team of the U.S. Center for Consumer Information and Insurance Oversight at (888) 393-2789. 

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