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VT

Vermont Medicare Coverage Guide

Find dental, vision, hearing aid, and nursing home Medicare benefits available to Vermont residents.

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Vermont Dental Coverage

Moderate

Vermont Medicaid (Green Mountain Care) covers dental for dual-eligible beneficiaries. Vermont has good community dental programs for such a small state.

Available Programs

  • Green Mountain Care Dental
  • Medicare Advantage dental plans
  • Community Health Centers of Burlington

Typical Out-of-Pocket Cost

$400โ€“$1,800/year

Costs vary by plan, provider, and income. Dual-eligible (Medicare + Medicaid) beneficiaries often pay much less.

Tips for Vermont Residents

  1. Community health centers statewide offer sliding-scale dental
  2. Vermont SHIP (1-800-642-5119) for plan guidance
  3. Very limited MA plan options in Vermont โ€” compare carefully
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Vermont Vision Coverage

Moderate

Green Mountain Care covers vision for dual-eligible members. Very limited MA plan competition in Vermont.

Available Programs

  • Green Mountain Care vision
  • Medicare Advantage vision
  • Vermont Division for the Blind and Visually Impaired

Typical Out-of-Pocket Cost

$150โ€“$400/year

Costs vary by plan, provider, and income. Dual-eligible (Medicare + Medicaid) beneficiaries often pay much less.

Tips for Vermont Residents

  1. DBVI: 1-888-405-5005 for vision rehabilitation
  2. Diabetic eye exam covered by Part B
  3. Vermont SHIP: 1-800-642-5119
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Vermont Hearing Aids Coverage

Limited

Vermont Medicare Advantage plans offer hearing benefits. Vermont has limited audiology services outside Burlington.

Available Programs

  • Medicare Advantage hearing plans
  • Vermont Center for the Deaf and Hard of Hearing
  • Vermont Assistive Technology Program

Typical Out-of-Pocket Cost

$1,000โ€“$6,500 per pair

Costs vary by plan, provider, and income. Dual-eligible (Medicare + Medicaid) beneficiaries often pay much less.

Tips for Vermont Residents

  1. VCDHH: 802-241-1000 for resources
  2. Vermont ATP: 1-800-750-6355 for assistive technology
  3. Vermont SHIP: 1-800-642-5119
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Vermont Nursing Home Coverage

Not Covered

Medicare Part A covers SNF. Vermont Medicaid covers long-term care. Vermont strongly emphasizes home-based care alternatives.

Available Programs

  • Medicare Part A SNF
  • Vermont Medicaid LTC
  • DAIL home-based programs
  • Vermont SHIP (1-800-642-5119)

Typical Out-of-Pocket Cost

$310โ€“$400/day

Costs vary by plan, provider, and income. Dual-eligible (Medicare + Medicaid) beneficiaries often pay much less.

Tips for Vermont Residents

  1. Vermont prioritizes home-based care through DAIL programs
  2. Vermont has high nursing home costs โ€” plan ahead
  3. SHIP: 1-800-642-5119
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๐Ÿ“Š Live CMS Data Vermont Medicare Snapshot

Source: CMS Medicare Monthly Enrollment 2024 & CMS MA Landscape 2025 โ€” public data from data.cms.gov

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165,225
Total Medicare Beneficiaries (2024)
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53,627
Enrolled in Medicare Advantage (2024) 32.5% of total
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111,598
Original Medicare (Parts A & B) Only
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27,940
Dual Eligible (Medicare + Medicaid)
2025 Medicare Advantage Plans
22
Plans available in Vermont
Average Monthly Premium (2025)
$24.5
Weighted avg across all MA plans
Top Medicare Advantage Insurers
  1. UVM Health Advantage
  2. Cigna
  3. UnitedHealth
Free SHIP Counseling
Vermont SHIP
1-800-642-5119
Free, unbiased Medicare help

Get Free Help in Vermont

SHIP Counseling

Your state's State Health Insurance Assistance Program (SHIP) offers free, unbiased Medicare counseling from trained volunteers. They can help you compare plans and enroll.

Find Vermont SHIP โ†’

1-800-MEDICARE

Call 1-800-633-4227 (TTY: 1-877-486-2048) 24/7 for Medicare questions, plan comparisons, and enrollment help. Free and official.

Medicare.gov โ†’

Medicare Plan Finder

Use the official Medicare Plan Finder tool at Medicare.gov to compare all Medicare Advantage, Part D, and Medigap plans available in Vermont by ZIP code.

Compare Plans โ†’

Nursing Home Compare

Research and compare nursing home quality ratings, staffing levels, health inspection results, and more for facilities across Vermont.

Care Compare โ†’