You First FAQs

You First FAQs

FREQUENTLY ASKED QUESTIONS

Can I join You First if I have health insurance?

Yes! You can use You First services as long as you meet the other eligibility requirements. 

Special conditions apply for people with Medicare Part B. For specifics, please contact us at 800-508-2222 (TTY: 711).

Your other insurance will be billed first. You First may be able to cover deductibles and copays that other insurance doesn't cover. 

Once I've joined You First, what happens next?

Here's what to expect after your application is accepted and you become a member: 

  1. You’ll get a You First membership card and information packet in the mail.
  2. A You First team member will call to welcome you to the program and  answer any questions you may have.
  3. You can then call your regular doctor or health care provider to schedule your You First health screenings. A member from our team can also help you set up your appointments. 
  4. If you have a bill for a service You First pays for, you can submit it to us for payment—even if your visit was up to 90 days before you became a member. 
Where do I go for my appointment?

You can go to your regular doctor or nurse for your appointment. If you need help finding a provider that accepts You First, give us a call at 800-508-2222 (TTY: 711) or use this provider look-up tool to help you find one.

What if I don't have a doctor?

You can contact our Member Services and Outreach Coordinator at 800-508-2222 (TTY: 711) and they will help you find one. You can also search for a local provider using this provider look-up tool.

Can I get help getting to and from my appointments?

Yes. To request transportation services, call us at 800-508-2222 (TTY: 711). We’re here Monday through Friday, 7:45AM to 4:30PM. Please call at least 2 days before your appointment.

Can I get interpretation services if I don’t speak English fluently?

Yes. To request interpretation services, call us at 800-508-2222 (TTY: 711). We’re here Monday through Friday, 7:45AM to 4:30PM. Please call at least 2 days before your appointment.

What does You First cover?

You First covers breast and cervical cancer screenings and some follow-up procedures.

For members aged 30-64, You First also covers heart health screenings and lifestyle benefits, like one-on-one health coaching, fitness memberships, weightloss programs and more. 

View a full list of covered benefits and services here

If I’m a transgender woman or man, can I get cancer screenings?

You First can pay for breast and cervical cancer screenings when it is medically necessary and recommended by a health care provider—and all other You First eligibility requirements are met.

Talk to your health care provider about the benefits and risks of screening to decide if it's right for you. We can also speak with you about what services you may be eligible for at 800-508-2222 (TTY: 711).

Looking for safe and affirming health care providers? View the Pride Center of Vermont’s list of affirming health care providers in Vermont.

Can You First help me lose weight?

Yes! Members aged 30-64 can receive benefits like one-on-one health coaching and memberships to weight loss and fitness programs, like WW (formerly Weight Watchers) and local gyms. For specific questions, contact our Lifestyle Program Coordinator at 802-652-4139.

View a full list of covered benefits and services here

 

Can You First help if I am diagnosed with breast or cervical cancer?

While You First cannot cover the cost of cancer treatment, we can  give you support and guidance after a diagnosis. Our Patient Navigator will refer you to the Vermont Cervical and Breast Cancer program and talk you through next steps. For specific questions, contact our Patient Navigator at 802-863-7332.

View a full list of covered benefits and services here

 

What do I do if I have an abnormal Pap test or mammogram?

A key service offered by You First is help working with the healthcare system. For help understanding test results and what to do next, contact our Patient Navigator at 802-863-7332.

View a full list of covered benefits and services here

How often should I have a Pap test or mammogram?

Some people need screenings more often than others. Ask your doctor or nurse how often you need them and follow their recommendations. Also discuss your risk factors with your doctor or nurse.

View a full list of covered benefits and services here

How often should I have a heart health screening?

Members ages 30-64 are encouraged to have a heart health screening each year, which can be paid for by You First. After having your heart health screening, members are eligible for program benefits, like gym memberships and farmers market coupons.

View a full list of covered benefits and services here

Should I get the HPV vaccine?

This vaccine protects against the Human papillomavirus (HPV) strains that can cause cervical cancer and other cancers. While the vaccines are routinely recommended for 11 and 12-year-olds, they are also recommended for 13 to 26-year-olds who did not get the vaccines when they were younger. 

Talk about your vaccine options with your doctor or nurse. People who have been vaccinated against HPV should still have regular Pap tests.

What if I can't afford my cholesterol, blood pressure or diabetes medications?

If you are concerned or struggling with medication costs, we are here to support you. Contact our Patient Navigaor at 802-863-7332 for help accessing free or low-cost medication options.

What happens if I get a bill for something You First covers?

If you receive a bill for a service that is supposed to be covered by You First, contact our office right away and we will take care of it. You can also fax the bill or send a picture of the bill via secure email.

Call: 800-508-2222 | TTY/TDD: Dial 711 first
Email: YouFirst@vermont.gov
Fax: 802-657-4208

 

How long does my You First membership last?

You will need to renew your You First membership every year. The renewal application is shorter than the initial application and can be done over the phone by calling 800-508-2222 (TTY: 711). You can then schedule your screenings for that year. 

Your You First membership dates can be found on your member card.

 

Who can I contact for more questions?

For general questions or inquiries, contact us Monday to Friday, 7:45AM to 4:30PM:
Call: 800-508-2222 | TTY/TDD: Dial 711 first
Email: YouFirst@vermont.gov
Fax: 802-657-4208
Mail: Vermont Department of Health, PO Box 70 Drawer 38 (YF), Burlington, VT 05402-0070

Member Resources and Outreach Coordinator:
Call: 800-508-2222
Email: YouFirst@vermont.gov

Lifestyle Program Coordinator:
Call: 802-652-4139
Email: YouFirst@vermont.gov

Patient Navigator:
Call: 802-863-7332
Email: YouFirst@vermont.gov