You First offers personalized support to pay for and connect eligible Vermonters to breast, cervical and heart screenings, heart health checkups (blood pressure, cholesterol and blood sugar testing), diagnostic tests and heart-healthy lifestyle programs. Members can get free memberships to WW® (Weight Watchers), TOPS® and local gyms, farmers’ market coupons, state park passes and more.

As a member, you come first—your health, your individuality, your needs. We are here for you at every step.

The You First Program can pay for the following procedures:

  • Breast Cancer Screenings
  • Cervical Cancer Screenings
  • Heart Health Screenings
  • Lifestyle Programs
  • Breast Cancer Screenings, including:
    • Annual Screening
    • Clinical breast exam
    • Screening Mammogram
    • Diagnostic follow up tests
    • Diagnostic mammogram
    • Ultrasound
    • Consultation
    • Second opinion
    • Breast biopsy
    • Risk counseling
    • Genetic counseling
    • MRI when clinically indicated

For more information about mammograms and breast cancer screenings, click here.

  • Cervical Cancer Screenings
    • Pelvic exam
    • Pap test
    • HPV test
    • Colposcopy
    • Diagnostic tests


For more information about cervical cancer screenings, click here.


  • Other Services
    • You First can pay for transportation and interpretation services for You First appointments.
    • You First members will be referred for full Medicaid coverage if breast or cervical cancer treatment is needed. For more information please contact the Clinical Navigator at 802-863-7332.


You First cannot cover cancer treatment or HPV vaccinations. Vermonters who can join You First and need treatment for breast and cervical cancer will be referred to the Breast and Cervical Cancer Treatment Program.


  • Members cannot have Medicare Part B. 
  • Members must be 40 years and older to participate in Heart Health Screening and Lifestyle Programs. 
  • Transgender women who have taken or are taking hormones and meet all program eligibility requirements are eligible to receive breast cancer screening and diagnostic services through You First. Talk to your provider about the benefits and harms of screening and discuss individual risk factors to decide if screening is medically indicated. Preventive care recommendations for breast cancer screening for transgender women can be found here.
  • Transgender men may still receive breast cancer screenings through You First if they have not had a bilateral mastectomy. Guidance for breast cancer screening for transgender men can be found here. 
  • Transgender men who have a cervix or had a total hysterectomy for a pre-cancerous condition or cancer and meet all other eligibility requirements are eligible to receive cervical cancer screening and diagnostic services through You First.