MaineCare (formerly Medicaid) is a federal/state program that provides assistance to people with limited resources. MaineCare can help eligible Maine residents with their health care payments.
Program Name | MaineCare |
Expanded Medicaid | Yes |
Website | mainecare.maine.gov |
MaineCareEnroll@dxc.com | |
Phone | 866-690-5585 |
Apply Online | My Maine Connection |
Appeal a Denial | MaineCare Appeals |
Find a Local Office | Office Finder |
Eligibility Requirements
To be eligible for MaineCare, you must be a resident of the state of Maine, a U.S. national, citizen, permanent resident, or legal alien, in need of health care/insurance assistance, whose financial situation would be characterized as low income or very low income.
You must also be one of the following:*
- Pregnant
- Be responsible for a child 18 years of age or younger
- Blind
- Have a disability or a family member in your household with a disability
- Be 65 years of age or older
* ACA Medicaid expansion covers eligible low-income adults.
Annual Household Income Limits (before taxes)
Household Size* | Maximum Income Level (Per Year) |
1 | $17,131 |
2 | $23,169 |
3 | $29,207 |
4 | $35,245 |
5 | $41,284 |
6 | $47,322 |
7 | $53,360 |
8 | $59,398 |
*For households with more than eight people, add $6,038 per additional person.
Available Services Include:
Ambulance services | Lab tests and X-rays |
Chiropractic care | Long-term care |
Dental services | Medical equipment and supplies |
Doctor visits | Mental health services |
Family planning | Prescription drugs |
Hearing aids | School-based health centers |
Hearing tests | Substance abuse services |
Hospital care | Therapies |
Immunizations | Medical Transportation |
Interpreters | Vision services |
Copayments
What you pay for a copayment is based upon how much MaineCare pays for the service.
When MaineCare pays… | Your copay is… |
$10.00 or less | $0.50 |
$10.01 – $25.00 | $1.00 |
$25.01 – $50.00 | $2.00 |
$50.01 – more | $3.00 |
Members do not have copay when they are:
- Under 21 years old
- Pregnant (including 3 months after the pregnancy ends)
- In state custody
- Under state guardianship
- Native American members
- Living in a nursing home or hospital and paying for part of their care
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