Maine Medicaid (MaineCare)
Updated April 9, 2021 Medicaid
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 |
| [email protected] | |
| 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
