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Maine Medicaid (MaineCare)

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 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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