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MaineCare

Medicaid Expansion

Since July 2018, more than 70,000 Mainers became eligible for free MaineCare health coverage when Maine expanded Medicaid!  Many of our neighbors, friends and family members are now eligible for this new coverage option that pays for quality health care and prescription drugs.  Mainers who were denied MaineCare in the past, may now be eligible.

Help us spread the word! Talk to your family, friends and neighbors about new adult coverage. Call the Consumers for Affordable Health Care HelpLine Monday – Friday at 800.965-7476 if they have questions or need help figuring out what they might be eligible for.

You may be able to get MaineCare if you are a Maine resident and meet certain income limits (see chart). Seniors and people with Medicare may also have asset limits.

MaineCare is free or very low-cost health coverage. It covers most health services — including doctor’s visits, hospital visits, prescription drugs, physical therapy, mental health services, transportation to medical appointments and more.  You can apply for MaineCare  any time, even if you have been denied before.

 

Look at the chart below. If your monthly income is less than the limit shown for your household size, you may qualify for MaineCare coverage. Some types of income may not count towards the limit, so if you think your income may be too high, give Consumers for Affordable Health Care’s HelpLine a call at 1-800-965-7476 to see if you qualify.

Tip: To figure out your monthly income, take your gross weekly income and multiply it by 4.3, or multiply your gross biweekly income by 2.15.
(Gross weekly income) x 4.3 = Monthly income; (Gross biweekly income) x 2.15 = Monthly income

Family Size Adults under 65 who don’t have
 Medicare
19 & 20
year olds

Children

18 years
and under

Pregnant women

Add 1 to family size, or more if pregnant with multiples.

Former
Foster Youth
under 26 years old
Adults with 
Medicare or 65 years and over
1 $1,437 $1,676 $2,217 No income limit $1,116
2 $1,945 $2,269 $3,002 $3,016 $1,510
3 $2,453 $2,862 $3,787 $3,804
4 $2,962 $3,455 $4,571 $4,593
Add for each extra person $509 $594 $785 $789 $369

 

People with Medicare or who are 65 years and older must also be below certain asset levels. But many assets, like a home, a car, and more, do not count.

If you think you may qualify for MaineCare health coverage, you can apply:

  1. online, at My Maine Connection (If you apply online, be sure to save the “Confirmation Number” you get when you submit your application.)
  2. in person (Click here to locate the office closest to you)
  3. by completing a paper application
    Once complete, you can drop it, along with required paperwork, off at a DHHS office nearest you or mail it to:

Office for Family Independence State of Maine – DHHS
114 Corn Shop Lane
Farmington, ME 04938

or Fax to: 1-207-778-8429.
When mailing materials to DHHS, be sure to save a copy and consider sending it by Certified Mail so you will have a receipt that shows when you mailed it and when it was received.

You should have the following information ready when you apply for you and any members of your household applying for coverage:

  • Full legal name, date of birth, Social Security Number and Citizenship or Immigration status
  • Job and income information for you members of your household.
  • Pay stubs (most recent 4 weeks).
  • If you are self-employed, you must provide a copy of the most recent tax return or current business income and expense records. Note: If self-employed, see Self-employment Expenses Information list.
  • Information about other taxable income for members of your household such as unemployment benefits, Social Security benefits, pensions, retirement income, rental income, alimony received, etc.
  • Policy numbers for any current health insurance

We also offer a list of MaineCare FAQs you can access here.

Need Help? You can call Consumers for Affordable Health Care at 1.800.965.7476 or find local, in person help by visiting our How to Get Help page.