Maine Health Insurance Guide 2025

Everything you need to know about health coverage in the Pine Tree State

Medicaid Expanded

Key Facts

Medicaid Status Expanded (2019)
Marketplace Federal (HealthCare.gov)
Open Enrollment Nov 1 - Jan 15
Uninsured Rate 7.8%

MaineCare (Medicaid) in Maine

Maine expanded Medicaid in 2019 following a voter referendum that passed in 2017. MaineCare, the state's Medicaid program, now provides comprehensive health coverage to low-income adults who previously had no affordable options. This expansion has been particularly important for Maine's large rural population.

Who Qualifies for MaineCare?

  • Adults ages 19-64 with income up to 138% FPL ($20,783/year for individuals)
  • Pregnant women with income up to 214% FPL
  • Children under 19 with income up to 213% FPL
  • Seniors and people with disabilities meeting income and asset requirements
  • Parents/caretakers meeting income requirements
Rural healthcare access: Maine's Medicaid expansion has been crucial for rural residents who often have limited healthcare options. Over 90,000 Mainers have gained coverage through the expansion, improving access to care in underserved areas.

MaineCare Benefits

  • Preventive care and wellness visits
  • Doctor visits and specialist care
  • Hospital inpatient and outpatient services
  • Prescription drug coverage
  • Mental health and substance abuse treatment
  • Dental services (limited for adults)
  • Vision care
  • Laboratory and X-ray services
  • Transportation to medical appointments

How to Apply

You can apply for MaineCare through:

  • Online at maine.gov/dhhs/ofi/applications-forms
  • By phone: 1-855-797-4357
  • In person at your local Department of Health and Human Services office
  • Through a certified application counselor or navigator

Health Insurance Marketplace

Maine uses the federal Health Insurance Marketplace at HealthCare.gov. If you earn more than 138% FPL or prefer private coverage, the marketplace offers plans from several insurance carriers.

Available Plan Types

  • Bronze: Lower premiums, higher out-of-pocket costs (60% coverage)
  • Silver: Moderate premiums and costs (70% coverage) - best for subsidies
  • Gold: Higher premiums, lower out-of-pocket costs (80% coverage)
  • Platinum: Highest premiums, lowest out-of-pocket costs (90% coverage)
Limited carrier options: As a rural state with a smaller population, Maine has fewer insurance carriers participating in the marketplace than larger states. However, residents in most counties still have multiple plan options to choose from, with carriers like Anthem and Harvard Pilgrim offering coverage.

Enrollment Periods

Open Enrollment: November 1, 2024 - January 15, 2025

MaineCare accepts applications year-round. You can also qualify for a Special Enrollment Period on the marketplace if you have a qualifying life event.

Average Costs in Maine

Health insurance costs in Maine vary based on your age, location, plan type, and tobacco use. Maine's rural nature and older population can contribute to higher premiums. Here are typical monthly premiums before subsidies:

Plan Type Individual (Age 40) Family of 4
Bronze $360 - $430 $1,150 - $1,400
Silver $450 - $550 $1,400 - $1,800
Gold $520 - $620 $1,600 - $2,000
MaineCare $0 $0
Subsidies lower costs significantly: Many Maine residents qualify for premium tax credits that reduce monthly costs. After subsidies, most marketplace enrollees pay significantly less than the full premium price.

Frequently Asked Questions

Has Maine expanded Medicaid?

Yes, Maine expanded Medicaid in 2019 following a voter referendum. Adults with household incomes up to 138% of the Federal Poverty Level now qualify for MaineCare, the state's Medicaid program.

Where do I buy health insurance in Maine?

Maine uses the federal health insurance marketplace at HealthCare.gov. Residents can shop for and enroll in qualified health plans during open enrollment or with a qualifying life event.

When is open enrollment for Maine health insurance?

Open enrollment for 2025 coverage through HealthCare.gov runs from November 1, 2024 through January 15, 2025. Enroll by December 15 for coverage starting January 1.

What is MaineCare?

MaineCare is Maine's Medicaid program providing free or low-cost health coverage to eligible low-income residents. With expansion, adults under 65 with incomes up to 138% FPL qualify for coverage.

Need Help Finding Maine Coverage?

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