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Applying for MaineHealth Free Care Program

You will be asked to provide proof of insurance of any kind to help pay for your care. You may also be asked to show that insurance or a government program will not pay for your care.

Only medically necessary care is provided as Free Care.

If it has been determined that you do not qualify for Free Care, you may ask for a fair hearing. Please contact our MaineHealth Patient Financial Service department and they will provide instructions on how to apply for a fair hearing.

You may be referred to the Department of Health and Human Services to apply for MaineCare based on your level of income and /or the type of services you received. (MaineCare may cover some of your medical bills). A Financial Counselor will advise you if you need to apply for MaineCare.

You can print the application for Free Care and mail your completed form with proof of income to:

MaineHealth Patient Financial Services
Attention: Financial Counselor
Suite 301C US Route 1
Scarborough, ME 04074

If you have any questions or would like to schedule an appointment, please contact our MaineHealth Patient Financial Service department at (207) 887-5100 or toll free at (866) 804-2499 or you can fill out our contact us form.

Click here to view and print a Free Care application (.pdf)

Click here for information on how to request a Fair Hearing (.pdf)

Click here to read the Free Care Policy (.pdf)

MaineHealth Patient Financial Services | Suite 301C US Route 1 | Scarborough, Maine 04074 | (207) 396-8666 or toll free (866) 804-2499