MaineHealth Access to Care

Access to affordable health care can be a challenge. That’s why MaineHealth offers innovative programs to help patients and families access affordable health care, medications, health coverage, transportation and more.

Helping you navigate health care with confidence

MaineHealth Access to Care is here to support your health and well-being—beyond just medical care. We help you:

Understand your health care options

Find and enroll in health insurance

Connect with resources for everyday needs

We serve residents across Maine and parts of New Hampshire.

Help with health insurance

Not sure if you qualify for coverage? We’ll guide you through applications for:

MaineCare
NH Medicaid
Medicare Savings Program
Marketplace Insurance

If you’ve had a major illness, accident or changes in your household circumstances, we’ll help you find coverage options.

Learn more >

Help with medication and specialized treatment costs

If your medications and specialized treatments are too expensive or not covered by insurance, we will help you find ways to afford them through:

Federal and state programs
Nonprofit organizations
Pharmaceutical companies
Discount retailers

For more information, please call 877-275-1787 (toll free) or 207-662-7968.

Case management services (CarePartners)

MaineHealth provides free and low-cost health care for low-income, uninsured adults who cannot afford private health insurance and do not qualify for public health care coverage programs. Services include:

Primary and specialty care services
Affordable prescription medication
Lab, X-ray and hospital services at no cost
Referrals to community services and resources

To be eligible, you must:

Be between 19 and 64 years old
Not be eligible for Medicaid or Medicare
Live in, or have a primary care doctor in:
- Androscoggin County, Maine
- York County, Maine
- Franklin County, Maine
- Oxford County, Maine
- Knox County, Maine
- Waldo County, Maine
- Lincoln County, Maine
- Sagadohoc County, Maine
- Cumberland County, Maine
- Carroll County, New Hampshire

Additionally:

You may be eligible if you're over age 65 and don't qualify for Medicare.
When applying, you cannot be eligible for health care insurance through government-sponsored programs, which include but are not limited to: Medicaid, Medicare and veterans’ benefits.
Applicants will need to provide a tax return to show their most recent annual income, as well as show proof of current wages and any current unearned income. The federal poverty guidelines[AGF1] are updated every year by the federal government, based on cost of living adjustments.

How does the program work?

Intake coordinators work with applicants to determine eligibility and to help them understand their options for health care coverage, such as Medicaid, Medicare and veterans’ benefits.
Case managers work with patients to connect them to community resources, provide health education and help them better understand the health care system.
Doctors, hospitals and other health care providers give a full range of health care services, including primary care, specialist care, all inpatient and outpatient services, and diagnostic testing.
Primary care physicians (PCPs) and nurse practitioners typically agree to be a primary care provider for 10 patients at any one time. Specialists typically provide up to 20 referral visits a year for program enrollees.
Enrollees get a membership card that works like a health insurance card and gives them access to health care services and certain prescription medications.
Members pay no more than $10 for each office visit. Prescription co-payments range from $10 to $25. Lab, X-ray and other hospital services are offered at no charge.

How do I join the program?

To enroll, or for more information, please call 1-877-626-1684 (toll-free).

Connections to community resources

We connect you with support services in your community, including: