Community Health Options to administer MaineHealth’s CarePartners program

September 19, 2024

Contact: Caroline Cornish, MaineHealth
caroline.cornish@mainehealth.org

Theresa Miller, Community Health Options
tmiller@healthoptions.org

Portland, Maine – Maine-based non-profit health insurer Community Health Options is the new administrator for CarePartnersMaineHealth’s program providing free or low-cost health care for low-income, uninsured adults. The collaboration ensures members will continue to have access to affordable, high-quality care.

MaineHealth launched CarePartners in 2001 with the mission of improving the health and well-being of adults in Maine who cannot afford private health insurance and do not qualify for public health care coverage programs. Members receive primary care services and access to specialists for a $10 co-pay, prescriptions for $10 - $25 and no-cost lab, X-ray and hospital services. CarePartners case managers also work with members to link them to community resources that can further improve their health and help them better understand the health care system.

CarePartners is able to offer these benefits thanks to the generosity of providers and hospitals who donate services, pharmaceutical company patient assistance programs and its third-party administrator, Community Health Options.

“CarePartners is a community effort that exemplifies the MaineHealth vision of working together so our communities are the healthiest in America,” said MaineHealth CEO, Dr. Andy Mueller. “We appreciate Community Health Options for sharing our vision and helping our patients maintain access to affordable health care.”

Community Health Options took over administration of CarePartners Sept. 3. The administrator provides enrollment cards that work similarly to health insurance cards. The cards reduce the stigma of being uninsured for members and give them access to health care services and certain prescription medications. The cards also allow Community Health Options to process provider claims and track data on the services members use. Since its inception more than a decade ago, the non-profit insurer has collaborated with MaineHealth as part of its mission to  “partner locally with members, businesses and health professionals to provide affordable, high-quality benefits that promote health and well-being.”

Said Kevin Lewis, president and CEO of Community Health Options, “Administering this vital program is a key component in our mission to make sure Maine’s healthcare system works for everyone. By helping to facilitate access to high quality health care across the state, we’re proud to partner with MaineHealth to improve the health of all of our fellow Mainers.

Since its inception, CarePartners has enrolled more than 20,000 members from ten counties in Maine and New Hampshire. To learn more, visit the CarePartners website.

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About MaineHealth

MaineHealth is a not-for-profit, integrated health system whose vision is, “Working together so our communities are the healthiest in America,” and is committed to a mission of providing high-quality affordable care, educating tomorrow's caregivers and researching better ways to provide care. MaineHealth includes a Level 1 trauma medical center, eight additional licensed hospitals, comprehensive pediatric care services, an extensive behavioral health care network, diagnostic services as well as home health, hospice and senior care services. With more than 2,000 employed providers and approximately 23,000 care team members, MaineHealth provides preventive care, diagnosis and treatment to 1.1 million residents in Maine and New Hampshire. MaineHealth hospitals include MaineHealth Behavioral Health at Spring Harbor in Westbrook, MaineHealth Franklin Hospital in Farmington, MaineHealth Lincoln Hospital in Damariscotta, MaineHealth Maine Medical Center in Portland, Biddeford and Sanford, MaineHealth Memorial Hospital in North Conway, N.H., MaineHealth Mid Coast Hospital in Brunswick, MaineHealth Pen Bay Hospital in Rockport, MaineHealth Stephens Hospital in Norway and MaineHealth Waldo Hospital in Belfast. MaineHealth also includes the MaineHealth Barbara Bush Children’s Hospital in Portland, MaineHealth Care at Home in Saco, the MaineHealth Institute for Research in Scarborough, the MaineHealth Medical Group and MaineHealth NorDx in Scarborough. MaineHealth affiliates include Maine General Health in Augusta and Waterville and St. Mary's Heal System in Lewiston. It is also a significant stakeholder in the MaineHealth Accountable Care Organization in Portland and a joint venture partner in the New England Rehabilitation Hospital in Portland.

About Community Health Options

Community Health Options is the only Maine‐based, nonprofit, Member‐led health insurer and plan administrator providing comprehensive health plans for individuals, families and businesses. Community Health Options offers a robust network of 48,000 health care providers in New England, along with plans with U.S. National coverage for individuals and businesses.