Health Insurance Coverage

MaineHealth helps uninsured or under-insured patients enroll in programs such as Medicaid/MaineCare and the health insurance marketplace. We can also help with access to food, heating assistance, transportation and more.

We're here to help with these programs:

Our staff are certified assisters (MEAs & CACs) who offer in-person and phone counseling to help you enroll in the Health Insurance Marketplace/ACA plans. Typically, 85% of Mainers receive financial assistance to make the plans more affordable.

Open Enrollment is November 1 to January 15 each year. If you want coverage to start on January 1st, you must enroll by December 15th. You may be eligible for a Special Enrollment Period during the year if you have a qualifying life event (losing health coverage, moving, getting married, having a baby, or adopting a child). For more information see the Health Insurance Marketplace or email us at getcoverage@mainehealth.org.

How will it help me?

  • Medicaid/MaineCare is health insurance for Mainers with limited income. It pays for the care you get when you go to the doctor for a yearly wellness visit or when you are sick. It can also help with prescription drug costs.
  • If you have kids, it also covers their dental and vision care.
  • Medicaid/MaineCare is free, and most services are covered for free or a small copayment.

How do I know if I am eligible?

  • To qualify for Medicaid/MaineCare, your family income must be below a certain level (it also depends on how many people live with you). Call us to find out if you qualify!
  • If you think your income is too high, call us anyway. There are other programs that you or your family members may be able to access. We can help you figure that out. 

Medicare Savings Program

This is a program for people with Medicare who have limited income. The Medicare Savings Program pays your Medicare Part B monthly premium, covers Medicare deductibles and co-pays, and reduces your prescription drug out-of-pocket costs.

MaineCare Limited Benefit

MaineCare’s Limited Benefit covers yearly physicals, all types of birth control, and many reproductive/sexual health care services. This benefit is unique in that it has a higher eligibility income threshold and only counts your individual income (spousal income is not counted) to qualify.

Private Health Insurance Premium

To qualify for the Private Health Insurance Premium, someone in the household, usually a child, meets the eligibility requirements for Medicaid/MaineCare and their parent(s) has health insurance through an employer. With the Private Health Insurance Premium, Medicaid/MaineCare becomes secondary insurance coverage to the employer coverage and pays the portion of health care costs that the employer coverage does not cover. It also reimburses parent(s) for the monthly cost of their employer coverage.

 

Contact Us

For assistance, call 1-833-284-8816 or email us at getcoverage@mainehealth.org.

Walk-ins are welcome, Monday-Friday, at the following locations:

Belfast, ME
125 Northport Avenue 
118 Northport Avenue
 
Biddeford, ME
46 Barra Road
 

Brunswick, ME
329 Main Street


 

Damariscotta, ME 
40 Belvedere Road
35 Miles Street
 
Farmington, ME
111 Franklin Commons
 
North Conway, NH
3073 White Mountain Highway
 
Norway, ME
181 Main St. 
 
Portland, ME
22 Bramhall Street
241 Oxford Street
 
Rockland, ME 
22 White Street, 2nd Floor
 
Rockport, ME 
6 Glen Cove Drive
 
Sanford, ME
25 June Street

 
 

Would you like a helping hand?

MaineHealth Findhelp (formerly Aunt Bertha), is an online directory of free or reduced-cost services like medical care, food, housing and more.

Latest News

View All

Woodbury Building on Southern Maine Health Care Campus Planned for Demolition

Elements from the building’s history will be preserved to honor the legacy of Dorothy ‘Dot’ Woodbury.

Stephens Memorial Hospital Welcomes Dr Kim Perreault as New Chief Medical Officer

Stephens Memorial Hospital is pleased to announce the appointment of Dr. Kim Perreault as the new Chief Medical Officer. Dr. Perreault takes over for Dr. Ryan Knapp who was recently promoted to the Vice President of Physician and Ambulatory Services for Stephens and MaineHealth Medical Group, Mountain Region.

SMHC Opens New Location for Complex Wound Care in Sanford

Southern Maine Health Care Wound Care in Sanford is now equipped to handle complex wounds through the advanced technology of hyperbaric oxygen therapy.

Local Artist Supports SMH Food Pantry

South Paris community member and folk artist, Linda Richardson, recently presented Stephens Memorial Hospital Food Pantry with a gift of $1,200 to benefit the MaineHealth Food Pantry at Stephens Memorial Hospital.