Fast Facts about MaineCare (Medicaid)

What is MaineCare?  MaineCare is a public health insurance program run by Maine’s Department of Health and Human Services (DHHS). 

Who Can Receive Benefits from MaineCare?  To get MaineCare coverage, you must be a resident of Maine and fit into one of the following groups:

  • Children under age 21
  • Adults age 65 or older
  • Adults (18 or older) who are disabled
  • Parents of children who under age 18 (sometimes age 19 if in school)
  • Pregnant women
  • People with HIV/AIDS or Breast or Cervical Cancer

Meeting Income Eligibility Requirements:  If you fit into one of these groups, you must also meet a financial eligibility test to make sure your income is below a certain limit.  The financial eligibility limits are different for each group.

Other Eligibility Requirements:  You also have to meet some non-financial tests.  You may have to help MaineCare recover from other sources what it pays for your care.  For example, you may have access to other insurance or there may be a parent not living with you who must help out.

How Can I Apply for MaineCare?

  • You can call the Maine Department of Health and Human Services at 1-855- 797-4357;
  • You can go to one of their local offices where you can use a computer “kiosk” to apply; 
  • You can also apply from home through the web site for My Maine Connection.

What if I am not Eligible for MaineCare?  If you do not qualify for MaineCare or a Marketplace plan and cannot afford other private insurance, you can call the Consumers for Affordable Healthcare HelpLine (1-800-965-7476) or check out their Guide to Maine Health Care to identify programs that may help with cost for prescriptions drugs, primary and preventive care, emergency care and more.


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