Option 1: Apply online through My Maine Connection. Option 2: Download the MaineCare Application and mail it to: Office for Family Independence 114 Corn Shop Lane Farmington, ME 04938 Option 3: E-mail an application to [email protected] Option 4: Fax an application to (207) 778-8429.
How do I get help with MaineCare?
You can call the HelpLine at 1-800-965-7476 (TTY: 1-877-362-9570) or email us. MaineCare has expanded for 80,000 more people! There are no asset limits for this coverage group. Only income is looked at for eligibility. Not all income will count against you. Take a look at the chart, below.
What does MaineCare pay for Medicare?
If you have Medicare, you may qualify for a Medicare Savings Plan. Depending on your income, MaineCare may pay for Part A premiums, Part B premiums, Medicare deductibles, coinsurance, and copayments.
Where can I find information about MaineCare member copayments?
For details about services that may require a copay and members who are responsible for copays, see the MaineCare Member Handbook (PDF). To see what you may pay for a copay for services and prescription drugs, see the MaineCare Member Copayments (PDF).
How do I contact MaineCare with questions about a PA?
Examples of services and medical equipment that need PA: For questions about a PA for a prescription drug, call the Pharmacy Help Desk at Pharmacy Help Desk at 1-866-796-2463. Call MaineCare Member Services at 1-800-977-6740 for questions about all other services.
Can you get MaineCare if you have Medicare?
Elderly and disabled adults can have private insurance, Medicare, or Supplemental Insurance AND MaineCare. Since MaineCare is full coverage and can “wrap around” Medicare, most people decide to drop their private insurance or Supplemental Insurance once they are enrolled in MaineCare.
Does Social Security count as income for MaineCare?
Income: Includes household money from sources such as Social Security, pensions, wages, alimony, self-employment, etc.
How much money can you have in the bank on MaineCare?
For children (18 and under) and pregnant women,MaineCare will not count assets. For parents of children (18 and under), and for 19 and 20 year olds, there is a $2,000 asset limit. For other adultcouples with no minor children at home, there is a $3,000 asset limit.
How much money can you make and still qualify for MaineCare?
You may be eligible for MaineCare if your monthly income (before you pay taxes) is up to:Your household sizeChildrenYoung Adults (19-20)1$2,413$1,8242$3,251$2,4573$4,088$3,0904$4,926$3,7241 more row
At what age do you lose MaineCare?
MaineCare provides free or low-cost health insurance, other health benefits, and assistance to kids under age 21 who meet income guidelines or disability criteria.
What is the difference between MaineCare and Medicare?
In Maine, Medicaid is now called “MaineCare.” The situation is particularly confusing because the two programs have almost identical names. The distinguishing features of the two programs may help you understand the difference. Medicare is an entitlement program, while Medicaid is a welfare program.
Can MaineCare take your house?
The Department of Health and Human Services (DHHS) can pursue recovery against not just the probate estate but against any legal interest the MaineCare recipient held at the time of death. Currently, the only exception is a joint tenancy interest in real estate.
Do assets count for MaineCare?
Assets: Assets are only looked at for people who are 65 and older, or who have Medicare. Many assets will not count against you. You can own a home, land that the home is on, cars and many other assets and still get MaineCare coverage. Remember: Assets do not count for most people.
Is MaineCare free?
Quick Info. Medicaid provides free or low-cost health coverage to eligible needy persons.
What is the income limit for food stamps in Maine?
Who is eligible for this program?Household Size*Maximum Income Level (Per Year)1$25,1422$33,8743$42,6064$51,3384 more rows
Is Medicaid the same as MaineCare?
In Maine, Medicaid is called MaineCare. Medicaid is a health insurance program that provides insurance to people who have limited income and assets. Medicaid is run by the federal and state governments. Eligibility for MaineCare is based on age and income.
What is considered low income in the state of Maine?
Standards for 2018 issued by the U.S. Department of Health and Human Services. The more general term “low income” is commonly defined as 200% of the poverty standard. Thus a family of four in 2018 with an income of about $50,000 would be a low income family....Official Poverty Levels by Family Size.SizeIncome8$42,3807 more rows
Apply for MaineCare
Ready to apply? Applications for MaineCare are processed by the Office for Family Independence. Learn how to apply today.
Contact MaineCare
If you have questions or need help, the Contact Us page can help you find the right person at MaineCare.
Children
Learn more about the affordable health coverage options available to kids under age 21.
Adults
Learn more about affordable health coverage options available to Adults 19-64 years old.
Older Adults and Adults with Disabilities
Learn about the Medicare Savings Program (Buy-in), the Spenddown program for individuals who are medically needy, programs for individuals with a disability, long term care, and more.
Limited Benefits
Learn about pharmacy coverage, discount drug programs, adult dental coverage, the Private Health Insurance Premium (PHIP) program, and limited benefit packages.
Ready to Apply?
Learn about your options for applying online, by mail, and in person. Applications for MaineCare are processed by DHHS’s Office for Family Independence.
What is MaineCare deductible?
Basically, if your medical bills go over a certain amount during a (usually) six month period, MaineCare will kick in and cover you for the rest of that time period. This can be an important safety net if you have high medical bills.
How to contact Maine Health Insurance?
For help understanding these limits, asset levels or how to apply, call our Maine Health Insurance Consumer HelpLine at 1-800-965-7476. Family Size. Adults with Medicare or 65 years and over. (includes disregards)
Where to mail Maine unemployment application?
Call 1-800-965-7476 to have one mailed to you, or print an application at: www.maine.gov/dhh s/ofi/public-assistance. Mail it to: DHHS, 114 Corn Shop Lane, Farmington , ME 04938. Tip: Send it by certified mail and keep a copy of the mail delivery receipt. This way you can prove the date you applied.
Online Application
To apply for benefits and services online, visit My Maine Connection. Once there, you can:
Paper Applications
Use this application if you would like to apply for a MaineCare program, including:
Forms
Complete this form when applying for TANF or Parents as Scholars (PaS)
What age can you get MaineCare?
If you are over the age of 65, are blind or have another disability, MaineCare may be able to help you afford health coverage and services.
Does MaineCare pay for Medicare?
If you have Medicare , you may qualify for a Medicare Savings Plan. Depending on your income, MaineCare may pay for Part A premiums, Part B premiums, Medicare deductibles, coinsurance, and copayments.
How to check if MaineCare is covered?
To see if a service you need is covered, call MaineCare Member Services at 1-800-977-6740. TTY users, dial 711. Make sure MaineCare covers the service you need before you get care. There are limits or special rules for most covered services.
What are some examples of services that may be covered by MaineCare?
Some examples of services that may be covered: Visits to your doctor. Medications. Behavioral health services. Inpatient and outpatient hospital visits. X-rays and labs. The services covered depends on your MaineCare eligibility category. MaineCare may not cover all services listed.
How old do you have to be to be in foster care in Maine?
Former Foster Care Children - You are under 26 years old, were in foster care in the State of Maine and were enrolled in Medicaid through the State of Maine at age 18, and are not otherwise eligible for, or enrolled in, other Medicaid coverage. If you are an adult who is age 65 and older or eligible for Medicare, ...
How to get help with quit smoking in Maine?
If your ready to quit, you can call: The Maine Tobacco Helpline at 1-800-207-1230 to get free help with your quit plan. Your doctor for help finding services and determining which products might be best for you. See the Tobacco Cessation (PDF) for more information about how we can help.
How much is the Medicaid exemption in Maine?
These exemptions are in addition to the Medicaid asset limit of $2,000 for a single individual and $3,000 for a married couple.
What income is counted for Medicaid?
Examples include employment wages, alimony payments, pension payments, Social Security Disability Income, Social Security Income, IRA withdrawals, and stock dividends.
What is CSRA in Medicaid?
This, in Medicaid speak, is called the Community Spouse Resource Allowance (CSRA) and is intended to prevent spousal impoverishment of non-applicant spouses. As with the income allowance, the resource allowance does not apply to married couples with one spouse applying for regular Medicaid.
How much can a spouse retain for Medicaid?
For married couples, with one spouse as a Medicaid nursing home applicant or Medicaid waiver applicant, the community spouse (the non-applicant spouse) can retain up to a maximum of $130,380 (in 2021) of the couple’s joint assets, as the chart indicates above.
What are some examples of Medicaid?
Examples include paying for home modifications, like the addition of wheelchair ramps or stair lifts, prepaying funeral and burial expense s, and paying off debt. 2) Medicaid Planning – the majority of persons considering Medicaid are “over-income” or “over-asset” or both, but still cannot afford their cost of care.
Does the Medically Needy Pathway help with Medicaid?
The Medically Needy Pathway does not assist one in spending down extra assets for Medicaid qualification. Said another way, if one meets the income requirements for Medicaid eligibility, but not the asset requirement, the above program cannot assist one in reducing their countable assets.
What Is MaineCare?
- MaineCare provides free and low-costhealth insurance to Mainers who meet certain requirements, based on household composition and income. There are also additional options for people with disabilities and certain health conditions, young adults who have been in foster care, and those …
What Does It Cover?
- MaineCare covers: 1. doctor visits, 2. emergencies, 3. substance use disorder treatment, 4. prescription drugs, and more.
Who Is Eligible?
- You may be eligible for MaineCare if your monthly income (before you pay taxes) is up to:
*Add 1 to household size for each baby expected. You may still qualify even if you are over the income limits. Please refer to the eligibility guidelines (PDF)for detailed information about income limits for different MaineCare coverage categories. Even if you do not qualify for MaineCare, yo…
MaineCare Information For Members
- If you have question about MaineCare benefits, need help finding a provider, or have other questions, please visit the Office of MaineCare Servicesfor assistance.
Paying Premiums Online
- OFI has a new Online Payment Portal for individuals to make online payments for their MaineCare Premiums. The Portal went live on Monday, August 31st, 2020. The payment portal provides an efficient and secure way for premium payments to be made online, instead of having to send payment by mail each month. This portal serves as another option to make these payments and …