MaineCare Health Insurance
MaineCare is the name of Maine’s Medicaid Program; MaineCare is a federal and state funded program that pays the medical expenses for people who qualify.
Our Eligibility Staff want to help make it affordable for everyone to get the medical care they need, our staff would be happy to assist you with the application process. Please contact a member of our Eligibility Department today for help at 1-866-366-5842 extension 325 or you can print off the application at the link below and return it to your local DHS office.
Click Here to download and print off a MaineCare Application
Depending on the families income level, kids may be able to get free MaineCare or low-cost coverage through the Children’s Health Insurance Program (CHIP), formally called CubCare. MaineCare and CHIP provide the same health coverage, the only difference is that there is a monthly cost for CHIP. The cost for CHIP is between $8 and $64 per month, based on income level.
|2016 Monthly Income Guidelines for Kids|
|Household Size||Free MaineCare||Low-Cost CHIP|
|for each additional household member add:||$565||$742|
Parents of dependent children, age 18 and younger, may also be able to get MaineCare if the child lives with them. This includes both birth parents, legal parents, and relatives providing a home for dependent children. For parents to get MaineCare, income must be much lower than it has to be for children. Use the chart below to figure out if you could get MaineCare as a parent.
|2016 Monthly Income Guidelines for Parents|
|Household Size||Free MaineCare|
|for each additional household member add:||$366|
For wages, use the full amount, minus any pre-tax withholdings. For self-employed income, use the net income (after business expenses and taxes). Child support will not count against you, but alimony received will be included. There are many types of income, you should contact your local Department of Health and Human Services office if you have questions about what income will be used.
You do not have to apply in person. You can print the application offline and mail to the Department of Health and Human Services (DHHS). Or, you can start your application online at My Maine Connection.
Both Free MaineCare and Low-cost CHIP offer the same health benefits. They include nearly all health services including doctor’s visits, hospital care, prescription drugs, physical therapy, mental health services, and much more!
Parents and kids who are eligible for free MaineCare can get medical bills paid back to 3 months before the application. Kids eligible for Low-cost CHIP can get medical bills paid back to the first day of the month of their application. To get back bills paid, you must have been eligible for MaineCare or CHIP at the time you received the services.
Even if household income is over the limit for MaineCare, children with severe disabilities may qualify for full MaineCare coverage through the Katie Beckett Program. This program offers all standard MaineCare services.
MaineCare should also offer “Medically Needy” coverage to adults and children, even if they are not severely disabled. This is also called the “Spend Down or Deductible” program. Basically, if your medical bills go over a certain amount during a six month period (usually), you will then qualify for MaineCare.