There are two health insurance plans available to the members we serve. They are:

Active Employees and
Retirees Under Age 65

State of Maine Health Plan and Premiums
effective 7/1/2025-6/30/2026
Health: Anthem Blue Cross and Blue Shield
Anthem Member Services 1-844-273-4614
Pharmacy: Capital Rx
Member Services 1-833-502-1279 dial 711 for TTY
Available 24/7

2026 Creditable Coverage Notice

Effective January 2026: The State of Maine will no longer be mailing Form 1095-C to employees and instead will be digitally accessible within PRISM; however, employees and retirees may still request a copy if they do not have access to PRISM. To request a paper or digital copy of your 1095-C Form, please contact our office at info.benefits@maine.gov and utilize the subject line to indicate "1095-C Form Request", or call us at 207-624-7380, or mail us a request at Office of Employee Health, Wellness, & Workers' Compensation at 61 State House Station, Augusta, ME 04333-0061. Information on this form refers to tax statements reporting that individuals had health coverage. 

Retirees and Dependents
Age 65 and Over

Medicare Advantage Plan and Premiums
effective 1/1/2025-12/31/2025
Aetna Medicare Advantage Member Services 1-888-267-2637
Prescription Services 1-888-792-3862