What is MaineCare?
MaineCare provides free and low-cost health 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 who need long-term care.
What does it cover?
MaineCare covers:
- doctor visits,
- emergencies,
- substance use disorder treatment,
- prescription drugs, and more.
Who is eligible?
You may be eligible for MaineCare if your monthly income (before you pay taxes) is up to:
| Your household size | Children | Young Adults (19-20) | Adults (21-64) | Pregnant Individuals* |
|---|---|---|---|---|
| 1 | $4,057 | $4,057 | $1,836 | $2,847 |
| 2 | $5,501 | $5,501 | $2,490 | $3,830 |
| 3 | $6,944 | $6,944 | $3,142 | $4,873 |
| 4 | $8,388 | $8,388 | $3,796 | $5,886 |
| Each additional family member | Add $1,444 | Add $1,444 | Add $654 | $1,013 |
*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, you may be able eligible to receive financial help paying for health insurance when you purchase coverage through the State run health insurance marketplace. You can learn more at CoverME.gov.
How do I apply for MaineCare?
- 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 Farmington.DHHS@Maine.gov
Option 4: Fax an application to (207) 778-8429.
Option 5: Visit one of our district offices and apply in person.
Next Steps
After you submit an application, you will be contacted if any additional documents or information is needed (i.e. pay stubs, immigration documents, etc.). Once we can make an eligibility decision, you will receive a letter explaining if you are denied (with a reason why) or approved and enrolled in the MaineCare program.
Note: The Office for Family Independence (OFI) is responsible for processing MaineCare applications and determining eligibility within 45 days. Once enrolled by OFI, the Office of MaineCare Services administers the program and handles all billing and claims.
MaineCare Information for Members
If you have question about using MaineCare benefits, need help finding a provider, or have other questions about using your healthcare, please visit the Office of MaineCare Services for assistance.
Paying Premiums Online
OFI has an Online Payment Portal for individuals to make online payments for their MaineCare Premiums. It's an efficient and secure way for premium payments to be made online, instead of sending a payment by mail each month. This portal serves as another option to make these payments and is not mandatory; payments will still be accepted by mail. Please note that there is a $2 fee that will be assessed for each payment made on this Online Payment Portal. To make an online payment click the link: www.maine.gov/dhhs/paymentportal.