MaineCare (Maine’s Medicaid program) provides free and low-cost coverage for Mainers who meet requirements based on household composition, income, and/or disability status. MaineCare covers doctor visits, emergencies, substance use disorder treatment, prescription drugs, and more.
When you submit an application for coverage through CoverME.gov, your information will be reviewed for MaineCare eligibility. If you may be eligible, your application will be transferred to the Office for Family Independence to make a final determination. You can also apply for MaineCare, and other benefits, directly through My Maine Connection.
- Do I qualify for MaineCare?
Mainers are eligible for MaineCare coverage if they meet certain requirements, including having a household income below certain limits. Different income limits apply to people with different circumstances, and depending on your situation, some people in your household may qualify but not others.
People with disabilities and those with certain health conditions can qualify for MaineCare even at higher household income levels. You can find more detailed income limits in this 2021 summary of eligibility guidelines (PDF). Not sure if you or your family qualifies? Call (800) 965-7476 for free, local help from Consumers for Affordable Health Care.
- What services does MaineCare cover?
MaineCare covers essential health care needs. This includes: visits to your doctor, prescription drugs, treatment for mental health needs and substance abuse disorder, surgery, emergency care, and more. Learn more about what’s covered in the MaineCare Member Handbook (PDF).
- For applicants age 55 or older
If you are 55 or older, you may have heard that signing up for MaineCare could put your home or savings at risk if you need long term services and supports like nursing home care. Although in some cases federal law does require Maine to try to recover costs of care from a beneficiary’s estate, the State only pursues this option in certain circumstances and has policies in place to protect family members and individuals experiencing hardship. Learn more about estate recovery (PDF).
- For applicants who are immigrants
Recently, the federal government attempted to make changes to the rules they use to decide whether some people applying for green cards and certain visas are likely to depend on government resources in the United States. These new “public charge” rules meant that, in some specific cases, enrolling in MaineCare might make it more difficult to have an immigration application approved. On November 2nd, 2020, a federal district court overturned the new rule, and in March 2021, the federal Department of Homeland Security announced it would no longer attempt to defend the rule change in court. This means that enrolling in MaineCare, except in some very limited circumstances, will not be considered in public charge determinations during the immigration application process.
The information provided here is not intended as legal advice. If you aren’t, or a person you are helping to apply for MaineCare is not, a citizen or lawful permanent resident of the United States and you have questions about public charge rules, contact Consumers for Affordable Health Care at 1-800-965-7476.