Can you have MaineCare and another insurance?

You can have both private insurance and most kinds of MaineCare if you choose.

What will MaineCare cover?

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.

How much money can you have in the bank and still get 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.

Can you have Medicare and MaineCare at the same time?

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.

How much is MaineCare a month?

There is a monthly fee of $8-$64 depending on income and family size. Children remain eligible for coverage for 12 months. Full MaineCare Benefit 105% of FPL 1: $1,093 2: $1,480 3: $1,867 4: $2,254 Each additional person: $387 Must be residing with and caring for a dependent child under the age of 18.

How long does it take to get approved for MaineCare?

Once I apply for MaineCare, how long will it take before I know if I get it? You should get an answer within 45 days as long as you have provided DHHS with everything they need to determine if you are eligible.

Is MaineCare free?

What is MaineCare? MaineCare, Maine’s Medicaid program, is free or very low-cost health insurance for eligible people who live in Maine. MaineCare can include well and sick care office visits, plus many other health services.

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.

What qualifies you for MaineCare?

To be eligible for MaineCare, you must be a resident of the state of Maine, a U.S. national, citizen, permanent resident, or legal alien, in need of health care/insurance assistance, whose financial situation would be characterized as low income or very low income.

What is included in my MaineCare coverage?

MaineCare coverage is full coverage. It includes nearly all health services — doctor’s visits and treatment, hospital care, prescription drugs, physical therapy, mental health services, transportation to doctor’s appointments and much more! What if my application is denied? Mistakes can be made.

What services are not covered by MaineCare?

Services Not Covered Some examples of services that are not covered: Acupuncture; Cosmetic surgery; Experimental procedures or drugs; Health club memberships, such as the YMCA; Massage therapy; Adult Dental Coverage. MaineCare covers limited dental services for adults in order to prevent tooth decay and periodontal gum disease.

What happens if a MaineCare member does not pay a copayment?

If a MaineCare member cannot afford to pay a copayment, the provider must still provide the service. The provider may bill the member, but may not deny services in the future due to non-payment of copayments.

How do I find out about health care coverage options in Maine?

Visit CoverME.gov or call the Consumers for Affordable Health Care (CAHC) at 1-800-965-7476 for free help. CACH is offering free online webinars about health care coverage options in Maine each month. See the webinar summary (PDF) for times and other information.