Maine Health Insurance
Health Insurance Overview
Maine residents have many options for health care coverage. There are numerous Maine insurance providers to choose from, along with a variety of Maine medical insurance plans designed to meet the specific needs of individuals, families and groups.
Whether you need independent self-employed health coverage, or your employer simply doesn’t offer group Maine health insurance benefits. Whether you are looking to cover your spouse and children under the same low rate, or you are a small business that wants to provide your employees with affordable coverage. Whatever your situation, we are your one stop resource for all your health care needs – including reliable Maine medical insurance from the best Maine insurance providers around.
Each state is unique in its laws and regulations, as well as the types of coverage it offers. Here you will find an array of resources and useful information to help you better understand Maine health insurance and the range of options available to you. This includes current facts and statisticsabout residents, important state legislation, financial assistance and public Maine health insurance programs, and even details on some of the top Maine insurance providers.
To compare specific Maine medical insurance plans offered by the various Maine insurance providers, and get a personalized quote for the options that are right for you, contact us now for free. We’ll connect you with a highly qualified insurance agent near you who will be happy to help you with all of your Maine health insurance needs.
At Healthcare Solutions Team, we’re committed to making affordable health care accessible to everyone. Our group of elite Maine health insurance advisors is dedicated to helping match the right coverage to fit the unique needs of all families, individuals and groups. Not a resident of Maine? Find your state here.
Maine Health Insurance Facts & Statistics
Total Maine Residents – 1,288,300
Total Health Insurance Coverage In Maine:
Employer – 47%
Individual – 4%
Medicaid – 22%
Medicare – 14%
Other Public – 2%
Uninsured – 10%
Average Individual Monthly Premiums – $282
Average Annual Single Employee Contribution for Employer-Based Health Insurance Plan – 22%
Average Annual Single Employee Premium for Employer-Based Health Insurance Plan – $1,207
Average adjusted hospital cost per inpatient day – $1,881
Source data according to the Kaiser Family Foundation (http://www.kff.org/) (2009-2012 data) and http://www.statehealthfacts.org/
Maine Medical Insurance Laws, Regulations & Policies
There are several Maine health insurance laws and regulations that are put in place to protect policyholders living in the state. Maine medical insurance plans are guaranteed issue, which means insurance companies are not allowed to turn down any application for any reason. Health care plans in Maine are also guaranteed renewable, which means that insurance companies cannot cancel coverage if a policyholder gets sick or injured.
Maine insurance providers are allowed to set monthly premiums according to health history and pre-existing health conditions. However, insurance providers are not allowed to impose waiting periods or exclusion periods for pre-existing conditions for residents who are HIPAA-eligible.
Maine health insurance law requires all health plans to cover certain medical care services:
Maine Health Insurance Resources
Maine Health Insurance High Risk PoolThe Patient Protection and Affordable Care Act established temporary national high risk pools to provide health insurance to those with pre-existing conditions. Residents in Maine with pre-existing conditions are able to get health insurance coverage through the Pre-Existing Condition Insurance Plan (PCIP). This works similar to regular Maine health insurance plans and require enrollees to pay monthly premiums and out-of-pocket costs.
Enrollees in the Maine program pay around the same amount that people without pre-existing conditions pay for health insurance. The estimated monthly premium costs for Maine residents range from $438 to $658. The out-of-pocket limit is $3,500 for a $1,750 deductible plan and $5,600 for a $2,500 deductible plan. Those eligible for the Maine health insurance program will have access to health insurance coverage for prescription drugs, doctor and hospital visits, emergency services, and more.
Individuals may apply for the Maine plan if they are a United States’ citizen, have an existing medical condition, have been without health insurance for six months. For more information on the Maine health insurance high risk pools visit http://www.healthcare.gov/index.html.
To stay up-to-date on the latest health care reform news, visit:http://healthreform.kff.org/
Maine Medical Insurance and Health Care Programs
The state of Maine offers residents quite a few public health insurance programs to assist low-income residents in getting access to affordable health care and insurance coverage. These programs include:
Maine Insurance Providers
Assurant Health InsuranceAssurant Health, headquartered in Milwaukee, has been offering quality insurance products and coverage to more than 1 million members since 1982. Assurant is committed to providing health insurance plans that have broad coverage while providing valuable protection.
Time Short Term Health InsuranceToday, Time Short Term health insurance is offered through the Assurant name. Time short-term health plans provide comprehensive coverage for a temporary period of time at affordable rates.
Important Contacts and Links
Maine Bureau of Insurance and Department of Health and Human ServicesFind the contact information for the Maine health insurance and health and human services departments at:
Maine Bureau of Insurance
124 Northern Avenue
Gardiner, Maine 04345
Phone: (207) 624-8475
Maine Department of Health and Human Services
221 State Street
Augusta, ME 04333
Phone: (207) 287-3707
500 W. South St.
Freeport, IL 61032
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