Funded by both the federal and state governments, Medicaid is an important health program for people with lower incomes, elderly people, people with disabilities, and some families with children.
The state Department of Health and Human Services administers MaineCare, Maine’s Medicaid program, and MaineCare recipients must be American citizens or legal permanent residents living in Maine who fall into certain qualifying categories.
Qualifying categories for Medicaid eligibility include:
- the elderly
- the physically disabled
- the mentally disabled
- severely disabled children
- pregnant women
- low income adults
- low income children
By 2014, most adults across the country who are under age 65 and have incomes under $15,000 will qualify for Medicaid. To help determine the likelihood of your Medicaid eligibility as of November 2012, however, you should consult the Mainecare Coverage and Eligibility Guide.
Anyone looking into eligibility for Medicaid services in Maine should consult the MaineCare, which provides valuable links and information to help answer many questions concerning eligibility. If it appears you meet eligibility requirements, you shouldn’t delay applying for MaineCare services.
Medicaid in Maine covers a wide range of medical services including:
- Laboratory and X-ray services
- Inpatient and outpatient hospital services
- Health screenings for children and treatment of detected medical problems
- Comprehensive dental services for children
- Adult medical and surgical dental services
- Nursing facility services for adults
- Health clinic services
- Prescription drugs
- Physical, occupational, or speech therapy for children
- Eye doctor visits and eyeglasses for children
- Medically-necessary transportation services
The MaineCare Member Handbook is a great resource for further information about services covered or not covered by Medicaid in Maine, copayments, and many other aspects of Maine Medicaid that you may wish to know more about.
Some people are eligible for both Medicare and Medicaid. In such cases, Medicare is the primary payer.
If you are a Medicare dual eligible individual, looking into Medicare Advantage plans may be a wise move and a good investment. Call MedicareMall toll-free at (877) 413-1556 and we’ll be glad to help you determine whether Medicare Advantage is right for you.
For further information about Medicaid coverage in Maine, contact MaineCare Member Services toll-free at 1-800-977-6740 (TTY 1-800-977-6741).
If you have any further questions about senior healthcare including Original Medicare (Medicare Part A and Part B), Medicare supplement plans, or Medicare Advantage, contact a licensed, bonded MedicareMall representative and let us lead you with confidence through the Medicare maze!
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