Medicare plays a key role in providing health and financial security to beneficiaries residing in Maine. With more than 344,100 Maine beneficiaries enrolled in Medicare, we’ll cover some very important information below about Medicare in Maine. We want to help you better understand your options and make the decision-process as seamless as possible once you’re ready to enroll in Medicare or discover different coverage options.

Maine Medicare Enrollments

205,460

Original Medicare Plans (Part A and B)

138,648

Medicare Advantage & Other Health Plans

255,448

Stand-alone Medicare Part D (Drug Plans)

344,108

Total Medicare Beneficiaries in Maine

Who Qualifies for Medicare in Maine?

Medicare covers most Maine residents who are 65 or older, and it also covers disabled Maine residents. In general, Medicare enrollment in Maine works the same way as it does in the rest of the country. If you qualify for Original Medicare, also known as Part A and Part B, it will help cover 80% of your health care costs.

When you’re first eligible for Medicare, you have a 7-month Initial Enrollment Period to sign up for Part A and/or Part B. If you’re eligible for Medicare when you turn 65, you can sign up during the 7-month period that:

  • Begins 3 months before the month you turn 65
  • Includes the month you turn 65
  • Ends 3 months after the month you turn 65

In most cases, if you don’t sign up for Part B when you’re first eligible, you’ll have to pay a late enrollment penalty. You’ll be responsible for paying this penalty for as long as you have Part B, and you could have a gap in your health coverage.

Once you reach Medicare eligibility, you can begin choosing additional coverage options to help pay for the remaining 20% of your medical expenses through Medicare Advantage (Part C), Medigap, and/or a Medicare Prescription Drug (Part D) plan.

Who Qualifies for Medicare

Local Medicare Health Plan Resources in Maine

  • Senior Medicare Patrol (SMP): SMPs empower and assist Medicare beneficiaries, their families, and caregivers to prevent, detect, and report health care fraud, errors, and abuse through outreach, counseling, and education. SMPs are grant-funded projects of the federal U.S. Department of Health and Human Services (HHS), U.S. Administration for Community Living (ACL).
    Contact: Call 1-800-262-2232 or find your local Area Agency on Aging

  • State Health Insurance Program (SHIP): If you have Medicare insurance, or expect to have it soon, you may have questions or need help to understand your Medicare benefits. Trained health insurance counselors are available throughout Maine to provide you information about Medicare and other health insurance issues. You can also learn about programs in Maine that help lower the cost of prescription drugs and other out-of-pocket medical expenses. SHIP services are free, confidential, and available to older people and people who have Medicare because of a disability. SHIP Counselors do not sell insurance or recommend policies.
    Contact: Call 1-800-262-2232

  • Maine Health Insurance Consumer Assistance Program (MHICAP): MHICAP assists seniors and other state residents with a range of health insurance coverage concerns. The Maine Attorney General and the Maine Superintendent designated Consumers for affordable Health Care as the Maine Health Insurance Consumer Assistance Program with the support of a grant from the U.S. Department of Health and Human Services in 2010.
    Contact: Call toll-free 1-800-965-7476, Consumers for Affordable Health Care’s Augusta office at 1-800-838-0388, or by completing the contact form on the CAHC website.

The licensed agents that are partnered with Timefor65 can help you compare the availability, benefits, and costs of Medicare plans in your specific region of Maine. Our process makes it easier for you to access your Medicare eligibility in Maine so that you receive personalized, affordable, and easy-to-use coverage options and solutions. Fill out the form or give us a call at (866) 327‑0148 anytime to get a free quote or to ask any questions.

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