The Community Connector > FAQ > How can I apply for MaineCare?


Questions received at jwalker@fchn.org may be posted below.


Q: How can I apply for MaineCare?


You will need to go to your local Department of Health and Human Services (DHHS) office for an application. Below is information about what you will need to bring with you when you are applying for MaineCare and an explanation on how to use your MaineCare card.

What is MaineCare? MaineCare is a health insurance program for low-income Maine residents who have a disability, child, or meet income eligibility guidelines *.

* For more information about the income guidelines please contact your local DHHS office.

What are the services that MaineCare covers?

Regular Office Visits
Well checkups and sick visits
Preventive health care
Some surgery at rural health clinics.
Hospital Care
Inpatient / outpatient
Emergency care
Ambulance services
Nursing facilities
Labs and x-rays
Surgery

For Mothers and Children
Early intervention
Well child screenings
Service before or after the birth of a baby
Midwifery/delivery
Therapies
Speech / language
Vision screening / eyeglasses
Hearing tests / hearing aids
Physical and occupational therapy
Mental health
Substance abuse

Other
Chiropractic services
Dental work
Developmental and behavioral services
Medical equipment and supplies
Family planning
Screening for Sexually Transmitted Diseases (STD)
Prescriptions
Day nursing / personal care

Is there a co payment on services?
There is a $3 co-payment for medical services and a $2.50 co-payment on prescription medications.

How do you apply for MaineCare?

To apply for MaineCare you need to go to the local Department of Health and Human Services office, and ask for a MaineCare application.

You may also ask for a MaineCare application over the phone or by having someone else pick one up for you.

Where are the Local DHHS Offices located?

Franklin County: 114 Corn Shop Lane, Farmington, Maine 04938 Phone: (207) 778-8400 or 1-800-442-6382. Hours: Monday-Friday 8-5 p.m.

Androscoggin County (Livermore/Livermore Falls Residents): 200 Main St., Lewiston, Maine 04240 Phone: (207) 795-4300 or 1-800-482-7517. Hours: Monday-Friday 8-5 p.m.

Kennebec County (Vienna residents): 221 State St., Augusta, Maine 04333 Phone: (207) 287-3707.

What happens after you turn in the MaineCare application?
If you qualify, you will receive a letter saying that you qualify for MaineCare as soon as eligibility is determined. If some of the individuals that are applying for medical assistance are eligible and some are not, the notice will specify who is eligible or who is not eligible for medical services.

How will I know if I don’t qualify for MaineCare?
A notification letter will be sent to you. The letter will state that you do not qualify for medical services. The letter will also give the reasons why you do not qualify, information from the MaineCare handbook that will support the decision of why you do not qualify, an explanation of your rights to request a fair hearing, and a recommendation of other medical services that could help you.

What do I have to bring with me when I am applying for MaineCare? Some form of identification.
Social Security number.
Address-where you live. If you have no address, tell the MaineCare office where you stay.
Proof of residents (could be light bill or phone bill).
Income for ALL household members (this includes gross earnings before deductions). Including money in bank accounts (checking or savings), Credit Union shares, 401k, safety deposits box, stocks, and annuities.
Proof of income from the last 4 weeks.
Current tax return (if self-employed).

You may be asked for more proof if any of the following apply: Immigration status- Lawfully admitted alien status for each alien household member.
Current utility bills- If you claim utility cost in excess of the standard utility allowance.
Cost for baby-sitting, day care or attended care-while searching for a job, training for work or working.
Medical expenses-Non-reimbursed costs over $35 a month for any person aged 60 years or older or disabled.
Disability

Healthy Community Coalition

Founded in 1989, Healthy Community Coalition (HCC) is an affiliate of the Franklin Community Health Network with a mission of promoting health and well-being in Franklin County and neighboring towns, including Livermore Falls.