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Medicare in Maine

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The number of Maine residents enrolled in Medicare continues to grow. According to data from the Centers for Medicare & Medicaid Services (CMS), 325,656 beneficiaries were enrolled in Original Medicare (Part A and Part B), Medicare Advantage  and other Health plans in 2018.

Whether you’re a Maine resident who is new to Medicare or a caregiver researching information for a loved one, you’ll find plenty of tools and resources to help you understand your different health coverage options.

Medicare resources in Maine

Maine Office of Aging and Disability Services: The Maine Office of Aging and Disability Services (OADS) is a state agency within the Department of Health and Human Services. Their main function is to promote health-related services and programs for the elderly, the disabled, and their families. Through the OADS, Maine Medicare beneficiaries can find services and community programs that will help them make better decisions regarding their coverage and health. A few examples of the services and programs offered by the OADS include:

  • Long-term care and nursing home services
  • Employment support for older adults
  • State Health Insurance Program
  • Senior Medicare Patrol
  • Legal services for the elderly
  • Adult day care services

Eastern Area Agency on Aging: The Eastern Area Agency on Aging (EAAA) is a non-profit organization formed in 1973 to assist the aging and disabled population of the four eastern counties of Maine. The EAAA is staffed by volunteers who are highly trained to deliver one-on-one counseling. Maine Medicare beneficiaries can receive information about services and health options related to their health care and Medicare coverage. Services include the Aging and Disability Resource Center, caregiver case management, community services, and nutrition services.

Southern Maine Agency on Aging: The Southern Maine Agency on Aging (SMAA) serves the York and Cumberland Counties by delivering services, health information, and other resources that help improve the well being of seniors and disabled individuals living in that area. Founded as a non-profit organization in 1973, the SMAA strives to promote independence and encourage an active lifestyle for seniors. The department is staffed by both paid employees and volunteers who are all trained to connect seniors and their families to appropriate programs and services. Maine Medicare beneficiaries can receive help regarding their coverage, billing, insurance options, and more.

Medicare statistical trends in Maine

Many older adults in Maine continue to benefit from the Medicare program. Several trends have emerged, based on data from CMS:

  • Access to Medicare Advantage plans in Maine is universal, with 100% of Medicare beneficiaries in 2018 living in the service area of a Medicare Advantage plan.
  • 47 Medicare Advantage plans are available in 2018
  • Nearly all Maine beneficiaries with Medicare prescription drug coverage have access to less expensive coverage—85% of enrollees with Medicare Part D had access to a Medicare Prescription Drug Plan with a cheaper premium than they paid in 2017.
  • In 2018, $12.60 was the lowest monthly premium for a Medicare Prescription Drug Plan.
  • In 2018, most Maine beneficiaries get their Medicare coverage through Original Medicare (69%) versus Medicare Advantage or another type of health plan (31%).
  • In 2018, 61% of Maine enrollees get their Medicare Part D coverage through a stand-alone Medicare Prescription Drug Plan, compared with a Medicare Advantage plan that includes prescription drug benefits (39%).

If you’re interested in learning more about Medicare coverage in Maine, you can use the tool on this page to get started. Simply enter your zip code to find plan options in your service area.

Statistical data from the Centers for Medicare & Medicaid Services, “Medicare Enrollment Dashboard,” and ” 2018 Part D Landscape State-by-State Fact Sheet.”

Data in this article was checked when the article was written and might not be updated as newer data becomes available.

This website and its contents are for informational purposes only. Nothing on the website should ever be used as a substitute for professional medical advice. You should always consult with your medical provider regarding diagnosis or treatment for a health condition, including decisions about the correct medication for your condition, as well as prior to undertaking any specific exercise or dietary routine.

The product and service descriptions, if any, provided on these eHealth Insurance Web pages are not intended to constitute offers to sell or solicitations in connection with any product or service. All products are not available in all areas and are subject to applicable laws, rules, and regulations.

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