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Maine Medicare Plans

Medicare coverage in Maine varies a bit from the federal guidelines that most states have. There is still a 6 month enrollment period surrounding your 65th birthday. 

Additionally Maine has a state law that requires an open enrollment period one month a year for beneficiaries to enroll in a Plan A Supplement. This means you can enroll in a Plan A Supplement without having to worry about the health restrictions. Which month of the year this period falls under is determined by the insurance carrier 

Medicare Supplements help to cover deductibles, copays and coinsurance, more than Original Medicare. This will save Maine residents a lot of money in the long run. Supplements also allow you to visit any doctor that accepts Medicare. 

Maine Medicare plans open enrollment

At 65 you have a 6 month open enrollment period. This begins 3 months prior to your birthday and continues for the 3 months following your birthday. At this time you can also enroll in a Supplement plan without being declined for existing health conditions. 

If you are a Maine resident you also have an additional one month a year open enrollment period for Plan A supplement where you cannot be declined coverage due to your existing health conditions. If you choose to enroll in a Supplement outside these open enrollment period you must respond to a health survey and can be declined coverage. 

Medigap Plans

Original Medicare only covers 80% of your outpatient costs and can leave behind costs from deductibles and coinsurance. This is why many beneficiaries choose to enroll in a Supplement plan. 

Supplement plans will limit your out-of-pockets costs and they also allow you to visit any doctor that accepts Medicare. 

There are 10 plans lettered A-N. Similarly lettered plans provide similar coverage. The only difference between the plans would be the cost. This is why it is best to carefully shop the plans to ensure you have the best coverage for you and at the best price for your budget. We can help you with this process. 

If you were enrolled in Medigap plans C or F prior to 2019 you will be able to remain enrolled in those plans; however, if you are a new beneficiary you will not be able to enroll in those plans.

Medicare Advantage Plans

There are 31 Advantage plans in Maine. These Advantage, Part C, plans are private insurance plans that have additional benefits outside Original Medicare coverage. These plans also cover dental, vision and prescription drugs. 

Medicare Part D

While Original Medicare and Medicare Supplement plans don’t offer coverage for prescription drugs, there is an option to enroll in Medicare Part D. There are 26 Part D plans available in Maine in 2019. If you don’t want to pay out-of-pocket for your prescriptions, be sure to look into Medicare Advantage or a standalone Part D plan.

How we can help

We have licensed Medicare agents ready to assist you in shopping for your healthcare plans. Remember, Medicare plans all have standardized coverage. The main difference is the cost. You’ll want to shop not only for the best coverage that you need, but also for the best price in your budget. Let us assist you in this plan comparison at no cost to you.

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