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Maine is not a highly populous state, but still has a substantial number of Medicare beneficiaries (333,656as of 2018). Following are some other statistics about Medicare beneficiaries in Maine*:
When people think of Medicare, several different types of programs may come to mind. Original Medicare, Part A and Part B, is the federal fee-for-service program into which many eligible people are automatically enrolled at age 65 if they’re already receiving retirement benefits before 65. You can also qualify at any age through disability or having certain conditions, such as end-stage renal disease or amyotrophic lateral sclerosis (also known as Lou Gehrig’s disease). To be eligible, you must be either a U.S. citizen or have legally and permanently resided in the country for at least five continuous years. Medicare Part C, also called Medicare Advantage, offers an alternative way to get your Original Medicare insurance. Medicare Part D is prescription drug coverage. Finally, there’s also Medicare Supplement insurance, also known as Medigap. Each of these is described below.
Original Medicare includes Part A (hospital insurance) and Part B (medical insurance). You’re enrolled into this program automatically at age 65 if you’re already receiving Social Security or Railroad Retirement Board retirement benefits. If you have a disability, you’re automatically enrolled into Medicare the 25th month of receiving disability benefits in most cases. If you have ALS (amyotrophic lateral sclerosis, or Lou Gehrig’s disease), you’re enrolled into Original Medicare your first month of receiving disability benefits. If you have end-stage renal disease (ESRD), you may be entitled to Medicare benefits; contact Medicare to ask about your eligibility (information below).
There are other Medicare coverage options beyond Original Medicare.
To enroll in any of these plans, you must live within the plan’s service area, and you must be enrolled in both Medicare Part A and Part B (except in the case of stand-alone Medicare Prescription Drug Plans — you need either Part A or Part B to qualify). Prices, availability, and some coverage details may vary among insurance companies and specific locations in Maine.
Medicare Savings Programs: If you get your health benefits from Medicare in Maine, and have limited income and assets, you may be able to get financial help with out-of-pocket expenses from a Medicare Savings Program. To apply, contact the Maine Bureau of Insurance.
Maine State Health Insurance Counseling and Assistance Program (SHIP): People in Maine who have Medicare can get free health insurance counseling through the State Health Insurance Assistance Program (SHIP). Specially trained staff will answer your Medicare questions either on the phone or at one of their local offices.
Many people are automatically enrolled, as stated above. Enrollment works the same way in Maine as in the other states. If you don’t qualify for automatic enrollment, or if you want to change your coverage or get answers to questions, you can contact Medicare, or a licensed insurance agency such as eHealth Insurance Services, Inc. You’ll find contact information at the bottom of this page.
*Source: Statistical data from the Centers for Medicare & Medicaid Services (CMS), “Medicare Enrollment Dashboard,” from the CMS Office of Enterprise Data & Analytics, February 2019.
eHealth's Medicare website is operated by eHealthInsurance Services, Inc., a licensed health insurance agency doing business as eHealth. The purpose of this site is the solicitation of insurance. Contact may be made by an insurance agent/producer or insurance company. eHealth and Medicare supplement insurance plans are not connected with or endorsed by the U.S. government or the federal Medicare program. We offer plans from a number of insurance companies.