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ME

Maine Medicare Coverage Guide

Find dental, vision, hearing aid, and nursing home Medicare benefits available to Maine residents.

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๐Ÿฆท

Maine Dental Coverage

Moderate

Maine Medicaid (MaineCare) covers dental for dual-eligible beneficiaries. University of New England dental school in Portland is a major resource.

Available Programs

  • MaineCare Dental
  • Medicare Advantage dental plans
  • University of New England dental school

Typical Out-of-Pocket Cost

$400โ€“$1,800/year

Costs vary by plan, provider, and income. Dual-eligible (Medicare + Medicaid) beneficiaries often pay much less.

Tips for Maine Residents

  1. UNE dental school in Portland offers quality low-cost care
  2. Maine SHIP (1-800-262-2232) for plan guidance
  3. Access to dental care limited in northern Maine โ€” plan ahead
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Maine Vision Coverage

Moderate

MaineCare covers vision for dual-eligible members. Limited MA plan competition in rural Maine.

Available Programs

  • MaineCare vision benefits
  • Medicare Advantage vision
  • Maine Division for the Blind and Visually Impaired

Typical Out-of-Pocket Cost

$150โ€“$400/year

Costs vary by plan, provider, and income. Dual-eligible (Medicare + Medicaid) beneficiaries often pay much less.

Tips for Maine Residents

  1. DBVI: 207-624-5150 for vision rehabilitation
  2. Glaucoma screening covered by Part B for high-risk individuals
  3. Maine SHIP: 1-800-262-2232
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Maine Hearing Aids Coverage

Limited

Maine Medicare Advantage plans offer hearing benefits. Hearing care access limited outside Portland and Bangor.

Available Programs

  • Medicare Advantage hearing plans
  • Maine Educational Center for the Deaf and Hard of Hearing
  • Maine Assistive Technology Reuse Program

Typical Out-of-Pocket Cost

$1,000โ€“$6,500 per pair

Costs vary by plan, provider, and income. Dual-eligible (Medicare + Medicaid) beneficiaries often pay much less.

Tips for Maine Residents

  1. MECDHH: 207-781-6180 for resources
  2. Telehealth audiology expanding in rural Maine
  3. Maine SHIP: 1-800-262-2232
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Maine Nursing Home Coverage

Not Covered

Medicare Part A covers SNF. MaineCare covers long-term care. Maine has a strong preference for home and community-based care.

Available Programs

  • Medicare Part A SNF
  • MaineCare LTC
  • PACE Maine
  • Maine SHIP (1-800-262-2232)

Typical Out-of-Pocket Cost

$280โ€“$380/day

Costs vary by plan, provider, and income. Dual-eligible (Medicare + Medicaid) beneficiaries often pay much less.

Tips for Maine Residents

  1. Maine PACE programs in Portland and Bangor areas
  2. MaineCare waiver supports home-based alternatives
  3. SHIP: 1-800-262-2232
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๐Ÿ“Š Live CMS Data Maine Medicare Snapshot

Source: CMS Medicare Monthly Enrollment 2024 & CMS MA Landscape 2025 โ€” public data from data.cms.gov

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378,727
Total Medicare Beneficiaries (2024)
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217,115
Enrolled in Medicare Advantage (2024) 57.3% of total
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161,612
Original Medicare (Parts A & B) Only
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95,976
Dual Eligible (Medicare + Medicaid)
2025 Medicare Advantage Plans
42
Plans available in Maine
Average Monthly Premium (2025)
$16.8
Weighted avg across all MA plans
Top Medicare Advantage Insurers
  1. Anthem BCBS
  2. UnitedHealth
  3. Martins Point
Free SHIP Counseling
Maine SHIP
1-800-262-2232
Free, unbiased Medicare help

Get Free Help in Maine

SHIP Counseling

Your state's State Health Insurance Assistance Program (SHIP) offers free, unbiased Medicare counseling from trained volunteers. They can help you compare plans and enroll.

Find Maine SHIP โ†’

1-800-MEDICARE

Call 1-800-633-4227 (TTY: 1-877-486-2048) 24/7 for Medicare questions, plan comparisons, and enrollment help. Free and official.

Medicare.gov โ†’

Medicare Plan Finder

Use the official Medicare Plan Finder tool at Medicare.gov to compare all Medicare Advantage, Part D, and Medigap plans available in Maine by ZIP code.

Compare Plans โ†’

Nursing Home Compare

Research and compare nursing home quality ratings, staffing levels, health inspection results, and more for facilities across Maine.

Care Compare โ†’