|
|
|
|
Population: 1,321,574
(Source: U.S. Census Bureau)
Uninsured: 124,000
(Source: U.S. Census Bureau)
Health Benefits Direct is a licensed insurance broker for Maine health insurance policies. Click here to view our registration with the Maine Office of Insurance (We're listed as HBDC). |
Maine has the 42nd highest number of uninsured in the U.S.
|
Health Insurance News in Maine
Buying Individual Insurance Policies in Maine
State regulation of individual health insurance differs greatly from state to state. For you, this means certain conditions or providers covered in one state may not be covered in another.
Each state has its own health insurance mandates. Those mandates require that insurance companies and health plans cover, or offer coverage for, certain conditions, benefits, providers and patient populations.
Here is a list of mandated and non-mandated conditions, covered persons and providers in Maine:
(Source: Health Insurance Mandates in the States 2008¹, Council for Affordable Health Insurance. Last updated Jan 2008.)
| Mandated (Covered) Conditions |
Non-Mandated Conditions |
|
- Alcoholism
- Breast Reconstruction
- Cervical cancer/HPV Screening
- Clinical Trials
- Contraceptives
- Dental Anesthesia
- Diabetic Supplies
- Drug Abuse Treatment
- Emergency Services
- Hearing Aid
- HPV Vaccine
- Home Health Care
- Hospice Care
- Lyme Disease
- Mammogram
- Mastectomy
- Mastectomy Stay
- Maternity
- Maternity Stay
- Mental Health General
- Mental Health Parity
- Off-Label Drug Use
- Orthotics/Prosthetics
- PKU/Formula
- Prescription Drugs
- Prostate Cancer Screening
- Rehabilitation Services
- Smoking Cessation
|
|
|
- Alzheimer's
- Ambulatory Surgery
- Ambulance Services
- Anti-Psychotic Drugs
- Autism
- Birthing Centers/Midwives
- Blood Lead Poisoning
- Blood Products
- Bone Marrow Transplants
- Bone Mass Measurements
- Cancer Medications
- Chemotherapy
- Chlamydia
- Cleft Palate
- Colorectal Cancer Screening
- Congenital Bleeding Disorders
- Diabetes Self Management
- Early Intervention Services
- Habilitative Services
- Hair Prostheses
- In Vitro Fertilization
- Kidney Disease
- Long Term Care
- Minimum Hysterectomy Stay
- Minimum Testicular Cancer Stays
- Morbid Obesity Treatment
- Neurodevelopment Therapy
- Newborn Hearing Screening
- Newborn Sickle-Cell Testing
- Ostomy Related Supplies
- Other Infertility Services
- Ovarian Cancer Screening
- Port-wine Stain Elimination
- Psychotic Drugs
- Second Surgical Opinion
- TMJ Disorders
- Well-Child Care
|
|
| Mandated Covered Persons |
Non-Mandated Covered Persons |
|
- Continuation/Dependents
- Continuation/Employees
- Conversion to Non-Group
- Dependent Students
- Newborns
- Non-Custodial Children
- Domestic Partners
|
|
|
- Adopted Children
- Grandchildren
- Handicapped Dependents
|
|
| Mandated (Included) Providers |
Non-Mandated Providers |
|
- Acupuncturists
- Chiropractors
- Dentists
- First Nurse Assistant
- Lay Midwives
- Marriage Therapists
- Nurse Anesthetists
- Nurse Midwives
- Nurse Practitioners
- Optometrists
- Pastoral Counselor
- Psychiatric Nurse
- Psychologists
- Public or Other Facilities
- Social Workers
|
|
|
- Chiropodist
- Denturists
- Dieticians
- Licensed Health Professional
- Massage Therapists
- Naturopaths
- Nurses
- Occupational Therapists
- Opticians
- Oral Surgeons
- Osteopaths
- Pain Management Specialist
- Pharmacists
- Physical Therapists
- Physician Assistants
- Podiatrists
- Professional Counselors
- Speech or Hearing Therapists
|
|
Although health insurance coverage for a particular condition or provider may not be mandated in your state, insurance carriers may still provide coverage for the condition or provider. Please keep in mind that major medical health insurance plans are subject to health underwriting and that mandates do not necessarily guarantee coverage. If you're not sure whether you could receive coverage, one call to Health Benefits Direct can help you determine if you're eligible to buy an individual health insurance policy in Maine.
Health Benefits Direct provides free health insurance quotes on affordable health insurance plans for Maine residents. We work with highly rated insurance carriers to deliver quality health insurance plans to families and individuals across Maine.
¹Authors: Victoria Craig Bunce & JP Wieske
Please note that information contained on this page can change at any time. Consequently, while we seek to present as up-to-date information as possible, Health Benefits Direct in no way warrants the accuracy of the information.
|
|
|
|
|
