There are currently 345,205 total Maine Medicare enrollees. Of Maine’s Medicare participants, over 200,000 enrollees have Original Medicare, while more than 130,000 beneficiaries have a Medicare Advantage plan. We’ll detail Original and Supplemental Medicare in the below sections.

Maine Medicare: Facts & Figures

  • There are over 215,000 enrollees with Part A Medicare and nearly 192,000 beneficiaries with Part B. Around 39,300 of these beneficiaries are disabled. This number is a nearly 112,000 beneficiary increase compared to the number of people aged into Medicare.
  • Around 134,500 Mainers have a Medicare Advantage plan.
  • The number of Maine residents with a Part D prescription drug plan is 243,116.

Medicare Costs in Maine for 2022

Medicare Part A and B include deductible coverage and coverage for some coinsurance percentages. You’ll pay no Part A premium if you have a minimum 10-year work history.

Part B has a special enrollment period for Maine residents who work past age 65. Original Medicare Part B coverage includes outpatient care such as diagnostic screenings, doctor services, mental health care, and laboratory services.

The following costs remain the same across the states.

Medicare Part A Costs in 2022 Medicare Part B Costs in 2022
  • Part A is premium-free for most
  • Part A deductible is $1,556 per benefit period
  • Inpatient hospital stay days 61-90 is $389
  • The standard Part B premium is $170.10
  • The annual deductible for Part B is $233
  • Medicare pays 80%, you pay 20% out-of-pocket

Original Medicare Coverage

Around 217,000 beneficiaries have Part A and Part B of Maine Medicare. Of this number, about 173,000 aged in, while 44,000 individuals with one or both parts are disabled.

Medicare Part A (Hospital Coverage)

  • Inpatient care in hospitals
  • Skilled nursing facility care
  • Hospice care
  • Home health care
Medicare Part B (Medical Insurance)

  • Services from doctors and health providers
  • Outpatient care
  • Home health care
  • Durable medical equipment
  • Some preventive services

Supplemental Medicare Plans in Maine

Many Maine Medicare beneficiaries also enroll in a supplemental Medicare plan. Medicare Part C, Medicare Part D, and Medigap can help you save significantly on expenses that Original Medicare doesn’t cover. How much you pay depends on your location and the plan you choose.

Medicare Part C, or Medicare Advantage, is a subset of Medicare that covers Part A, Part B, and occasionally Part D expenses. Mainers choose Medicare Advantage as an all-in-one solution to healthcare costs.

They’ll still pay the Part B premium and receive their Original Medicare benefits from a private insurance company with an Advantage plan.

Part D plans cover prescription drug costs. While some Medicare Advantage plans offer prescription coverage, not all do. You’ll have to enroll in a standalone plan to get coverage for generic and brand-name medications and some durable medical equipment (DME).

Patients in Maine pick Medigap to cover their extra expenses that Medicare doesn’t meet. Plan benefits don’t change across states and range from some coverage to full coverage. With several letter plans available, you have many options for insurance.

Maine Medicare Resources

Several Maine Medicare resources are available for those looking to learn more about Original Medicare, Medicare Advantage, Part D, and Medigap. The Office of MaineCare Services is the state’s primary healthcare resource.

In addition, consider the Maine State Health Insurance Assistance Program (SHIP), the state’s Bureau of Insurance, or Maine Consumers for Affordable Healthcare. If you’re looking to enroll in a supplemental plan, we’ll gladly assist you!

FAQs

How do you know if you have Original Medicare in Maine?

You can determine if you have Original Medicare in Maine by checking your enrollment status online. Alternatively, you can call Medicare to check your status.

Upon going online or calling, you’ll find your coverage type, plan name, and plan duration. If you have a Medicare Advantage plan, you can also view your enrollment status for the plan through the insurance provider.

Who is eligible for Original Medicare in Maine?

Those eligible for Original Maine Medicare include people 65 or older, Maine residents who have a recognized disability, or patients with End-Stage Renal Disease, ALS, or another life-threatening condition. If you worked for at least ten years, your Part A premium is free.

If you pay a Part A premium, you must also meet specific eligibility requirements, including being 65 or older and a United States resident, and a citizen or living in the country for at least five years.

Do you automatically get Medicare with Social Security in Maine?

In Maine, you do automatically get Medicare with Social Security. The Social Security Administration deducts your Medicare costs from your monthly benefits.

Medicare will automatically enroll you in Part A and Part B if you already receive Social Security benefits. Depending on your income, you’ll pay a Part B premium, but Part A is free for all beneficiaries with Social Security benefits.

Is Medicare deducted from your Social Security checks in Maine?

Yes, the Social Security Administration deducts the Medicare premium from your Social Security checks each month. If you have Part B, you’ll see this premium deduction in your check.

Those with Medicare Part C or a prescription drug plan can also deduct the plan’s premium from their Social Security. You’ll need to contact your Medicare Advantage or Part D provider to set up a payment system.

Are Medicare premiums in Maine based on income?

Yes, income can affect your Medicare premium in Maine. Depending on how much money you make after taxes with interest, you may be a high-income beneficiary.

If you fall under the high-income bracket, you’ll pay more money for Part B coverage. Typically, the higher your income, the higher the premium, but Social Security may consider an adjustment if you lose your job or become single.

How to Sign Up for Supplemental Medicare in Maine

To sign up for a supplemental Medicare plan in Maine, visit us at Medigap.com. Whether you need a plan with many coverage inclusions or lower premiums, we’ll help you find the best option.

At Medigap.com, we compare the top carriers and their plans in your area. No matter what part of Maine you reside in, we’ll help you find a plan that fits your budget and medical requirements. Our professionals offer this service completely free.

Give us a call today, or fill out our online rate form to get the best rates in your area today!

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by Lindsay Malzone, Lindsay Malzone is the Medicare expert for Medigap.com. She's been contributing to many well-known publications as an industry expert since 2017. Her passion is educating Medicare beneficiaries on all their supplemental Medicare options so they can make an informed decision on their healthcare coverage.