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Maine Consumer Assistance

Maine no longer operates a Consumer Assistance Program under the Affordable Care Act.. The consumer protections and benefits of the Affordable Care Act still apply to you, however.

The agencies listed below can help you take advantage of some of these new protections and benefits and they can answer your questions about different types of coverage.

If you need health insurance, be sure to check out HealthCare.gov’s Plan Finder. It will help you find and compare health care coverage options in your area.

If you have questions about insurance you bought for yourself and/or your family or you have insurance provided by an employer who does business only in Maine, contact:

Bureau of Insurance State of Maine
Customer Services Division
76 Northern Avenue
Gardiner, ME 04333

Consumer services:
(800) 300-5000
http://www.maine.gov/consumer

If you have a hard time affording health coverage and you have questions about eligibility for Medicaid or about current Medicaid benefits, go to:

Maine Department of Health and Human Services
221 State Street
11 State House Station
Augusta, ME 04333
http://www.maine.gov/dhhs/mainecare

You may apply in person at the County Offices of the Department of Health and Human Services, federally qualified rural health centers, and at most hospitals. If you need help, please call (207) 287-3707.

If you are not eligible for Medicaid, your child may still be eligible for the Children’s Health Insurance Program. For questions about eligibility or benefits, go to:

Mainecare
Call to speak with an enrollment counselor
(877) KIDS-NOW
http://www.maine.gov/dhhs/Cubcare

If you have a question, complaint, or dispute regarding insurance you get through a “self-insured” employer (typically a large company or one with locations in multiple states or countries), go to:

U.S. Department of Labor
Employee Benefits Security Administration
200 Constitution Ave., NW
Washington, DC 20210
(866) 4-USA-DOL (866) 487-2365)
http://www.dol.gov/ebsa/consumer_info_health.html

If you are on Medicare and have a question, or if you have a disability or end stage renal disease and want to enroll or find out if you are eligible for Medicare, contact:

Maine and Medicare
(800) 633-4227
http://www.maine.gov/dhhs/mainecare.shtml

If you are a veteran and have a question or concern about veterans’ health care benefits, go to:

US Department of Veterans Affairs
(877) 222-VETS (8387)
http://www1.va.gov/health/

If you have additional concerns or need assistance with complaints, or a dispute regarding insurance purchased through your employer, Medicaid coverage, Medicare coverage, or “self-insured” employer you can contact:

Maine Consumer Assistance

The Maine Consumer Assistance Program is run by the Maine Hospice Council.
Consumers for Affordable Health Care
Maine Health Insurance Consumer Assistance Program (MHICAP)
12 Church Street.
Augusta, ME 04338
(800) 965-7476

Mailing Address

Maine Health Insurance Consumer Assistance Program (MHICAP)
PO Box 2490
Augusta, ME 04338

www.mainecahc.org

If you have questions about your health insurance that are not covered by the above resources, call the Health Insurance Assistance Team of the U.S. Center for Consumer Information and Insurance Oversight at (888) 393-2789.

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