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Special Needs Plans
 » 
Maine

Medicare Special Needs Plans in Maine for 2024

by David Bynon, September 26, 2023

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Find Plans in your area with your ZIP Code

Use our zip code lookup above to see which plans are available in your region. Or click below to select your county. Keep reading to learn more about Maine's Special Needs Plans program.

2024 Medicare Advantage Special Needs Plans for Maine Beneficiaries

Be the first to know. Sign-up for 2024 Medicare SNP notification HERE. 2024 Medicare plan information will be available in early October.

Who Can Enroll in a Maine Medicare Special Needs Plan?

Most people living in Maine, age 65 and older, qualify for Medicare Advantage but do not qualify for a Special Needs Plan (SNP). A SNP is a Medicare Advantage plan, but they are only available to people with one of the following special needs:

  • Chronic Condition (C-SNP): You have one or more severe or disabling chronic conditions.
  • Institutional (I-SNP): You live in an institution (like a nursing home), or you require nursing care at home.
  • Dual Eligible (D-SNP): You have both Medicare and Medicaid.

Compare 2024 Special Needs Plans in Maine by County

Androscoggin
Aroostook
Cumberland
Franklin
Hancock
Kennebec
Knox
Lincoln
Oxford
Penobscot
Piscataquis
Sagadahoc
Somerset
Waldo
Washington
York
If you qualify for Medicare but don't know where to begin, we have licensed agents[1] at 1-855-728-0510 (TTY 711) who can answer your questions and help you get enrolled. There's no obligation.

Each SNP limits membership to people in one of these groups or a subset of one of these groups. For instance, a SNP that's designed to serve people with chronic and disabling mental health conditions might include access to a network of healthcare providers who specialize in treating severe mental health issues. Such a plan would also feature clinical case management that's designed to serve people with this condition.

There are three ways to enroll:

  1. Call a plan directly. If you know the plan you want, this way is quick and easy.
  2. Go to www.Medicare.gov and enroll through the government website. From there you can look up your medications, compare plans, and get your application started online.
  3. Use an independent Maine insurance agent. This is the best way to go if you need someone to help advise you.

If You Don't Qualify for Special Needs Benefits

Special Needs Plan are not for everyone. Fortunately, there are other options to get additional coverage. Start here:

  • Medicare Advantage HMO and PPO plans
  • Medicare Part D prescription drug plans
  • Medigap plans for supplemental insurance

Find Plans in your area with your ZIP Code

Frequently Asked Questions

Still have questions? These common questions and answers might help. Or, call 1-855-728-0510 (TTY 711) to speak with a licensed advisor.

What are the 3 types of Medicare SNP plans?

Medicare allows private health plans to offer three different types of Special Needs Plans. They include D-SNP plans for dual-eligible people. C-SNP plans for people with certain chronic illnesses. And I-SNP plans for institutionalized individuals.

What is the difference between SNP and D-SNP?

Special Needs Plans (SNPs) are Medicare Advantage private health plans designed for individuals with certain special needs. There are three different types of SNP plans, including D-SNP for dual-eligible (Medicare and Medicaid) individuals, I-SNP plans for people who are institutionalized, and C-SNP plans for individuals with certain chronic health issues. Learn more.

What do Medicare Special Needs Plans cover in Maine?

SNPs, like all Medicare Advantage plans sold in Maine, must provide the same benefits as Medicare Part A and Part B. But, unlike regular Medicare Advantage plans, all SNPs must provide Part D benefits for outpatient prescriptions. Other benefits are dependent on the plan type. D-SNP plans are designed to coordinate Medicare and Medicaid benefits for dual-eligible people. Many plans also cover dental, vision, and hearing.

Plans Offered

Medicare Advantage and Part D plans and benefits offered by the following carriers: Aetna Medicare, Anthem Blue Cross Blue Shield, Aspire Health Plan, Centene Corporation, Dean Health Plan, Devoted Health, GlobalHealth, Health Care Service Corporation, Cigna-HealthSpring, Humana, Molina Healthcare, Mutual of Omaha, Oscar Health Insurance, Premera Blue Cross, Medica Central Health Plan, SCAN Health Plan, Scott and White Health Plan now part of Baylor Scott & White Health, and UnitedHealthcare.

Citations & References

medicare.gov
  • CMS.gov, "2024 Medicare Part C Landscape Source Files", Last Accessed September 27, 2023
  • Medicare.gov: the official U.S. government site for Medicare | Medicare http://www.medicare.gov/
  • Find a Medicare plan https://www.medicare.gov/plan-compare/
ssa.gov
  • Medicare Benefits | SSA https://www.ssa.gov/medicare/
  • Extra Help with Medicare Prescription Drug Plan Costs | SSA https://www.ssa.gov/medicare/prescriptionhelp/
  • Medicare Benefits | SSA https://www.ssa.gov/benefits/medicare/
cms.gov
  • Five-Star Quality Rating System | CMS https://www.cms.gov/medicare/provider-enrollment-and-certification/certificat...
  • https://www.cms.gov/Medicare/CMS-Forms/CMS-Forms/Downloads/CMS10106.pdf
  • Medicare Open Enrollment | CMS https://www.cms.gov/Outreach-and-Education/Reach-Out/Find-tools-to-help-you-h...

This Medicare Advantage Special Needs Plan state information page was last updated on September 26, 2023.

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[3] Not all plans offer all of these benefits. Benefits may vary by carrier and location. Limitations and exclusions may apply.


[4] The standard Part B premium for 2023 is $164.90. Monthly savings vary and may be subject to processing delays and may not be immediate. Not available with all plans. Availability varies by carrier and location.


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