MaineCare is a low-budget health insurance plan that provides coverage for individuals who live in Maine and meet specific qualifications. Essentially, MaineCare is available for individuals and families with lower income levels and persons with specific disabilities, who live in foster care or require long-term health care assistance.
MaineCare also provides coverage for substance abuse and mental health treatments. It covers inpatient, outpatient, residential and detox services, including medication-assisted treatment, counseling, and recovery support. MaineCare also pays for many of the medications associated with addiction rehabilitation. It covers general medical care, vision and dental services, mental health services, as well as long-term care and home care services for seniors and disabled people.
What Addiction Treatment Services Are Covered Through MaineCare Insurance?
MaineCare is a full-coverage health insurance provider. This means that it will cover some or all of your healthcare needs including anything related to substance abuse treatment or mental health. To clarify, this includes the following treatment services:
Detox
Detox is the process of ridding the body of any traces of drugs or alcohol. This process helps to reduce physical cravings and withdrawal symptoms, which can be debilitating without clinical support. MaineCare covers detox services within an inpatient facility or as an outpatient service at a community-based clinic.
Inpatient Treatment
Inpatient treatment for substance abuse or mental health is available through MaineCare. Inpatient services allow individuals to stay in a facility and receive 24-hour care from medical professionals. This type of care allows for intensive monitoring and treatment of both the physical and psychological aspects of addiction or mental health disorders.
Partial Hospitalization Program
Partial hospitalization programs (PHP) provide similar treatment as an inpatient but with less intense levels of care. These programs typically run for 8-12 hours a day, five or seven days a week, and provide individuals the chance to continue living at their homes during the program.
Intensive Outpatient Program
Intensive outpatient program (IOP) offers a less intensive level of care than partial hospitalization programs. These programs are typically available three times a week and involve individual sessions as well as group therapy to help individuals address their addiction or mental health issues.
Outpatient Care
Outpatient care is the least intensive level of treatment and typically includes individual or group therapy once a week. These programs provide individuals with an opportunity to work through their mental health issues with the help of a qualified professional, while still being able to maintain their daily responsibilities.
Addiction and Mental Health Therapy
MaineCare also covers a variety of addiction and mental health therapies, including cognitive behavioral therapy, dialectical behavior therapy, motivational interviewing, and trauma-informed care. These treatments are designed to help individuals address their emotional issues in order to improve their quality of life and reduce the risk of relapse.
Dual Diagnosis Treatment
For individuals who are suffering from both a mental health disorder and an addiction, MaineCare covers dual diagnosis treatment. This type of treatment allows individuals to receive care for both their addiction and mental health issues at the same time, in order to create more comprehensive results.
Medication-Assisted Treatment
MaineCare also covers medication-assisted treatment (MAT) for individuals struggling with opioid addiction. This type of treatment combines medications such as buprenorphine, naltrexone, or methadone with therapy and other forms of support in order to help individuals overcome their addiction and improve their overall health.
How Do I Determine the Best Treatment for Me?
In order to determine what types of treatment are best for you or a loved one, you’ll need to speak with an addiction treatment specialist. They can diagnose your substance abuse or mental health issues and make specific recommendations on treatment plans. In order to determine what your out-of-pocket costs will be (if any) you can contact MaineCare directly or work with the treatment facilities admissions team. The admissions department can review your MaineCare insurance plan with you to help you understand any insurance jargon that may be confusing.
What Plans Are Available Through MaineCare Insurance?
MainCare offers several insurance options, including MaineCare health plans, MaineCare limited, and MaineCare plus. Each type of MaineCare insurance coverage offers different benefits at different financial costs.
If you have any questions or would like more information on Maine Care insurance or how to apply, please call our representatives at (800) 977-6740 for assistance. The MaineCare insurance team is available to answer any questions and provide assistance in helping you choose the best option for your needs.
How Can I Find Out If I’m Eligible for MainCare Insurance?
Eligibility for main care insurance depends on several factors including age, income level, health status and if an individual is pregnant or has a disability, citizenship status, and other criteria set forth by the state. Generally speaking, those aged 0-55 may qualify if they meet certain financial criteria while those aged 55 and above can qualify for main care regardless of their income level.
To be eligible for MaineCare Insurance coverage, you must also be an adult or child living in Maine. To learn more about MainCare eligibility requirements and how to apply, please visit our website.
Immigrants are eligible for main care insurance if they meet the same eligibility requirements as citizens. Those over 55 may have extra eligibility criteria to qualify for MainCare insurance. Immigrants who are eligible for MaineCare will have access to most of the same benefits as US citizens albeit at a reduced rate.
Casco Bay Recovery is In-Network with MaineCare Insurance
How Do I Find Out More Information Regarding MaineCare and Addiction Treatment Coverage?
MaineCare offers a frequently asked questions section to help you better understand how to apply for benefits and what you can expect as a MaineCare Insurance holder. This resource also provides phone numbers so you can reach someone to get your questions answered quickly. If you have a specific question regarding your coverage in relation to addiction treatment or mental health services, you can reach out directly to the treatment facility to gain a better understanding.
It’s important to remember that MaineCare will only cover treatment services administered by facilities located within Maine. This is a stipulation of all state Medicaid and Medicare insurance types that they will only cover treatment and health care costs within the state they are created for. If you want to attend an out-of-state treatment facility, you will likely need a different insurance provider.
Contact Casco Bay Recovery Today to Learn About Your Addiction Treatment Benefits
MaineCare Insurance is a great resource for anyone looking for affordable healthcare coverage in the state of Maine. It provides access to a wide range of services and discounts that can be used by individuals and families alike. Casco Bay Recovery accepts MaineCare Insurance as part of its dedication to helping eliminate addiction issues throughout the state of Maine.
To learn more about our treatment options or to determine your coverage, contact us today. We can help you better understand your MaineCare Insurance policy and find the help you need today!
References:
https://www.benefits.gov/benefit/1630
https://www.maine.gov/dhhs/ofi/programs-services/health-care-assistance