Maine
This information has not yet been verified by Maine or the persons
listed on the Maine pages. Please contact us if you have changes or corrections. Thank You.
- Maine AIDS Hotline: (800) 851-2437
- Maine AIDS Drug Assistance Program: (207) 287-5551
- MaineCare Member Services: 1-800-977-6740
- Office of MaineCare Services: 1-866-796-2463 ext. 74758
- Medicare: 1-800-MEDICARE
- Anthem Blue Cross Blue Shield: 1-800-585-0099
State of Maine Dirigo Plan
Maine CDC; HIV, STD, and Viral Hepatitis Program
State of Maine HIV Care Program Staff
MaineCare -
MaineCare is Maine’s Medicaid Program. Medicaid is a program that pays for medical care for people with low income. With HIV or AIDS you may receive either full or limited MaineCare benefits:
Full MaineCare Benefits
To get full MaineCare benefits, you must:
- Live in Maine
- Earn less than $851/month
- Agree to program rules and sign a consent form.
MaineCare Limited Benefits for HIV (Waiver Program)
To get this coverage, you must tell the MaineCare that you have HIV. They will not ask. To get limited MaineCare benefits, you must:
- Live in Maine
- Have HIV or AIDS
- Earn less than $2,127/month
- Agree to program rules and sign a consent form
To see if you can get MaineCare benefits, speak with your case manager, or contact one of these agencies:
- MaineCare Member Services: 1-800-977-6740
- Office of MaineCare Services: 1-866-796-2463
- Your local Department of Health and Human Services (DHHS) Eligibility Office. For Maine DHHS contact information, visit the DHHS website
AIDS Drug Assistance Program (ADAP)
The AIDS Drug Assistance Program helps people who cannot afford their HIV medications. The ADAP Program:
- Pays for all FDA-approved HIV antiretroviral medications
- Pays for many medications used to treat other HIV/AIDS-related infections
- Helps with some insurance costs
To get ADAP, you must:
- Live in Maine
- Have HIV or AIDS
- Earn less than $3,403/month
To see if you can get help from ADAP, talk to your case manager, or call ADAP at 207-287-5551. You can also visit the Maine ADAP website
Medicare
Medicare is a health insurance program for:
- People ages 65 years and older
- People under 65 years old with a disability (people living with AIDS may qualify)
- People with kidney failure
- People with a work history
For more information about Medicare, speak with your case manager, call 1-800-MEDICARE, or visit www.medicare.gov
National and State Access News - We keep track of the efforts of community groups, professional groups, educational resources, and federal and state proposals and laws that could affect how and whether care and treatment can be accessed. Let us know of any changes or proposed changes, and the things going on in your state so The Access Project can inform others and explain how they might affect you. Follow or add this information in The Access Project News.
| About Maine
- State and National Resources - Maine specific contact information for different programs through which you can access a variety of services. This page also includes national resources, and links to other sources.
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Treatment and Care Network Providers :
Maine has agencies and organizations that can either provide or refer you to a case manager or a health care provider. The participating agencies are listed, as are some other resources.
- Accessing Treatments and other Resources : Maine has a list or formulary of drugs and other services they cover through ADAP and other programs.Other potential sources of treatments for people with HIV or Hepatitis are also listed.
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Hepatitis Resources : Maine has statewide Hepatitis vaccination programs, and covers some treatments for hepatitis B and Hepatitis C through their program.
Other ResourcesWaiting List? - Sometimes a state has a waiting list people have to stay on until spaces become available. Check to see if there is a waiting list for the program by contacting them directly. According to NASTAD's most recent ADAP Watch . Maine does not have a waiting list. Otherwise, you may need to try a Patient Assistance Program or apply for Medicaid or Medicare or private insurance. Do not ever drop your private insurance without first seeing if your state will cover part or the whole premium, especially if you have children.
- Patient Assistance Programs : the pharmaceutical industry has set up programs that offer medications for free, or at a very low price. You may have to apply directly to a specific company, or use a national service set up by a group of companies called pparx.org. There are also other companies that charge a fee for applying to these programs. Your doctor or another member of your health care team like a case manager will usually help you out to apply, although some times you need to apply to more than one company.
- Medicaid - HIV medications are covered by government programs and most private insurance. Many people with HIV disease are covered by Medicaid. If your are on Medicaid there is a wide range of services and care that are covered. You will be switched over to Medicaid if you become eligible for that program while on ADAP. This may happen if, for example, you are using ADAP to help you with your Spenddown. If you have any questions contact The Access Project (network@atdn.org) and we'll help to explain how this affects your access to drugs and care for HIV and related conditions.
- Medicare and Medicare Part D - Some people with HIV are on Medicare. Many people must apply for a Medicare Part D program to cover the costs of their medications. If you are eligible for Medicare Part D, then you will probably be switched to that instead of ADAP. In some cases ADAP will then pay for your co-pays for drugs and possibly even your Medicare Part D monthly premium. Once you reach a certain point with regards to drug expenses, however, you must somehow cover a $2,700 expense, called the doughnut hole, before your drugs are covered again by Medicare Part D. Some people end up joining ADAP again because they just don't have the money. Each state is different right now, so keep in close contact with your case manager to make sure you know of all your access options. As with Medicaid, contact us if you have questions that have not been answered by the websites listed here, your health care providers or your Case Manager. We will also go over what your case manager has set up if you like, or provide you with case management support and resources.
- Confused or Have Questions? You can always contact The Access Project (theaccessproject@atdn.org) by e-mail or phone and ask questions about all this information. We are a non-profit, community based organization whose goal is to help you access the care and resources you need. There are also many excellent resources that provide extensive descriptions and information about these programs. Check out NASTAD's list of publications for comprehensive descriptions of Medicaid, Medicare, Medicare Part D, ADAP and other important topics. Other links are also listed throughout The Access Project and the AIDS Treatment Data Network website pages.
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