Health Care Benefits: Maine

Federal law and guidance on this subject should be reviewed together with this section.

Author: Patricia A. Morley, Research and Writing Associates

Summary

• Maine chose to establish a state-based Marketplace under the Affordable Care Act. See Health Insurance Marketplaces Under the ACA.
• Maine has taken steps to preserve certain benefits made available under the Affordable Care Act. See Preserving ACA Benefits.
• Same-sex marriage is legal nationwide. See Same-Sex Partner Benefits.
• Health insurance policies in Maine must provide coverage for certain preventive services without cost-sharing requirements. See Preventive Health Care Services.
• Group health plans in Maine must include certain maternity and newborn/adopted child coverage. See Maternity and Newborn/Adopted Child Coverage.
• Health plans in Maine must include coverage for mental health and substance use disorder treatments and, for certain employers, provide mental health and substance use disorder parity. See Mental Health and Substance Use Disorder Coverage.
• Group health plans must provide coverage for specified providers. See Coverage for Specified Providers.
• Health plans that cover mastectomies must also cover reconstructive breast surgery. See Reconstructive Breast Surgery.
• Health plans must provide coverage for certain illnesses, diseases and services. See Diabetes Coverage; Contraceptive Services; Hospice Care.
• Plans issued in Maine must provide coverage for particular types of medical devices and prostheses. See Medical Devices and Prostheses.
• Employers' health plans in Maine must cover certain forms of cancer screening and coverage for new cancer treatments. See Mandatory Cancer Screenings and Treatments.