(2026)2026 MaineCare Eligibility Guidelines (OFI chart, incl. Medicare Savings Programs / Buy-in)#
(2026)(page-1)Page 1#
2026 MaineCare Eligibility Guidelines MaineCare provides free and low-cost health insurance to Mainers who meet certain requirements. The below guidelines explain the different types of coverage, special rules, and monthly income limits per household size. You may qualify for one or more of the assistance programs available. Programs for Children Household income, tax filing status, and the relationships between household members must be considered in determining eligibility for each person applying.
Coverage Group Benefit FPL 1 2 3 4 Each Additional Person Qualifications and Special Rules Under Age 1 Full MaineCare Benefit 305% $4,057 $5,501 $6,944 $8,388 $1,444 Newborns born to a birth parent receiving full MaineCare on the date of birth are eligible for MaineCare for the first year without an income test. No asset test. Age 1-18 Full MaineCare Benefit 305% $4,057 $5,501 $6,944 $8,388 $1,444 No asset test. Age 19 & 20 Full MaineCare Benefit 305% $4,057 $5,501 $6,944 $8,388 $1,444 No asset test. Katie Beckett Full MaineCare Benefit $2,982 A child must be determined ineligible for other MaineCare coverage groups before Katie Beckett can be considered and: • Be under age 19 • Live at home with their family • Have a long-term disabilities or complex medical needs that requires a level of care typically provided in a psychiatric hospital, nursing facility, or group home Only the child’s income and assets are considered. Assets must be under $2,000. The parent’s income is needed to see if the child is eligible in another MaineCare category and to determine a monthly premium amount. See Katie Beckett Program: An Eligibility Roadmap for more information. Federally Non- Qualified Children Under Age 21 Full MaineCare Benefit 305% $4,057 $5,501 $6,944 $8,388 $1,444 Provides coverage for children under the age of 21 who meet eligibility guidelines but are not eligible for federal Medicaid benefits due to their immigration status. No asset test.