The Connecting Kids to Coverage Project

It helps pay for care in case of illness and injury. It will protect your family from medical bills too. MaineCare is free or low-cost health insurance that offers a broad set of benefits including: • Well-child visits • Vaccinations • Dentist visits • Vision tests • Prescriptions • and more!

Call to find out what your family can qualify for! We are not DHHS or an insurance company. We are local experts ready to walk you through the application process for free. Even if you have been denied before, we may be able to help.

Maine’s Free Health Care HelpLine can help. Consumers for Affordable Health Care advocates the right to quality, affordable health care for every person in Maine.

The Connecting Kids to Coverage project is working to help Maine kids get free and low cost health insurance.

Now Available, Free and Low-Cost Health Insurance! Did you know MaineCare covers most kids services for free, including regular doctor visits, dental care, flu shots and other vaccinations, prescriptions, mental health services, and more? If your household income is within the income limits in this chart, your family may qualify. Even if your income is over the limit, you can call the experts at Consumers for Affordable Health Care HelpLine at 1-800-965-7476 to explore other options.

2017 MaineCare Monthly Income Limits Free MaineCare for parents

Free MaineCare for pregnant women

Family Size

living with children under age 18

Free MaineCare for 19 & 20 year olds

Free or Low-Cost MaineCare for children

*Increase family size by 1, or more if pregnant with multiples

1 2 3 4

$1,056 $1,421 $1,787 $2,153

$1,619 $2,179 $2,740 $3,301

$2,141 $2,883 $3,625 $4,367

— $2,897 $3,642 $4,387

Add for each extra person

$366

$561

$742

$746

Ready to get started? Here is how to take the next step: 1. Did you get this from your child’s school? Fill out the bottom. Return it to the school nurse or front office. Ask for help sending it to Consumers for Affordable Health Care.

OR 2. Find out what you qualify for. Get free in-person assistance with MaineCare applications from someone in your community. Call 1-800-965-7476 to get help.

Return this form to Consumers for Affordable Health Care by faxing it to 1-877-634-6209 or e-mailing it to [email protected] By completing this form I_____ (initials here) give my permission for the information below to be used to contact me regarding health insurance enrollment. Parent or Guardian Name(s): Do you have health insurance?: Yes / No How should we contact you? Phone Call (

Town: How many people live with you?

OR E-Mail:

)

Child’s Name:

Age:

School:

Insured? Yes / No

Child’s Name:

Age:

School:

Insured? Yes / No

Child’s Name:

Age:

School:

Insured? Yes / No

Heath Coverage Flyer.pdf

Yes / No How many people live with you? How should we contact you? Phone Call ( ) OR E-Mail: Child's Name: Age: School: Insured? Yes / No. Child's Name: Age: School: Insured? Yes / No. Child's Name: Age: School: Insured? Yes / No. 2017 MaineCare Monthly Income Limits. Family Size. Free MaineCare. for parents.

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