Product Name |
Market |
General Description |
COMP-CARE
COMP-CARE Carveout |
Groups 2+
Statewide |
COMP-CARE provides comprehensive coverage for medical
services with a front-end deductible and coinsurance. It utilizes the Blue Cross hospital
and the Blue Shield physician networks. COMP-CARE Carveout provides supplemental group
coverage for individuals with Medicare Parts A and B. |
COMP-CARE Standard
COMP-CARE Basic |
Groups 2 to 51
Statewide |
COMP-CARE Standard and Basic plans provide comprehensive
coverage for medical services with a front-end deductible and coinsurance. They utilize
the Blue Cross hospital and Blue Shield physician networks. Benefits are determined by
regulation under the Rule Chapter 750. |
Full Service |
No longer actively marketed
Groups 2+
Statewide |
Full Service provides first dollar indemnity coverage. It
utilizes the Blue Cross hospital network and the Blue Shield physician network.
Some benefits are subject to deductible and coinsurance. Full Service Carveout provides
supplemental group coverage for individuals with Medicare Parts A and B. |
HealthChoice |
Individual
Statewide |
HealthChoice provides comprehensive coverage. Most benefits
are subject to a front-end deductible. Mental health and substance abuse services are also
subject to coinsurance. It utilizes the Blue Cross hospital and Blue Shield physician networks. |
HealthChoice Standard
HealthChoice Basic |
Individual
Statewide |
HealthChoice Standard and Basic plans provide comprehensive
coverage. Most benefits are subject to a front-end deductible and coinsurance. They
utilize the Blue Cross hospital and Blue Shield physician networks. Benefits are
determined by regulation under Rule Chapter 750. |
Blue Choice
Blue Choice Hospital Network Option |
Groups 2 to 51
Statewide |
Blue Choice is a non-gatekeeper HMO point of service product.
Most benefits are subject to a front-end deductible and coinsurance. Blue Choice utilizes
the Blue Cross hospital and HMO Maine physician network. The Hospital Network Option
utilizes a limited hospital network.
Services received from network providers are paid at the highest level of coverage. |
HMO Choice |
Groups 2+
Statewide |
HMO Choice is a gatekeeper HMO point of service plan. It utilizes the HMO Maine network.
For most benefits, the highest level of coverage is
provided if care is performed or authorized by a primary care physician. Members can
self-refer but benefits are subject to deductible and coinsurance. |
HMO Maine |
Groups 2+
Statewide |
HMO Maine is a traditional gatekeeper HMO plan. It utilizes the HMO Maine network.
For most benefits, coverage is available for services performed or authorized by a primary care physician. |
HMO Maine Standard
HMO Maine Basic |
Groups 2 to 51
Statewide |
HMO Maine Standard and Basic plans are traditional gatekeeper
HMO plans. They utilize the HMO Maine network. For most benefits, coverage is available
for services performed or authorized by a primary care physician. Benefits are determined
by regulation under Rule Chapter 750. |
HMO Maine Individual Standard
HMO Maine Individual Basic |
Individual
Statewide |
HMO Maine Individual Standard and Basic plans are traditional
gatekeeper HMO plans. They utilize the HMO Maine network. For most benefits, coverage is
available for services performed or authorized by a primary care physician. Benefits are
determined by regulation under Rule Chapter 750. |
Group Companion Plan |
Groups 2+
Statewide |
Group Companion Plan provides non-standardized supplemental
coverage for individuals enrolled in Medicare Parts A and B. Benefits are available for
Medicare deductibles and coinsurance as well as additional services not covered by
Medicare. The additional services are subject to a front-end deductible and coinsurance. |
Companion Plan
(Standardized Plans - A, B, C, E, F, I)
(Non-Standardized Plan - a) |
Individual
Statewide |
Companion Plan products provide standardized supplemental
coverage for individuals who are enrolled in Medicare Parts A and B. Benefits are
available for Medicare deductibles and coinsurance and some additional benefits.
One non-standardized plan is available (although not currently marketed) for individuals with
only Medicare Part A. |
MEA Standard Plan
MEA COMP-CARE
MEA Choice
MEA Choice Plus |
Group Specific
Statewide |
The MEA has four customized products:
MEA Standard Plan
(Full Service),
MEA COMP-CARE ,
MEA Choice and MEA Choice Plus (HMO point of service plans). |
Maine Yankee Atomic Power Company
Full Service |
Group Specific |
Maine Yankee has a customized full service product. |
University of Maine System |
Group Specific |
The University of Maine system has two customized products:
COMP-CARE
HMO Choice |
Central Maine Partners Health Plan
HMO Plan |
Groups 2+
Oxford and Androscoggin counties |
Central Maine Partners HMO Plan is a traditional gatekeeper
HMO plan. It utilizes the Central Maine Partners hospital and physician network and the
HMO Maine allied professional network.
For most benefits, coverage is available for services performed or authorized by a primary care physician. |
Central Maine Partners Health Plan
HMO Standard
HMO Basic |
Groups 2 to 51
Oxford and Androscoggin counties |
Central Maine Partners HMO Standard and Basic plans are
traditional gatekeeper HMO plans. They utilize the Central Maine Partners hospital and
physician network and the HMO Maine allied professional network. For most benefits,
coverage is available for services performed or authorized by a primary care physician.
Benefits are determined by regulation under Rule Chapter 750. |
Central Maine Partners Health Plan
Individual HMO Standard
Individual HMO Basic |
Individual
Oxford and Androscoggin counties |
Central Maine Partners Individual HMO Standard and Basic
plans are traditional gatekeeper HMO plans. They utilize the Central Maine Partners
hospital and physician network and the HMO Maine allied professional network. For most
benefits, coverage is available for services performed or authorized by a primary care
physician. Benefits are determined by regulation under Rule Chapter 750. |
Central Maine Partners Health Plan
Choice Plan |
Groups 2+
Oxford and Andorscoggin counties |
Central Maine Partners Choice Plan is a gatekeeper HMO point
of service plan. It utilizes the Central Maine Partners hospital and physician networks
and the HMO Maine allied professional network. For most benefits, the highest level of
coverage is provided if care is performed or authorized by a primary care physician.
Member can self-refer for benefits but coverage is subject to a front-end deductible and
coinsurance. |
Maine Partners Health Plan
HMO Plan |
Groups 2+
York, Cumberland, Sagadahoc, Knox, Lincoln, Kennebec counties |
Maine Partners HMO Plan is a traditional gatekeeper HMO plan.
It utilizes the Maine Partners hospital and physician network and the HMO Maine allied
professional network.
For most benefits, coverage is available for services performed or
authorized by a primary care physician. |
Maine Partners Health Plan
HMO Standard
HMO Basic |
Groups 2 to 51
York, Cumberland, Sagadahoc, Knox, Lincoln, Kennebec counties |
Maine Partners HMO Standard and Basic Plans are traditional
gatekeeper HMO plans. They utilize the Maine Partners hospital and physician network and
the HMO Maine allied professional network. For most benefits, coverage is available for
services performed or authorized by a primary care physician. Benefits are determined by
regulation under Rule Chapter 750. |
Maine Partners Health Plan
Individual HMO Standard
Individual HMO Basic |
Individual
York, Cumberland, Sagadahoc, Knox, Lincoln, Kennebec counties |
Maine Partners Individual HMO Standard and Basic Plans are
traditional gatekeeper HMO plans. They utilize the Maine Partners hospital and physician
network and the HMO Maine allied professional network. For most benefits, coverage is
availablefor services performed or authorized by a primary care physician. Benefits are
determined by regulation under Rule Chapter 750. |
Maine Partners Health Plan
Choice Plan |
Groups 2+
York, Cumberland, Sagadahoc, Knox, Lincoln, Kennebec counties |
Maine Partners Choice Plan is a gatekeeper HMO point of
service plan. It utilizes the Maine Partners hospital and physician networks and the HMO
Maine allied professional network.
For most benefits, the highest level of coverage is
provided if care is performed or authorized by a primary care physician. Members can
self-refer for benefits but coverage is subject to a front-end deductible and coinsurance. |
