Health Navigator Services
Beginning September 12, 2018, KVCAP will no longer offer Health Navigator services and will have no certified Health Navigators on site. Without a certified Health Navigator, we are unable to answer questions or provide assistance.
Open Enrollment period for the Health Insurance Marketplace will go from November 1st to December 15th!
Western Maine Community Action (WMCA) will have a health navigator scheduling appointments in Augusta 1-2 days per week during this period. Please call WMCA’s Health Navigator hotline at 855-806-7333 to learn more or to schedule an appointment.
Individuals in need of health insurance coverage should seek assistance as soon as they are able.
Those wishing to re-enroll should also look into 2019 options as plans will have changed and there will be one additional company – Anthem – offering plans on the marketplace.
Consumers for Affordable Healthcare also has a consumer assistance hotline that is great way to connect with help specific to Maine: 1-800-965-7476.
If qualified for a Special Enrollment there are several ways to get coverage through the Marketplace in Maine:
- Apply online at www.healthcare.gov
- Apply by phone at 1-800-318-2596
- Submit a paper application through the mail
Qualifying life events that create a special enrollment period include:
- Getting married.
- Having, adopting or placement of a child.
- Permanently moving to an area that offers different health plan options
- Losing other health coverage (for example due to a job loss, divorce, loss of eligibility for Medicaid or CHIP, expiration of COBRA coverage, or a health plan being decertified) NOTE: Voluntarily quitting other health coverage or being terminated for not paying your premiums are not considered loss of coverage. Losing coverage that is not minimum essential coverage is also not considered loss of coverage.
- For people already enrolled in Marketplace coverage, having a change in income or household status that affects eligibility for tax credits or cost-sharing reductions.
Connecting Kids to Coverage
Health Insurance is a critical part of staying healthy, providing coverage in case of illness and injury, and keeping your family protected. MaineCare and CHIP offer free or low cost coverage to families based on income. These plans offer a broad set of benefits, including annual physicals, dentist visits, prescriptions, immunizations, and more.