Maine
Cheapest ACA plans in Maine for 2026
Cheapest Bronze plan in Maine, before subsidies: Anthem Anthem Bronze Tiered 8000 in Cumberland County at $499/month for a 40-year-old non-tobacco user; Anthem Anthem Bronze Tiered 8000 in Cumberland County at $1,591/month for a family of four (two 40-year-olds and two kids under 14). Maine runs its own state-based exchange (CoverME.gov), expanded Medicaid in 2019 after voter approval, and operates a §1332 reinsurance waiver (MGARA) that lowers unsubsidized premiums.
Cheapest plans by metal tier
Lowest 2026 monthly premium for a single 40-year-old non-tobacco user, on-exchange, before any subsidy. Per-age figures derived from the CMS QHP Landscape file using the HHS standardized age-rating curve (45 CFR 147.102).
| Tier | Cheapest age 40 monthly | Plans statewide |
|---|---|---|
| Catastrophic | $389 | 32 |
| Expanded Bronze | $499 | 254 |
| Bronze | $573 | 48 |
| Silver | $660 | 244 |
| Gold | $720 | 180 |
| Platinum | $1,012 | 16 |
The actual cheapest plan in major counties
Same data the search returns: carrier, plan name, monthly premium, individual deductible, individual MOOP. Computed for a single 40-year-old non-tobacco user, before any subsidy. Catastrophic plans excluded because adults 30+ typically need a hardship-exemption certificate to enroll.
Cumberland County
$499/moAnthem · Anthem Bronze Tiered 8000
York County
$499/moAnthem · Anthem Bronze Tiered 8000
Penobscot County
$551/moHarvard Pilgrim · Maine's Choice Plus HMO HSA Bronze 7200
Kennebec County
$539/moAnthem · Anthem Bronze Tiered 8000
Androscoggin County
$543/moAnthem · Anthem Bronze Tiered 8000
Aroostook County
$558/moHarvard Pilgrim · Maine's Choice Plus HMO HSA Bronze 7200
The actual cheapest plan for a family of four
Two 40-year-old adults and two kids in the 0-14 age band, before any subsidy. Carrier, plan name, premium, deductible, and MOOP exactly as the search would return them.
Cumberland County
$1,591/moAnthem · Anthem Bronze Tiered 8000
York County
$1,591/moAnthem · Anthem Bronze Tiered 8000
Penobscot County
$1,759/moHarvard Pilgrim · Maine's Choice Plus HMO HSA Bronze 7200
Kennebec County
$1,719/moAnthem · Anthem Bronze Tiered 8000
Androscoggin County
$1,731/moAnthem · Anthem Bronze Tiered 8000
Aroostook County
$1,780/moHarvard Pilgrim · Maine's Choice Plus HMO HSA Bronze 7200
Subsidies: federal APTC plus §1332 reinsurance (MGARA)
Maine does not fund a state premium subsidy but operates a §1332 reinsurance waiver that lowers on-exchange premiums for all enrollees. Marketplace help is:
- Federal Advance Premium Tax Credit (APTC). Households 100-400% FPL on the PY2026 standard ACA contribution curve, applied through CoverME.gov. The ARPA / IRA enhanced subsidies expired 2025-12-31 and are not in effect for 2026.
- Federal cost-sharing reductions (CSRs). Households 100-250% FPL enrolled in a Silver plan receive reduced deductibles, copays, and out-of-pocket maximums automatically.
- Maine Guaranteed Access Reinsurance Association (MGARA). Maine’s §1332 waiver program reinsures high-cost claims in the individual market. The waiver was originally approved in 2012, dormant under the ACA after 2014, and reactivated effective PY2022. MGARA reduces gross premiums on CoverME.gov for all enrollees, not only those who receive APTC.
Maine expanded Medicaid (MaineCare) effective January 2019, implementing Question 1 (the 2017 voter-approved ballot initiative). Adults 19-64 up to 138% FPL qualify, so there is no coverage gap in Maine.
Catastrophic plans in Maine follow federal rules
Maine follows the federal ACA default: Catastrophic plans are available to enrollees under age 30, or at any age with a hardship / affordability exemption. The PY2026 federal auto-expansion applies: adults 30+ automatically qualify when the lowest-cost Bronze plan exceeds the affordability threshold. APTC does not apply to Catastrophic plans.
Tobacco surcharges follow the federal 1.5x default in Maine
Maine applies the federal ACA default (45 CFR 147.102): carriers may charge tobacco users up to 50% more than non-users (a 1.5-to-1 rate ratio). The Maine Bureau of Insurance reviews rate filings under 24-A M.R.S. No Maine-specific cap below the federal 1.5x ceiling has been identified. Federal APTC does not offset the tobacco portion of the premium.
Carriers selling 2026 plans in Maine
4 carriers, 1,600 plans across 16 counties. 774 sold on CoverME.gov, 826 off-exchange-only direct from carriers. Anthem Blue Cross Blue Shield is the dominant statewide carrier. Community Health Options (CHO) is one of the few remaining ACA co-ops. Harvard Pilgrim (Point32Health) serves southern Maine. Taro Health entered the Maine individual market for PY2023.
| Carrier | Plans (on + off exchange) |
|---|---|
| Harvard Pilgrim | 624 |
| Community Health Options | 528 |
| Anthem | 368 |
| Mending | 80 |
Enrollment
Open Enrollment for 2026 coverage on CoverME.gov runs November 1, 2025 through January 15, 2026. Enroll by December 15 for a January 1 effective date; December 16 through January 15 takes effect February 1. Special Enrollment is available year-round for qualifying life events. CoverME.gov sometimes extends deadlines: verify on the site before enrolling.
Direct enrollment: coverme.gov.
Frequently asked questions
What is the cheapest ACA plan in Maine for 2026?
The cheapest Bronze-tier plan a 40-year-old non-tobacco user can enroll in without paperwork is Anthem Anthem Bronze Tiered 8000 in Cumberland County at $499 per month before subsidies. Data refreshed 2026-04-19T08:08:55.462Z.
Is Maine on Healthcare.gov?
No. Maine launched its own state-based exchange, CoverME.gov, for PY2022. Previously Maine used Healthcare.gov. Healthcare.gov no longer serves Maine; enrollment runs through coverme.gov.
Has Maine expanded Medicaid?
Yes, effective January 2019. Maine voters approved Question 1 in November 2017 directing the state to expand Medicaid (MaineCare), but then-Gov. LePage refused to implement it. Gov. Janet Mills implemented expansion shortly after taking office in January 2019. Adults 19-64 with income up to 138% FPL qualify, so there is no coverage gap in Maine.
What is MGARA and how does it affect premiums?
The Maine Guaranteed Access Reinsurance Association (MGARA) is Maine’s §1332 reinsurance waiver program. It reimburses carriers for high-cost individual-market claims, which lowers gross premiums on CoverME.gov for all enrollees (subsidized and unsubsidized alike). MGARA was originally approved in 2012, went dormant when ACA took effect, and was reactivated for PY2022.
Which carriers offer Maine plans on CoverME.gov?
For PY2026, expect Anthem Blue Cross Blue Shield (the dominant statewide carrier), Community Health Options (CHO, a surviving ACA co-op), Harvard Pilgrim (Point32Health) in southern counties, and Taro Health. County-level availability varies.
Does Maine have a state premium subsidy on top of federal APTC?
No. Maine does not fund a direct state premium subsidy, but its §1332 reinsurance waiver (MGARA) lowers gross premiums for all on-exchange enrollees, which has an effect similar to a subsidy on unsubsidized and partially-subsidized enrollees.
Sources
- CoverME.gov for SBE enrollment, OEP dates, and APTC application.
- Maine Bureau of Insurance for rate review, carrier filings, and consumer guidance.
- Maine Department of Health and Human Services — MaineCare for Medicaid eligibility and expansion enrollment.
- KFF — Maine State Health Facts for Medicaid expansion, enrollment, and benchmark premium context.
- CMS 2026 OEP National Snapshot for federal Marketplace enrollment context.
- CMS QHP Landscape Individual Medical 2026 for plan availability context (Maine plan data ingests via CoverME.gov separately).
Plan year 2026, last refreshed 2026-04-19T08:08:55.462Z. Methodology and full data attribution at about.