Individual policy regulations in Maine include the following details:
- Any resident of the state of Maine can receive an individual healthcare insurance policy unless they are eligible for Medical. Insurance companies are not allowed to deny a policy for health reasons.
- Companies that offer individual policies must also over policies that will cover a whole family.
- Newborns and adopted children are covered for 31 days under their parents’ policy.
- All insurance companies and HMOs must offer a standardized plan. Pre-existing conditions, or conditions that occurred within six months prior to having the policy, can only be excluded for twelve months.
- Insurance policies cannot charge rates by gender.
- Insurance companies can only cancel policies if you have not paid your premiums.
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DirigoChoice is a plan that is offered to individuals where discounts may apply according to family household income and assets. Deductables and copays might be less for qualified families DirigoChoice offers two plans. Plan 1 offers deductibles from $500 to $2,500 to families with a 20% coinsurance payment when visiting network participants after the deductible has been met. Coverage includes hospital services, emergency room services, and physician care services. Plan 2 is similar to Plan 1 except there are higher out of pocket expenses required on a yearly basis.
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