Maine · FIPS 23029

Washington County, ME — ACA coverage

Marketplace plans, premium tax credit eligibility, and Medicaid options for residents of Washington County, Maine. Updated 2026-06-08.

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Washington County coverage highlights

Est. marketplace enrollees
4,042
2025 plan year — Maine total 64,678 ÷ 16 counties.
Premium tax credit
100–400%+ FPL
Benchmark Silver premium capped at 0%–8.5% of household income. Sourcei
Medicaid expansion
Adopted
Adults up to 138% FPL eligible. Sourcei
CHIP (MaineCare Cub Care)
213% FPL
Pregnancy Medicaid to 214% FPL. Sourcei
Carriers on marketplace
4
Statewide issuer count — county availability may vary. Sourcei
Medicare 5★ MA-PD (2026)
Not in county
No CMS 5-star MA-PD contract serves this county. Sourcei

Enrollee count is an estimate derived by evenly distributing the state's CMS plan-select total across counties; actual county enrollment varies with population.

How the Washington County estimate is calculated

Methodology: ACA Beacon does not have county-level enrollment dashboards for every U.S. county. To give you a directional sense of marketplace activity in Washington County, we take the most recent state-wide Open Enrollment Period (OEP) plan-selection total reported by CMSi (or the state-based marketplace) and divide it evenly by the number of counties in Maine.

Formula used here: 64,678 total state signupsi ÷ 16 Maine countiesi = ~4,042 estimated enrollees for Washington County.

Uncertainty & limitations: Counties vary widely in population, income, and insurer participation. Urban counties typically enroll far more residents than rural ones. This number is a simple average, not a forecast or official CMS county report. Use it as a rough indicator of statewide penetration, not a precise local count.

Last updated 2026-06-08. Data source: CMS OEP state-level plan-selection reports.

ACA marketplace in Washington County

Residents of Washington County shop and enroll in ACA marketplace plans at www.coverme.gov/. Plans are rated by county, so available carriers and prices in Washington may differ from elsewhere in Maine.

Carriers currently selling in Maine include: Anthem Blue Cross Blue Shield Maine, Community Health Options, Harvard Pilgrim Health Care, Taro Health. The final 2027 carrier list for Washington County is confirmed when Maine filings finalize in summer 2026.

Premium tax credit eligibility

Premium tax credits (APTC) cap your monthly premium for a benchmark Silver plan at a percentage of household income — currently 0% at 150% FPL up to 8.5% at 400%+ FPL while Inflation Reduction Act enhancements remain in effect. Cost-sharing reduction (CSR) Silver plans further reduce deductibles for households under 250% FPL.

Use our free subsidy calculator or see the full Maine subsidy & income tables.

Medicaid & CHIP in Washington County

Washington County residents may qualify for Medicaid up to 138% of the Federal Poverty Level under Maine's adopted ACA Medicaid expansion.

MaineCare Cub Care covers children up to 213% FPL; pregnancy Medicaid covers up to 214% FPL. Apply year-round at www.maine.gov/dhhs/ofi/programs-services/mainecare · 1-855-797-4357.

Open Enrollment & SEP

2026 OEP in Maine: November 1, 2026December 15, 2026. Missed it? You may still enroll within 60 days of a qualifying life event (job loss, marriage, birth, move, income change). See Maine OEP & SEP details.

Other Maine counties

Sources

The information contained on this website is for educational purposes only. We are not responsible for missing or inaccurate information. Please consult a licensed insurance broker in your state and area for insurance advice. Please consult a CPA for tax or legal advice.

The information contained on this website is for educational purposes only. We are not responsible for missing or inaccurate information. Please consult a licensed insurance broker in your state and area for insurance advice. Please consult a CPA for tax or legal advice.