For 2021, three insurers—Anthem, Community Health Options (Maine's consumer-oriented and -operated plan), and Harvard Pilgrim—offer health insurance coverage on the state's federally facilitated health insurance exchange. In terms of the state's commercial insurance market, with limited opportunity for organic growth, managed care organizations throughout the region are looking to hold onto business. Maine's Medicare Advantage lineup is led by local player Martin's Point Generations, which fared well during the most recent open enrollment period. Following legal and political battles, Medicaid expansion became official in Maine, with thousands of sign-ups.


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