Managed Care · ME
Maine
Saturated · score 46
MA penetration is above average — competition is high, focus on plan-specific wins.
State MA penetration
59.1%
National rank #5 · National avg 47.8%
+11.27 pp vs national
227,105
MA beneficiaries (rolled up)
384,461
Medicare eligibles
16
Counties indexed
78
SNFs in state
MA beneficiaries · 2016–2022
YoY change: +139.8%
SNF utilization rate (MA enrollees)
Share of MA beneficiaries with a SNF stay each year (CMS MA GV PUF).
Most saturated counties
- 68.7%Franklin6,093 of 8,876 eligibles
- 66.8%Androscoggin17,905 of 26,813 eligibles
- 63.9%Kennebec22,202 of 34,772 eligibles
- 61.8%Oxford11,114 of 17,997 eligibles
- 61.5%Cumberland46,614 of 75,773 eligibles
- 60.9%Somerset9,390 of 15,430 eligibles
- 59.8%Lincoln7,475 of 12,497 eligibles
- 59.0%Sagadahoc6,567 of 11,139 eligibles
- 58.9%Waldo7,437 of 12,636 eligibles
- 58.6%Penobscot23,839 of 40,653 eligibles
Highest opportunity counties
- 46.6%Washington10,319 eligibles · 4,811 enrolled
- 52.9%Hancock17,410 eligibles · 9,203 enrolled
- 53.4%Aroostook21,100 eligibles · 11,275 enrolled
- 53.9%York59,767 eligibles · 32,200 enrolled
- 56.2%Knox13,403 eligibles · 7,536 enrolled
- 58.6%Piscataquis5,876 eligibles · 3,444 enrolled
- 58.6%Penobscot40,653 eligibles · 23,839 enrolled
- 58.9%Waldo12,636 eligibles · 7,437 enrolled
- 59.0%Sagadahoc11,139 eligibles · 6,567 enrolled
- 59.8%Lincoln12,497 eligibles · 7,475 enrolled
Top MA payers in Maine
229,067 total MA enrolled- 1MARTIN'S POINT GENERATIONS ADVANTAGE, INC.66,33929.0%
- 2SIERRA HEALTH AND LIFE INSURANCE COMPANY, INC.45,31819.8%
- 3AETNA HEALTH INC. (ME)21,6839.5%
- 4WELLCARE OF MAINE, INC.15,0226.6%
- 5AMH HEALTH, LLC15,0176.6%
- 6AETNA LIFE INSURANCE COMPANY14,8096.5%
- 7ARCADIAN HEALTH PLAN, INC.12,3225.4%
- 8ANTHEM INSURANCE COMPANIES, INC.11,0794.8%
- 9HUMANA INSURANCE COMPANY7,4223.2%
- 10UNITEDHEALTHCARE OF WISCONSIN, INC.7,0023.1%
- 11AMERICAN PROGRESSIVE LIFE & HLTH INS COMPANY OF NY6,1582.7%
- 12EMPHESYS INSURANCE COMPANY5,9572.6%
- 13HEALTHSPRING LIFE & HEALTH INSURANCE COMPANY, INC.2890.1%
- 14Humana Insurance Co. & Humana Insurance Co. of NY1970.1%
- 15AMH HEALTH PLANS OF MAINE, INC.1510.1%
Top-rated SNFs in Maine
78 total- NORWAY CENTER FOR HEALTH & REHABILITATION, LLCNORWAY, ME · Oxford County · 42 beds5★
- BORDERVIEW REHAB & LIVING CTRVAN BUREN, ME · Aroostook County · 27 beds5★
- St Andre Health Care FacilityBIDDEFORD, ME · York County · 96 beds5★
- ROSS MANORBANGOR, ME · Penobscot County · 103 beds5★
- MADIGAN ESTATESHOULTON, ME · Aroostook County · 99 beds5★
- WESTGATE CENTER FOR REHAB & ALZHEIMERS CAREBANGOR, ME · Penobscot County · 65 beds5★
- DURGIN PINESKITTERY, ME · York County · 81 beds5★
- Maine Veterans Home - AugustaAUGUSTA, ME · Kennebec County · 108 beds5★
- PINNACLE HEALTH & REHAB AT N BERWICKNORTH BERWICK, ME · York County · 64 beds5★
- PINNACLE HEALTH & REHAB AT SANFORDSANFORD, ME · York County · 86 beds5★
Source: CMS MA State/County Penetration (Aug 2025). Secondary metrics from CMS Medicare Advantage Geographic Variation PUF (2016–2022). Penetration is computed by rolling up county-level CMS-published MA enrolled / Medicare eligibles. Trend chart spans 2016–2022.