Individual & Family Quote

Health coverage for you and your family, explained clearly

Self-employed, retiring early, between jobs, or just looking for a better fit? A licensed Maine broker who specializes in individual and family coverage will help you understand your options and choose a plan with confidence.

How we help individuals and families

On and off the marketplaceCompare plans available through CoverME.gov, Maine’s health insurance marketplace, and directly from insurance companies.

Check for savingsWe’ll help you see whether your household may qualify for premium tax credits that lower your monthly cost.

Networks that fitWe confirm your doctors, hospitals, and prescriptions are covered before you enroll.

Plain-language helpDeductibles, copays, and out-of-pocket maximums explained, so you know how your plan works when you use it.

Helpful to have ready

Household members and their dates of birth
Your home ZIP code
Estimated household income for next year
Your doctors and any prescriptions

BEST PRICE GUARANTEE

As always, our services are 100% FREE and there is no extra cost or mark-up. Whether you get your health insurance through us, another agent/broker or directly from the insurance carrier or marketplace, you’ll pay the exact same monthly premium for the same plan, so you can rest assured that you’re getting the best available price.

Share a few details below and we’ll take it from there.

Complete the form below to schedule your FREE health insurance review

"*" indicates required fields

Name*

First Last

City*

State

Zip Code*

County*

Email Address*

Where you want quotes sent

Phone (Day)*

Phone (Alternate)

Do You Currently Have Health Insurance?*

People can no longer be denied or charged extra for pre-existing health conditions on ACA compliant health insurance plans, regardless of if you have prior coverage.

Current Insurers Name*

Type of Current Coverage*

Preferred Start Date for New Coverage*

Qualifying Event - If Any*

A Qualifying Event for a 60 day Special Enrollment Period is required until open enrollment re-opens November 1st.

Who You Need Coverage For:*

Family Coverage

Provide information for each family member to be covered. Children must be under age 26 or they must get their own policy.

Primary Insured's Name*

Date of Birth*

Gender*

Tobacco Use?*

Spouse's Name (If Applicable)

Date of Birth

Gender

Tobacco Use?

Anyone Currently Pregnant?

Pregnancy is NOT treated as a pre-existing condition. This information is used to identify special programs you may be eligible for.

Child 1's Name

Date of Birth

Gender

Tobacco Use?

Child 2's Name

Date of Birth

Gender

Tobacco Use?

Child 3's Name

Date of Birth

Gender

Tobacco Use?

Child 4's Name

Date of Birth

Gender

Tobacco Use?

Child 5's Name

Date of Birth

Gender

Tobacco Use?

List Prescriptions or Other Special Needs:

Please let us know if copays for brand-name prescriptions are required or if you have any other special needs.

Comments or Info for Additional Children:

Individual Coverage

Date of Birth*

Gender*

Tobacco Use?*

Currently Pregnant?*

Pregnancy is NOT treated as a pre-existing condition. This information is used to identify special programs you may be eligible for.

List Prescriptions or Other Special Needs:

Please let us know if copays for brand-name prescriptions are required or if you have any other special needs.

Comments:

Couple's Coverage

Primary Insured's Name*

Date of Birth*

Gender*

Tobacco Use?*

Spouse's Name*

Date of Birth*

Gender*

Tobacco Use?*

Anyone Currently Pregnant?*

Pregnancy is NOT treated as a pre-existing condition. This information is used to identify special programs you may be eligible for.

List Prescriptions or Other Special Needs:

Please let us know if copays for brand-name prescriptions are required or if you have any other special needs.

Comments:

Type of Health Coverage Desired:*

Tip: We can show you all the plan options, but list your preference.

Estimated Annual Household Income

Adjusted Gross Income used to determine eligibility for federal advance tax credits that reduce insurance premiums.

Number of Family Members in Tax Household

Include tax dependents. Used to determine eligibility for federal advance tax credits that reduce insurance premiums.

Please Contact Me By:

Your information is kept confidential and used only to respond to your request.

MaineHealthInsuranceBrokers.com is a Registered Trade Name of Gain Financial Services, Inc.

Maine Health Insurance Brokers

Get Help With Individual and Family Health Insurance Plans

Health coverage for you and your family, explained clearly

How we help individuals and families

Helpful to have ready

BEST PRICE GUARANTEE

Complete the form below to schedule your FREE health insurance review

Family Coverage

Individual Coverage

Couple's Coverage