C.M.R. 10, 144, ch. 101, ch. II, 144-101-II-75, subsec. 144-101-II-75.06
Co-payment exemptions and procedures for dispute resolution are described in Chapter I, Section 1, General Administrative Policies and Procedures, of the MaineCare Benefits Manual.
MaineCare members are responsible for paying co-payments for vision services. The co-payment amount is based on the amount MaineCare pays for the services as indicated in the chart below.
| MaineCare Payment for Services | Member Co-payment (Optometrist) | Member Co-payment (Optician) |
| $10.00 or less | $ .50 | $ .50 |
| $10.01 - 25.00 | $1.00 | $1.00 |
| $25.01 - 50.00 | $2.00 | $2.00 |
| $50.01 or more | $3.00 | $2.00 |
Co-payment for members may not exceed $2.00 per day or $20.00 per month for services provided by an optician or $3.00 per day or $30.00 per month for services provided by an optometrist. After the cap has been reached, the member will not be required to make additional co-payments and the provider will receive full MaineCare reimbursement for covered services.
C.M.R. 10, 144, ch. 101, ch. II, 144-101-II-75, subsec. 144-101-II-75.06