MEDICAL - PRESCRIPTION

City of Portland

Meritain | 1-800-925-2272 | Meritain.com

City of Portland is committed to helping you and your dependents maintain health and wellness by providing you with access to the highest levels of care. For the July 2025 plan year, City of Portland offers the Meritain Choice POS medical plan, which utilizes the Aetna provider network.

Benefits Counselors are available to answer questions, help you enroll in benefits, submit a life event, or help you file a claim. Click here for more information or to schedule an appointment.

Meritain medical and prescription drug plan summary

The City of Portland’s medical plan has three different levels of coverage depending on the provider you see, or hospital you visit. If you visit a ‘Tier 1’ provider, you will pay the least out of pocket for your medical services when you see a doctor.  Click here to find a doctor.

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Prescription drugs — 100% coverage for preventive generics before the deductible applies.
Preventive brand and non-preferred brand (second- and third-tier) drugs are covered at the plan’s coinsurance maximum amounts as outlined in the chart. A deductible does not apply.

Weekly employee payroll contributions BEFORE Wellness Credits

Effective July 2025 through June 30, 2026.

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Employees can elect the medical and prescription drug plan without enrolling in the dental or vision plan.

2025 Medical rates are NOT FINAL and are subject to change at any time prior to July 1, 2025. You will receive notification from the City if there is an adjustment to your contribution.

If you elect the City's medical insurance in addition to any other health coverage you have (e.g., another group plan, COBRA, Medicare, Medicaid, CHIP, etc.) please be sure to complete the Other Insurance Member Form and submit it to benefits@portlandmaine.gov.

Teladoc

  • Sometimes, you may be feeling too sick to see a doctor in person or can’t take time out of your day to visit an office and spend time in a waiting room. Teladoc is the virtual care provider for City of Portland members to see a doctor from the comfort of their homes.
  • Visits always cost $0 with Teladoc! You can use your phone or tablet to meet with a doctor for illnesses such as colds or strep or for mental health counseling.

Medical Plan Resources

Click here for access to more information and resources that may be available in additional languages.