Benefit Overview

Our Generations Advantage Plans - Meeting Your Individual Needs

Whether you're looking for comprehensive benefits, prescription drug coverage, or the freedom to see the doctors you want, we have a plan that best fits your life.

Generations Advantage Plans

  • HMO-POS - which means it's an HMO with an out-of-network Point of Service (POS) option.
  • $0/$29/$75/$891 monthly premium (remember, you must continue to pay your Medicare Part B premium).
  • $0 annual routine physical and routine eye exam.2
  • $5 copays for primary care office visits.
  • No copays for a range of preventive services.
  • $35 copays for specialist visits.
  • $3,400/$4,000 out-of-pocket maximum3, which means a predictable limit on costs, even in the case of a serious health problem. Your plan premium and prescription drug copayments don't count toward this maximum.
  • Part D Prescription Drug coverage with no deductibles
  • $0 copays for many generics at Hannaford Pharmacies.4Drug Copays Chart
  • Coverage for emergency care worldwide
  • Urgent care coverage nationwide
  • Available throughout the state of Maine and in Hillsborough and Strafford counties in New Hampshire
  • Large network of doctors across Maine and New Hampshire.
  • Includes preventive dental services (Delta Dental PPO Network) in 2015.
  • Flexibility to see out-of-network providers for many services with the Point of Service benefit (you may pay more for out-of-network services).5

Learn more about the Prime Plan 

1 The $0 plan premium for Prime Plan is for Androscoggin and Cumberland counties only.The $29 plan premium is for Kennebec, Sagadahoc and York counties. The Prime plan premium is $89 for Aroostook, Franklin, Hancock, Knox, Lincoln, Oxford, Penobscot, Piscataquis, Somerset, Waldo, and Washington. The Prime Plan premium is $75 for Strafford and Hillsborough counties in New Hampshire.

2 In-network, you pay $0 for a routine physical exam once per year, and $0 for a routine eye exam once per year. Your cost may very if additional services are provided during these exams..

3 The $3,400 combined out-of-pocket maximum applies to all counties in Maine. The $4,000 combined out- of- pocket maximum applies to Hillsborough and Strafford counties, NH.

4 Limitations, copays, and restrictions may apply. At preferred pharmacies, you pay $0 for Tier 1 (preferred generic) drugs. Other pharmacies are available in our network.

5 There is a plan limit of $25,000 for Point of Service Benefits. Once you and the plan have paid $25,000 for POS benefits, you will be responsible for these costs if you continue to use out-of-network providers.

As seen in the moving ads on the home page, "Maine’s highest rated plans”, Medicare evaluates plans based on a 5-star rating system. Star Ratings are calculated each year and may change from one year to the next. The Prime plan received an overall rating of 5 stars for 2015, and the Select plan received an overall rating of 4.5 stars for 2015. Visit for more information.

The benefit information provided herein is a brief summary, not a comprehensive description of benefits. For more information, contact the plan. Benefits, formulary, pharmacy network, premium and/or copayments/co-insurance may change on January 1 of each year. Martin's Point Generations Advantage is a health plan with a Medicare contract offering HMO, HMO-POS, and PPO products. Enrollment in a Martin's Point Generations Advantage plan depends on contract renewal. 

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