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Benefit Overview

Our Generations Advantage Plans—Meeting Your Unique 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 meets your unique needs.

2014 Generations Advantage Plans

  • HMO-POS – which means it’s an HMO with an out-of-network Point of Service (POS) option.
  • $0/541 monthly premium (remember, you must continue to pay your Medicare Part B premium).
  • $0 annual routine physical and routine vision exam.2
  • $5 copays for primary care office visits.
  • No copays for a range of preventive services.
  • $35 copays for specialist visits.
  • $3,200/$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.
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  • 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.
  • Now with preventive dental in 2014. 
  • 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

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1You must continue to pay your Medicare Part B premium. The $0 plan premium for Prime Plan is for Androscoggin, Cumberland, Kennebec, Sagadahoc and York counties only. Prime plan premium is $54 for all other counties in Maine, and Strafford and Hillsborough counties in New Hampshire.

2In-network, you pay $0 for a routine physical, once per year, and $0 for an annual routine eye exam.

3The $3,200 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 Limitations, copays, and restrictions may apply. At preferred pharmacies, you pay $0 for Tier 1 (preferred generic) drugs. Other pharmacies 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.

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, LLC, is a Medicare Advantage organization with a Medicare contract.

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1-800-603-0652 (TTY: 711)

8 am - 8 pm 
Monday through Friday

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