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Value (HMO)

Generations Advantage Value (HMO) offers comprehensive medical benefits, but with no Part D prescription drug coverage. This may be an option if you already have prescription drug coverage through the VA or an employer plan.

  • HMO – which means you must use network providers for all plan services.
  • $01monthly premium (remember, you must continue to pay your Medicare Part B premium. Limitations, copayments, and restrictions may apply.)  
  • $0 annual routine physical and routine vision and hearing exams.2 
  • $5 copays for primary care office visits.
  • No copay for a range of preventive services.
  • $25 copays for specialist visits.
  • Out-of-pocket maximum for medical services: $3,400. Your plan premium does not count toward this maximum.
  • Coverage for emergency care worldwide.
  • This plan is available in all counties in the State of Maine.
  • Large network of doctors across the state of Maine.
  • You cannot have a Part D (Medicare prescription) plan if you enroll in the Value plan.

    1You must continue to pay your Medicare Part B premium.

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

    The benefit information provided herein is a brief summary, not a comprehensive description of benefits. For more information, contact the plan. Limitations, restrictions, and copays may apply. Benefits, formulary, pharmacy network, premium and/or copays/coinsurance may change on January 1, 2015. Martin's Point Generations, LLC, is a Medicare Advantage organization with a Medicare contract.

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Value (HMO) Plan Documents and Resources

Annual Notice of Change

Evidence of Coverage

Summary of Benefits

Provider Directory

2014 Plan Ratings

Multi-language Interpreter Services

Reimbursement Form - Wigs, Transplant Transportation and Preventive Dental

Reimbursement Form - Standard

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