Value Plus (HMO) Plan 2019

Generations Advantage Value Plus (HMO) offers comprehensive medical and hospital benefits and Part D Prescription Drug coverage. You can use in-network doctors and health service providers and pay low copayments for medical services. This plan may be a good option if you seek a low-cost plan with prescription drug coverage. It is available throughout Maine (except Cumberland County), and in Hillsborough and Strafford counties in New Hampshire.

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Costs

  • Low monthly premium
    Remember, you must continue to pay your Medicare Part B premium
  • No Medical deductible; $250 Prescription deductible for Tiers 3 – 5 drugs only
  • $0 annual routine physical and annual wellness visit
  • $0 annual routine vision (in-network)
  • $0 post discharge visits
  • $0 copay for a range of preventive services
  • $10 copays for primary care office visits
  • $50 copays for specialist visits
  • $0 copays for many generics at Hannaford Pharmacies1

Features

  • Part D Prescription Drug coverage
    Search our Formulary (drug list) to see if your drugs are covered
  • Emergency care coverage worldwide
  • Urgent care coverage nationwide
  • Large network of doctors across Maine and New Hampshire
  • Wellness Wallet: The plan will reimburse up to $300 each year in total for fitness, naturopathic services, acupuncture, nutritional/dietary education, and weight management programs.

Peace of Mind

  • $6,700 out-of-pocket maximum, which means a predictable limit on costs, even in the case of a serious health problem. Your plan premium and prescription drug costs don't count toward this maximum.

Looking for plan documents? Click here to go to the member resource page.

Value Plus Drug Copays Chart

*For 90-day supply multiply 30-day supply amount by three

Flu Shot Benefit

Click Value Plus Plan Flu Shot benefit for more information.


1 Limitations, copays, and restrictions may apply. At pharmacies with preferred cost-sharing, you pay $0 for Cost-Sharing Tier 1 (preferred generic drugs and certain preferred brand name drugs). Other pharmacies are available in our network.

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 of each year. Martin’s Point Generations Advantage is a health plan with a Medicare contract offering HMO, HMO-POS, HMO SNP, Local and Regional PPO products. Enrollment in a Martin's Point Generations Advantage plan depends on contract renewal.

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The materials on this page may be made available in other formats such as Braille, large print or other alternate formats. Please contact us for more information. Call Member Services at 1-866-544-7504 (TTY: 711). We are available 8 am-8 pm, seven days a week from October 1 to March 31, and Monday through Friday the rest of the year. Calls to these numbers are free.