Generations Advantage 2020 Disclaimers

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

Martin’s Point Health Care complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex.

Premiums vary by plan and county. You must continue to pay your Medicare Part B premium. 

This information is not a complete description of benefits.  Contact the plan for more information.

 Limitations, copayments, and restrictions may apply.  Benefits, formulary, provider and pharmacy network, premium, copayments, and coinsurance may change on January 1 of each year.

The formulary, pharmacy network and/or provider network may change at any time. You will receive notice when necessary.

Martin’s Point Generation Advantage’s pharmacy network includes limited lower-cost, preferred pharmacies in suburban areas in Maine and New Hampshire. The lower costs advertised in our plan materials for these pharmacies may not be available at the pharmacy you use. For up-to-date information about our network pharmacies, including whether there are any lower-cost preferred pharmacies in your area, please call 1-866-544-7504 (TTY:711) or consult the online pharmacy directory at MartinsPoint.org/Medicare.

Other pharmacies/physicians/providers are available in network.

This is not a complete list of all formulary alternatives covered by the Part D sponsor for the drug you have selected.

This is not a complete list of drugs covered by our plan. For a complete listing, please call 1-866-544-7504 (TTY:711) or visit www.martinspoint.org/medicare.

Plan selection information from Medicare Advantage/Part D Contract and Enrollment Data reports available at www.cms.gov.

Medicare beneficiaries may also enroll in Martin's Point Generations Advantage through the CMS Medicare Online Enrollment Center at http://www.medicare.gov.

Every year, Medicare evaluates plans based on a 5-star rating system.  5-Star Special Enrollment Period runs from 1/1/20–11/30/20. You may switch to a 5-Star plan once during this period.

Generations Advantage 2019 Overall Ratings: 5 out of 5 Stars for HMO Contract H5591; 4.5 out of 5 Stars for LPPO Contract H1365. RPPO Contract R0802 was too new to receive a 2019 Star Rating. Visit www.Medicare.gov for more information.

The Generations Advantage Focus DC (HMO-SNP) plan is available (in Cumberland County only) to anyone with Medicare who has been diagnosed with diabetes.

Out-of-network/non-contracted providers are under no obligation to treat Generations Advantage plan members, except in emergency situations.  Please call our Member Service number or see your Evidence of Coverage for more information, including the cost-sharing that applies to out-of-network services.

A salesperson will be present at seminars with information and applications. For accommodation of persons with special needs at meetings, call 1-888-640-4423 (TTY: 711).

Member Services 866-544-7504 (TTY:711) is available 8 am-8 pm, seven days a week from October 1 to March 31; and Monday through Friday the rest of the year.