Skip to main content

X
Search Martin's Point Site
Search
  • Plans & Benefits

Evidence of Coverage

The Evidence of Coverage document gives you the details of your Medicare health benefits.

This document explains your benefits and rights—including medical and prescription drug coverage, services, and extra benefits as a member of a Martin's Point Generations Advantage plan. It applies to the following plan years: January 1–December 31, 2025 and January 1–December 31, 2026.


Use this document to learn about the following:
  • Your plan premium and cost sharing;
  • Your medical and prescription drug benefits;
  • How to file a complaint if you are not satisfied with a service or treatment;
  • How to contact us if you need assistance; and,
  • Other protections required by Medicare law.


Have questions? We’re here to help.

Talk to a health plan specialist 8 am–8 pm, Monday - Friday.

Enroll:
1-877-547-7053 
(TTY: 711)

Current Members:
1-866-544-7504

2025 Evidence of Coverage (EOC) by Plan ID / County

EOC [PDF] – Plan ID: H5591-015-001 | ME Counties: Lincoln, Oxford, Piscataquis, Somerset, Waldo | NH Counties: Belknap, Carroll, Coos, Grafton

EOC [PDF] – Plan ID: H5591-015-002 | ME Counties: Aroostook, Franklin, Hancock, Knox, Penobscot, Washington

EOC [PDF] – Plan ID: H5591-006-001 | ME Counties: Cumberland, York

EOC [PDF] – Plan ID: H5591-006-002 | ME Counties: Androscoggin, Kennebec, Sagadahoc

2026 Evidence of Coverage (EOC) by Plan ID / County

EOC [PDF] – Plan ID: H5591-006-001 | ME Counties: Cumberland, York

EOC [PDF] – Plan ID: H5591-006-002 | ME Counties: Androscoggin, Kennebec, Sagadahoc

EOC [PDF] – Plan ID: H5591-016 | ME Counties: Lincoln, Oxford, Piscataquis, Somerset, Waldo

EOC [PDF] – Plan ID: H5591-017 | ME Counties: Aroostook, Franklin, Hancock, Knox, Penobscot, Washington

2025 Evidence of Coverage (EOC) by Plan ID / County

EOC [PDF] – Plan ID: H1365-001 | ME Counties: Androscoggin, Aroostook, Cumberland, Franklin, Hancock, Kennebec, Knox, Lincoln, Oxford, Penobscot, Piscataquis, Sagadahoc, Somerset, Waldo, Washington, York | NH Counties: Cheshire, Coos, Hillsborough, Merrimack, Rockingham, Strafford, Sullivan

2026 Evidence of Coverage (EOC) by Plan ID / County

EOC [PDF] – Plan ID: H1365-001 | ME Counties: Androscoggin, Cumberland, Kennebec, Sagadahoc, York

EOC [PDF] – Plan ID: H1365-005 | ME Counties: Aroostook, Franklin, Hancock, Knox, Lincoln, Oxford, Penobscot, Piscataquis, Somerset, Waldo, Washington

2025 Evidence of Coverage (EOC) by Plan ID / County

EOC [PDF] – Plan ID: H5591-009 | ME Counties: All

2026 Evidence of Coverage (EOC) by Plan ID / County

The Value Plus (HMO-POS) plan has been terminated for 2026 and no Evidence of Coverage is available.

2025 Evidence of Coverage (EOC) by Plan ID / County

EOC [PDF] – Plan ID: H1365-004-002 | NH Counties: Belknap, Carroll, Coos, Grafton

EOC [PDF] – Plan ID: H1365-004-003 | NH Counties: Cheshire, Hillsborough, Merrimack, Rockingham, Strafford, Sullivan

2026 Evidence of Coverage (EOC) by Plan ID / County

The Access (LPPO) plan has been terminated for 2026 and no Evidence of Coverage is available.

2025 Evidence of Coverage (EOC) by Plan ID / County

EOC [PDF] – Plan ID: H5591-003 | ME Counties: All | NH Counties: All

2026 Evidence of Coverage (EOC) by Plan ID / County

EOC [PDF] – Plan ID: H5591-003 | ME Counties: All

2026 Evidence of Coverage (EOC) by Plan ID / County

EOC [PDF] – Plan ID: H5591-018 | ME Counties: All