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Disclaimers & Policies | Generations Advantage
For Generations Advantage Members
Disclaimers & Policies
- Martin’s Point Generations Advantage is a health plan with a Medicare contract offering HMO and Local 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. For more details, refer to the Evidence of Coverage and our Contact Us page.
- 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 Generations 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 see visit our Pharmacy Locator page.
- Other pharmacies, physicians, and providers are available in network.
- 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 see visit our Prescription Drug Formularies page.
- Plan selection information from Medicare Advantage/Part D Contract and Enrollment Data reports is available at www.cms.gov.
- Medicare beneficiaries may also enroll in Martin’s Point Generations Advantage through the CMS Medicare Online Enrollment Center at www.medicare.gov.
- Out-of-network/non-contracted providers are under no obligation to treat Generations Advantage plan members, except in emergency situations. Please call our Member Services 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: 1-866-544-7504 (TTY: 711) is available 8 a.m.–8 p.m., seven days a week from October 1 to March 31, and Monday through Friday the rest of the year.
Plan Ratings
Each year, the Centers for Medicare & Medicaid Services evaluates all Medicare Advantage plans based on quality and performance. A 5-star rating is the highest rating possible from Medicare.
These ratings help members and other Medicare beneficiaries compare our plan’s performance with others. Use these Star Ratings with the Medicare Plan Finder tool.
For the 2026 Plan Year
HMO Plan – Overall Rating
Our Generations Advantage Prime, Essential, and Alliance plans received a 4-Star Overall Rating from Medicare.
LPPO Plan – Overall Rating
Our Generations Advantage Select plan earned a 3.5-Star Overall Rating from Medicare.
Download PDF—CMS Star Ratings Sheet – H5591 (Prime, Essential, Alliance)
Download PDF—CMS Star Ratings Sheet – H1365 (Select)
1 Star Ratings change yearly. HMO Contract #H5591 earned 4 stars in 2026. LPPO Contract #H1365 earned 3.5 stars in 2026.
Plan Ratings
Each year, the Centers for Medicare & Medicaid Services evaluates all Medicare Advantage plans based on quality and performance. A 5-star rating is the highest rating possible from Medicare.
These ratings help members and other Medicare beneficiaries compare our plan’s performance with others. Use these Star Ratings with the Medicare Plan Finder tool.
For the 2027 Plan Year
HMO Plan – Overall Rating
PPO Plan – Overall Rating
Not yet rated, coming soon.
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From October 1 to Mar. 31, we’re here 7 days a week, & Monday to Friday the rest of the year from 8am–8pm.