Generations Advantage Alliance (HMO) provides comprehensive medical and hospital benefits, plus rich supplemental benefits.
It does not offer Part D Prescription Drug coverage. With this plan you must use in-network providers for all plan services except for out-of-area urgent and emergency care.
Find out more about your benefits.
Please note: You cannot have a separate Medicare Part D Prescription Drug plan if you enroll in the Alliance plan.
Note: Plan premium does not count toward this maximum
To obtain these supplemental dental benefits, you must use an in-network Delta Dental provider in Maine, New Hampshire, or Vermont.
Find a Delta Dental network dentist in Maine, New Hampshire, or Vermont.
**Expenses incurred by the plan for covered dental services accrue to your annual maximum benefit.
Copays for in-network providers are as follows:
There is a $0 copay for Medicare-covered, non-routine outpatient physician services for the diagnosis and treatment of diseases and injuries of the eye, including treatment for age-related macular degeneration.
Benefit includes up to $300 per year reimbursement for prescription lenses, frames, and contact lenses.
May be reimbursed using the Eyewear Reimbursement Request form.
Hearing benefits from Martin's Point are covered via Amplifon Hearing Health Care.
Amplifon will help you find a hearing aid provider near you, explain the process, help you schedule an appointment, and send information to you and the provider, ensuring your discount is applied.
These benefits are only available when purchasing a hearing aid through the Martin’s Point-Amplifon program.
Coverage includes:
*The copays listed are for hearing aids offered through the Martin’s Point-Amplifon Five-Tier program. Your provider will recommend a hearing aid on these tier levels based on your lifestyle and hearing loss.
Covers routine (maintenance) chiropractic services and office visits for a $20 copay.
Routine services may include:
Services must be received from a state-licensed chiropractor practicing within the state’s licensure and practice guidelines.
X-rays are not covered when rendered in a chiropractor’s office.
*Members must use in-network providers for most services.
Allowance for bathroom safety devices and installation:
Please see the Evidence of Coverage for your plan or call Member Services for a full list of covered devices.
Administered by Mom's Meals
Receive home-delivered meals tailored to your individual health and dietary needs after an inpatient stay or surgery:
Call Martin's Point Care Management for more information 1-877-659-2403.
You get a $50/year allowance to attend an evidence-based falls prevention program supported by the National Council on Aging (NCOA), such as a Matter of Balance or YMCA Moving for Better Balance.
PLEASE NOTE: We will provide information to you about classes sponsored by Martin's Point that may be available near you.
You pay $0 for two additional smoking cessation classes beyond what Medicare covers.
All plan members qualify for health coaching, disease support groups, and nutritional cooking classes.
Call Member Services for more information 1-866-544-7504.
You pay $0 for one counseling visit per year for counseling services not covered by Original Medicare.
Session can be individual or group therapy services to address non-Medicare-covered general topics, such as: coping with life changes, conflict resolution, or grief counseling
Members receive $100 per quarter to purchase from over 350 CVS-brand, over-the-counter products. Note that unused quarterly amounts are forfeited (do not roll over into the next quarter).
A variety of products qualify, including those used for:
You may make a purchase in person at participating CVS locations, over the phone by calling OTC Health Solutions at 1-888-628-2770 (TTY: 711), or online.
Search and buy products online
Download the 2023 catalog (PDF)
Search OTC Benefit Pharmacy Locations
Your free* annual flu shots can be administered at participating pharmacies** as well as by your primary care provider. Shots covered include Quadrivalent, Trivalent, Trivalent (high dose), and Intradermal.
If you don’t show your Generations Advantage member ID card when you get your flu shot, you will pay the full cost at the pharmacy and submit a form to us for reimbursement.
If your pharmacist has problems sending your claim to us, they should call our Part D Pharmacy Help Desk at 1-800-364-6331
Download the reimbursement form HERE
*Influenza (flu) vaccines are covered under your Medicare Part B benefit through Generations Advantage Prime and costs do not count toward your Part D drug spend or out-of-pocket costs.
**The Vaccine Pharmacy Network is offered through our relationship with our pharmacy benefit manager, CVS Caremark. Pharmacy network may change on January 1 of each year. Other pharmacies are available in our network.
Talk to your doctor about which screening is right for you—all have a $0 copay when you go to an in-network provider. Ask your primary care provider what schedule is right for you.
We cover these screenings more frequently for people at high risk for colorectal cancer. See your Evidence of Coverage for more information.
The Alliance plan's flexible Wellness Wallet benefit reimburses up to $450 annually for a wide range of eligible gear, fees, and services that help keep you moving, indoors and out!
Visit the Wellness Wallet Benefits page for more information on covered items and services.
2023 Wellness Wallet Member Reimbursement (PDF)
This form is for any services covered under your 2023 Wellness Wallet reimbursement benefit. To be eligible for payment, the date of service or purchase must be in 2023 and you must submit your claim by March 31, 2024.
If you are not sure whether your expense is eligible for reimbursement, please call Martin's Point Generations Advantage Member Services at 1-866-544-7504 or see the Wellness Wallet FAQs for details.
Martin’s Point Health Care has teamed up with Foodsmart™ to provide you with free, unlimited chats with a nutrition coach—plus much more—to support healthy eating from the comfort of home by telephone or online.
You don’t need to use your health plan’s Wellness Wallet reimbursement program to take advantage of this benefit as your Generations Advantage plan covers 100% of the program cost.
The Foodsmart program is tailored to your individual needs and preferences—from nutrition tips for managing a medical condition, to simply wanting to eat healthier, or just trying to save on groceries. Your Foodsmart nutrition coach and other resources can make healthy eating easier and more affordable.
To get started, call 1-888-837-5325 to schedule an appointment with a nutrition coach.
If you prefer to reach out online, you can:
The Alliance plan includes coverage for medical alert devices through LifeStation.
You pay a $0 cost share for medical alert device.
Benefit details:
As a Martin’s Point Generations Advantage member, you are eligible to receive FREE, personalized care management. Sign up for a dedicated medical or behavioral health care manager who will help you succeed at leading a healthy, active, and full life.
Our care managers can help you:
We want to help you live the healthiest life possible. Get started by calling a Martin’s Point care manager at 1-877-659-2403 or visit our Health Services page for more details.
Martin’s Point care management programs are entirely voluntary. You can choose not to participate or to stop participating in the program at any time. If you have immediate concerns regarding your health, please contact your doctor. Always consult your health care provider before making any lifestyle changes. Only your doctor can diagnose and treat a medical condition.
Talk with a trained nurse anytime, 24 hours a day, 7 days a week, to answer any questions about symptoms, injuries, or illness.
Call 1-800-530-1021 if you need to know:
This service is provided by Carenet Healthcare Services in partnership with Martin's Point. This service is not intended to take the place of your primary care provider.
At Martin’s Point, we are committed to providing our members a fair and timely process for resolving any complaints or disputes. We encourage Martin’s Point Generations Advantage members to contact us with questions, concerns, or problems related to any benefits or service.
Please call us at 1-866-544-7504 (TTY: 711), 8 am to 8 pm, seven days a week from October 1–March 31, and Monday through Friday the rest of the year, to discuss your concerns.