2025 Alliance (HMO) Plan

*Members must use in-network providers for most services.

Bathroom Safety

Allowance for bathroom safety devices and installation for those with diagnoses of hip fracture or history of falls:

• You receive a $400 allowance for bathroom safety devices, including shower seats, safety bars, transfer benches, and other items

• Covers installation of devices and an in-home bathroom safety inspection by a qualified health professional to identify the need for safety devices and the applicability to your bathroom

Please see the Evidence of Coverage for your plan or call Member Services for a full list of covered devices.

Meal Delivery

Administered by Mom's Meals

Receive home-delivered meals tailored to your individual health and dietary needs after an inpatient stay or surgery:

• Meals are fully prepared and ready to go in the refrigerator when they arrive on your doorstep.

• You pay nothing for up to three weeks (42 meals) per inpatient stay or surgery (no maximum per year).

Call Martin's Point Care Management for more information 1-877-659-2403.

Fall Prevention

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.

Smoking Cessation

You pay $0 for two additional smoking cessation classes beyond what Medicare covers.

Health Education

All plan members qualify for health coaching, disease support groups, and nutritional cooking classes.

Call Member Services for more information 1-866-544-7504.

Counseling

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

View Disclaimers

Covers routine (maintenance) chiropractic services and office visits for a $20 copay. 

Routine services may include:

• Conservative management of neuromusculoskeletal disorders

• Related functional clinical conditions including, but not limited to, back pain, neck pain, and headaches

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.

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:

• Manage your health care

• Navigate your health plan

• Understand medications

• Find community support and resources

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.

Benefit Overview 

At Martin's Point, we’ve partnered with LifeStation to offer peace of mind and security through advanced medical alert devices. LifeStation ensures you're always connected when it matters most.

COVERED MEDICAL BENEFIT

For eligible Martin's Point Generations Advantage Alliance members, this benefit offers fully covered medical alert devices. You'll receive 24/7 monitoring with no out-of-pocket costs for shipping, activation, or monthly fees. Covered devices include:

• In-home landline systems
• In-home cellular systems
• Mobile units with GPS and WiFi
• Optional fall detection

Spousal coverage and product warranties are also included at no additional charge.

How to Access Your Covered Medical Benefit:

1. Dedicated web page: LifeStation Medical Alert - Martin's Point
2. Call to Enroll: 1-866-220-0934
   Speak directly with a LifeStation representative to enroll—be sure to have your Generations Advantage Member ID ready.

What’s Covered:

• Shipping and activation fees
• Monthly device and monitoring fees
• Spousal coverage for in-home devices
• Product warranties
• Note: Optional accessories, including a smartwatch, are not included.

Devices & Pricing:

• In-Home Landline: $13.95/month
• In-Home Cellular: $13.95/month
• In-Home Cellular with Fall Detection: $18.95/month
• Mobile Unit with GPS/WiFi: $13.95/month
• Mobile Unit with GPS/WiFi & Fall Detection: $18.95/month

MANAGING YOUR LIFESTATION SERVICE

Once enrolled in either option, LifeStation makes it easy to manage your service and get support when you need it:

• Customer Service Number: 1-800-998-2400 for troubleshooting or to explore device add-ons.

Empower Your Health Care Decisions

Gain insight into how we determine the medical necessity for treatments and services, ensuring you receive care that meets established medical standards. This knowledge supports your health care journey with us, aligning with Medicare's guidelines. Visit the Clinical Coverage Criteria page for more information.

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), 8am–8pm, seven days a week from October 1–March 31, and Monday through Friday the rest of the year, to discuss your concerns.

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:

• If a cut requires stitches

• If you should head to an urgent care clinic, the ER, or wait until morning to see your doctor

• General information about a condition, medication, or other health concerns

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.

Eligible members have the option to purchase nutritionally balanced, refrigerated, and ready-to-eat meals that are delivered by Mom’s Meals directly to your home.

• Martin’s Point Generations Advantage members will get free shipping on all orders (a savings of $14.95).
• Menus are designed by chefs and registered dietitians to support general wellness goals or the specific nutrition needs of common health conditions.
• Members can select every meal, every order from over 70 entrée options.
• Entrées are refrigerated and ready-to-eat after just two minutes in the microwave.

Eligibilitly: This is available for plan members with congestive heart failure (CHF) or end-stage renal disease (ESRD) post-discharge or post-surgery, or for members with CHF or ESRD who indicate need and meet objective screening criteria.

Benefit Details:

• Up to 7 days (14 meals) of coverage for each qualifying event (post-discharge, post-surgery, or need identified by the plan).
• Up to an additional 7 days (14 meals) of coverage when extended need and high risk is identified by the plan.

Alliance (HMO) Plan Members: In addition, Alliance members have a separate meal benefit:

• Up to 3 weeks (42 meals) per inpatient stay or surgery.
• Up to 1 week (14 meals) per year for members with chronic conditions (such as diabetes mellitus (DM) or chronic obstructive pulmonary disease (COPD)) as part of a supervised program to transition into lifestyle modifications.

Place your order online or by phone using code MPGA to activate the offer:

Online: MomsMeals.com/MPGA
Phone: 1-877-347-3438