2025 Prime (HMO-POS) Plan

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.

Pay your Generations Advantage plan premium online.

Value-Added Discount 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.

GENERATIONS ADVANTAGE DISCOUNT ON MEDICAL ALERT DEVICES

Generations Advantage plan members (Access, Select, Prime, and Value Plus) receive 25% discounts on medical alert devices through LifeStation. Please note, this is a value-added discount, not a covered plan benefit.

How to Use Your Value-Added Discount:

1. Dedicated web page: LifeStation Medical Alert - Martin's Point
2. Call to enroll: 1-855-793-8555
   Speak directly with a LifeStation representative to enroll—no Generations Advantage ID required. 
3. Payment information needed: Provide a credit card or bank account for automatic deductions of monthly charges for the device and monitoring.

What’s Covered:

• Shipping and activation fees
• Monthly charges for device and monitoring
• Note: Optional accessories, including a smartwatch, can be offered at additional rates.

Devices & Pricing:

• In-home landline: $19.95/month
• In-home cellular: $25.95/month
• Mobile unit with GPS/WiFi: $29.95/month
• Fall detection (optional add-on): $5.00/month
  
   

MANAGING YOUR LIFESTATION SERVICE

Once enrolled, 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