Extra Help with Part D Costs
Need extra help paying for your Part D prescriptions? We may have options for you.
If you are a Generations Advantage plan member having trouble paying for your Part D or prescription expenses, we may be able to help.
Below you will find information on the Part D cost savings you may qualify for, including reduced drug costs and lower premiums. Additionally, you can explore resources that provide further assistance, including local organizations/contacts and Medicare resources.
Table of Contents:
- Assistance Available from Medicare
- Extra Help Paying Drug Costs
- Extra Help Paying Plan Premiums
- See If You Qualify & Find Resources
Assistance Available from Medicare
Martin's Point Generations Advantage Prime, Select, Access, and Value Plus plan premiums include coverage for both medical services and Part D Prescription Drug coverage.
Please see the Evidence Of Coverage for Prime, Select, Access, and Value Plus Ch. 6, Section 6.1 for more details.
Medicare offers financial assistance (called “Extra Help”) to help pay for Medicare Part D Prescription Drug plan costs. If you qualify, you may pay a lower plan premium and/or lower drug copays.
The amount of Extra Help you get will determine your total monthly plan premium and your covered drug costs as a member of our plan.
Please note Extra Help amounts are determined by each individual state and county. Extra Help for plan premium payments are not applicable to plans with a $0 plan premium.
Extra Help Paying Prescription Drug Costs
Extra Help from Medicare may also help lower the costs you pay when you get Part D Prescription Drugs at the pharmacy. If you qualify for this Extra Help, the amount you pay will vary based on your income. The State will notify you what your Extra Help level of cost will be.
There are three levels of cost:
If you are eligible for Level One Extra Help, your prescription cost shares will be:
- Generic: $4.90
- Brand: $12.15
If you are eligible for Level Two Extra Help, your prescription cost shares will be:
- Generic: $1.60
- Brand: $4.80
If you are eligible for Level Three Extra Help, your prescription cost shares will be:
- Generic: $0
- Brand: $0
Extra Help Paying Plan Premiums
The amount of Extra Help you get will determine your total monthly plan premium.
The tables below show you what your monthly plan premium will be if you get Extra Help. This does not include any Medicare Part B premium you may have to pay.
2025 Prime Plan Premium: $93
Plan ID: H5591-015-001
Maine Counties: Lincoln, Oxford, Piscataquis, Somerset, and Waldo
New Hampshire Counties: Belknap, Carroll, Coos, and Grafton
2025 Prime Plan Premium: $29
Plan ID: H5591-006-002
Maine Counties: Kennebec, Sagadahoc
2025 Prime Plan Premium: $34
Plan ID: H5591-015-002
Maine Counties: Aroostook, Franklin, Hancock, Knox, Penobscot, and Washington
The table below shows you what your monthly plan premium will be if you get Extra Help. This does not include any Medicare Part B premium you may have to pay.
2025 Select Plan Premium: $104
Maine Counties: Androscoggin, Aroostook, Cumberland, Franklin, Hancock, Kennebec, Knox, Lincoln, Oxford, Penobscot, Piscataquis, Sagadahoc, Somerset Waldo, Washington, and York
New Hampshire Counties: Cheshire, Coos, Hillsborough, Merrimack, Rockingham, Strafford, and Sullivan
Need Extra Help? | Additional Resources
If you aren't getting Extra Help, you can see if you qualify by contacting any of the following:
Martin's Point Member Services
Current Members: Call 1-866-544-7504 (TTY: 711)
Not a member? We can still help! Call us toll-free at 1-855-455-7224 (TTY:711)
Call anytime from 8 am—8 pm, seven days a week from October 1 - March 31, and Monday through Friday the rest of the year
Medicare.gov Hotline
Call 1-800-Medicare (1-800-633-4227)
For TTY/TDD users: 1-877-486-2048
Available 24 hours a day, 7 days a week
Office of MaineCare Services
Call 1-800-321-5557
TTY/TDD users should call 1-800-423-4331
New Hampshire Department of Health and Human Services (Medicaid):
Contact your local office by calling:
- Strafford County: 1-800-862-5300
- Hillsborough County Manchester Office:
1-800-852-7493
- Hillsborough County Southern District Office:
1-800-852-0632
For TTY/TDD users: 1-800-735-2964 (access relay for all NH counties)
The Social Security Administration
Call 1-800-772-1213
For TTY/TDD users: 1-800-325-0778
Available 7 am-7 pm, Monday through Friday
My Advocate
My Advocate provides education and assistance to health plan members free of charge for enrolling into Medicare Savings Programs (MSP) to pay the member's Medicare Part B Premium. My Advocate also provides assistance with Part D Extra Help and other social programs.
My Advocate is available Monday to Friday, 8am - 11pm at 1-866-274-0369.
Have questions? We're here to help.
If you have questions about your plan, you can talk to a Member Service Representative by calling 1-866-544-7504.
Our representatives are available from 8am–8pm, seven days a week.