Generations Advantage Eligibility
Medicare Advantage plans with all-in-one coverage.
Learn about eligibility requirements and enrollment periods for Martin’s Point Generations Advantage plans.
Our popular Medicare Advantage plans provide comprehensive coverage for doctors’ visits, hospital stays, prescription drugs, and additional benefits like dental, eyewear, over-the-counter-items, hearing aids, and more.
Who is eligible?
You are eligible to enroll in our Medicare Advantage plans if you meet all of the following criteria:
- You are enrolled in Medicare Part A and Part B.
- You reside in our service area, which includes Maine and New Hampshire.
- You are not currently diagnosed with end-stage renal disease (or receiving regular kidney dialysis).
- You are enrolling during an eligible Medicare enrollment period.*
When can I join a Medicare Advantage plan?
You can join a Medicare Advantage plan under the following circumstances:
- If you’re turning 65: When you first become eligible for Medicare, you can join during your 7-month initial enrollment period that begins 3 months before the month you turn 65, includes the month you turn 65, and ends 3 months after the month you turn 65.
- If you’re already eligible for Medicare: Between October 15 and December 7, people who are eligible for Medicare can join, switch, or drop a Medicare Advantage plan. Your coverage will begin on January 1, as long as the plan gets your enrollment request by December 7.
- If you get Medicare due to a disability: You can join during the 7-month period that begins 3 months before your 25th month of disability and ends 3 months after your 25th month of disability.
- During special enrollment periods.* More information on special enrollment periods can be further below.
When can I switch or drop a Medicare Advantage plan?
Between January 1 and March 31, if you’re enrolled in a Medicare Advantage plan, you can leave your plan and switch to another Medicare Advantage plan or Original Medicare.
Between October 15 and December 7, people who are eligible for Medicare can join, switch, or drop a Medicare Advantage plan. Your coverage will begin on January 1, as long as the plan gets your enrollment request by December 7.
If you switch to Original Medicare during this period, you’ll have until March 31 to also join a Medicare Part D Prescription Drug plan to add drug coverage. Your coverage will begin the first day of the month after the plan gets your enrollment request.
During this period, you cannot:
- Switch from Original Medicare to a Medicare Advantage plan
- Switch from one Part D Medicare Prescription Drug plan to another
- Join, switch, or drop a Medicare Medical Savings Account plan
Are there any special enrollment periods?
In most cases, you must stay enrolled for the calendar year starting the date your coverage begins.
However, in certain situations, you may be able to join, switch, or drop a Medicare Advantage plan during a Special Enrollment Period. Contact your plan if you:
- Move out of your plan’s service area
- Have Medicaid
- Qualify for Extra Help
- Live in an institution like a nursing home