2023 Focus DC (HMO SNP) Plan
This is of the few plans in the country to earn 5 Stars, Medicare’s highest quality rating!
Generations Advantage Focus DC (HMO SNP) offers complete medical, hospital, and Part D Prescription Drug coverage, with focused care and benefits for people living with diabetes in Cumberland County.1
All benefits are for in-network services only, except urgent and emergency care.
Your Area
Costs
- Please enter your ZIP Code above to see your plan premium.
Plan Benefits
- Part D Prescription Drug coverage with no deductibles (see if your drugs are covered)
- Worldwide urgent and emergency care
- Large network of doctors across Maine and New Hampshire (see if your doctor is in-network)
- Eyewear: $150 for prescription lenses, frames, and contact lenses
- Over-the-counter (OTC): Up to $90 quarterly ($360 each year in total) for members to purchase select CVS-brand, over-the-counter products
- Wellness Wallet: Up to $300 reimbursed each year in total for fitness/wellness gear and services, face masks, naturopathic services, acupuncture, nutritional/dietary education, and weight management programs (see what's covered)
- Hearing aids: $495/$695/$1,095/$1,495/$2,095 copay per ear, depending on tier selected (no copays for fittings or evaluations)
- Flu shot benefit: Get your annual flu shot3 at no cost, either at your primary care provider’s office (who may charge an office visit copay) or a participating pharmacy.4
Comprehensive Dental Benefits
- No waiting periods for coverage
- $50 office visit copay
- $1,000 benefit maximum
- See a dentist in the Delta Dental network.
- Diagnostic and preventive services are fully covered with no coinsurance or deductible (includes cleaning, exams, and X-rays).
- Basic restorative services are covered with 50% coinsurance and a one-time $50 deductible (includes amalgam (silver) fillings, oral surgery, root canals, and periodontal maintenance).
- Major restorative services are covered with 50% coinsurance and a one-time $50 deductible (includes dentures, bridges, crowns, onlays, and implants).
*NOTE: This is not a comprehensive list of plan benefits, please refer to the Evidence of Coverage (EOC) for a full list of plan benefits.
Part D Prescription Drug Copayments
*For 90-day supply cost, multiply by three.
LEARN MORE, ENROLL NOW!
Request your Medicare Guide to learn more about our plans and discover how a Generations Advantage plan can help you live your best life.
1This plan is available (in Cumberland County only) to anyone with Medicare who has been diagnosed with diabetes by a doctor or other licensed professional.
2At pharmacies with preferred cost-sharing, you pay $0 for Cost-Sharing Tier 1 (preferred generic drugs and certain preferred brand name drugs). Other pharmacies are available in our network.
3Influenza (flu) vaccines are covered under your Medicare Part B benefit through Generations Advantage Focus DC and costs do not count toward your Part D drug spend or out-of-pocket costs.
4The 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.
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