2023 Prime (HMO-POS) Plan

This is of the few plans in the country to earn 5 Stars, Medicare’s highest quality rating!


Generations Advantage Prime (HMO-POS)
offers complete medical, hospital, and Part D Prescription Drug coverage.

You can use in-network doctors and health service providers and pay low copayments for medical services. You also have the flexibility to go outside the network for certain designated services with the Point-of-Service (POS) benefit.

This plan is available throughout Maine and New Hampshire.


Your Area

Costs

  • Please enter your ZIP Code above to see your plan premium.


Plan Benefits

  • Doctor and hospital visits with no deductibles
  • Part D Prescription Drug coverage with no deductibles (see if your drugs are covered)
  • Comprehensive dental coverage
  • Eyewear and contact lens reimbursement
  • Hearing aids
  • Over-the-counter (OTC) items
  • Wellness Wallet reimbursements
  • Coverage while you travel with worldwide urgent and emergency care
  • Large network of doctors across Maine and New Hampshire (see if your doctor is in-network)
  • Out-of-network flexibility: Option of getting many services outside of network with the Point-of-Service benefit (you may pay more for out-of-network services)2
  • Flu shot benefit: Get your annual flu shot at no cost, either at your primary care provider’s office (who may charge an office visit copay) or a participating pharmacy.3,4


*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.

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1 At 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.

2 Out-of-network/non-contracted providers are under no obligation to treat Select plan members, except in emergency situations. For a decision about whether we will cover an out-of-network service, we encourage you or your provider to ask us for a pre service organization determination before you receive the service. Please call our customer service number or see your Evidence of Coverage for more information, including the cost-sharing that applies to out-of-network services.

3 Influenza (flu) vaccines are covered under your Medicare Part B benefit through Generations Advantage Prime 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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