Generations Advantage Select (LPPO) is designed for those looking for a health plan with more flexibility.
With this plan, you get complete medical, hospital, and Part D Prescription Drug coverage and you can see out-of-network providers for all covered medical services, though you pay less for in-network providers.
The Select plan is available throughout Maine and New Hampshire.
*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.
*For 90-day supply cost, multiply by three.
**Varies by County: Aroostook, Hancock, Kennebec, Penobscot, Piscataquis, Somerset, and Washington Counties in Maine and Coos, Belknap, Carroll, and Grafton in New Hampshire. There is a $275 prescription deductible for Tiers 3–5 drugs only. For Tiers 3, 4 and 5, you pay the full cost of the drug until you reach your $275 deductible. Tier 5 cost is 28%.
Androscoggin, Cumberland, Franklin, Knox, Lincoln, Oxford, Sagadahoc, Waldo, and York Counties in Maine and Cheshire, Hillsborough, Merrimack, Rockingham, Strafford, and Sullivan Counties in New Hampshire, there is no prescription deductible and Tier 5 cost is 33%.
Request your Medicare Guide to learn more about our plans and discover how a Generations Advantage plan can help you live your best life.
1At 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.
2Out-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.
3Influenza (flu) vaccines are covered under your Medicare Part B benefit through Generations Advantage Select 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.
The materials on this page may be made available in other formats such as Braille, large print or other alternate formats. Please contact us for more information. Call Member Services at 1-866-544-7504 (TTY:711).
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