Generations Advantage Update April 3rd 2020

Update #3

April 23, 2020

Dear Martin’s Point Generations Advantage Member,

We’re here for you.

During these challenging times, we want you to know that all of us at Martin’s Point Generations Advantage are here for you. We understand that our members are dealing with many concerns during this confusing time. We want to make sure your health coverage isn’t one of them. We are here to help you understand your benefits should you need them for testing and treatment of COVID-19, the disease caused by the new coronavirus.

You’ll be reassured to know that The Centers for Medicare and Medicaid (CMS) have made some benefit changes to Medicare to support the health of our members during the COVID-19 outbreak. Below, you’ll find helpful information about those changes and how your Generations Advantage plan covers health care services during this time.

You can also find this information, as well as helpful resource links, on our website at martinspoint.org/covid19.

Testing: Labs used to directly test for COVID-19 are covered at no cost to you. This includes the collection of the sample and the lab analysis.

Treatment: If you are diagnosed with the COVID-19, copays/coinsurance will be waived for the following services if related to COVID-19:

  • Emergency room visits
  • Urgent care visits
  • Office visits
  • Telehealth services

Hospital Coverage: If you are admitted to a hospital, your plan’s standard inpatient copay will still apply.

Out-of-Network Coverage: If you must see an out-of-network provider for any covered service, you will receive the in-network cost share. This applies even if your Generations Advantage plan does not normally include out-of-network coverage.

Telehealth: Generations Advantage covers all telehealth services covered by Original Medicare.  

If you have questions about your coverage for COVID-19, don’t hesitate to contact Member Services at 1-866-544-7504. We're available 8 am-8 pm, Monday through Friday. 

We’re here for you!

Heather Mullen, Chief Operating Officer

Dr. Jonathan Harvey, Chief Medical Officer

Martin’s Point Generations Advantage is a health plan with a Medicare contract offering HMO, HMO-POS, HMO SNP, and Local and Regional PPO products. Enrollment in a Martin’s Point Generations Advantage plan depends on contract renewal.