Find additional information on using your benefits, after-hours and emergency care, prescription and pharmacies, reimbursements, and other forms to help you make the most of your health plan.
Submit an Online Premium Payment (One-Time, Not Recurring)
You can submit a one-time (not recurring) online premium payment through PayTrace by clicking the button below. (Note: This will open in a new window.)
Please have a copy of your most recent statement handy before submitting your one-time online payment. You will need the following information (in addition to your payment method) to submit a one-time online payment:
NOTE: Please contact Member Services if you would like to set up recurring autopayment of your monthly premium payment.
For any plan-specific documents, please see your individual 2022 plan page below.
The Martin’s Point Generations Advantage Dental Benefit is administered by Northeast Delta Dental (NEDD).
To learn if your plan includes dental and for details about your dental benefit, call the Northeast Delta Dental Customer Service Department at 1-800-832-5700 (TTY: 1-800-332-5905) Monday through Friday, 8 am–4:45 pm.
To find out if your dentist participates in the NEDD Martin’s Point Generations Advantage dental network, please use the Delta Dental Dentist Search tool or contact NEDD directly.
Amplifon will help you find a hearing aid provider near you, explain the process, help you schedule an appointment, and send information to you and the provider, ensuring your discount is applied. Call Amplifon, 8 am–8 pm, Monday through Friday to get started: 1-888-669-2167 (TTY: 711)
Learn more about your hearing aid benefit information. Click on your health plan link to learn more.
All Generations Advantage plans have OTC benefits with (OTCHS) Over the Counter Health Solutions by CVS Caremark. Visit our OTC benefits page to learn more.
Members receive a quarterly amount to purchase from over 350 CVS-brand, over-the-counter products, including these and more:
You may make a purchase in person at participating CVS locations, over the phone by calling OTC Health Solutions at 1-888-628-2770 (TTY: 711), or online.
Search and buy products online
Download the 2022 catalog (PDF)
Search OTC Benefit Pharmacy Locations
This requirement encourages members to try less costly but usually just as effective ‘preferred’ drugs before the plan covers another ‘preferred’ drug. For example, if Drug A (preferred) and Drug B (non-preferred) treat the same medical condition, the plan may require you to try Drug A first. If Drug A does not work for the member, the plan will then cover Drug B.
Step therapy is not required for members who have used a non-preferred drug within the last 365 days, but authorization is required. To see list of preferred and non-preferred step therapy drugs please see our Part B Step Therapy Drug List (PDF).
Martin’s Point Health Care has teamed up with Foodsmart™ to provide you with free, unlimited chats with a nutrition coach—plus much more—to support healthy eating from the comfort of home.
You don’t need to use your health plan’s Wellness Wallet reimbursement program to take advantage of this benefit as your Generations Advantage plan covers 100% of the program cost.
The Foodsmart program is tailored to your individual needs and preferences—from nutrition tips for managing a medical condition, to simply wanting to eat healthier, or just trying to save on groceries.
Your Foodsmart nutrition coach and other resources can make healthy eating easier and more affordable.
To get started, call 1-888-837-5325 to schedule an appointment with a nutrition coach. If you are having online difficulties signing up, call 1-888-837-5325 for technical support.
If you prefer to reach out online, you can:
Members have the option to purchase nutritionally balanced, refrigerated, and ready-to-eat meals that are delivered by Mom’s Meals direct to your home.
Place your order online or by phone using code MPGA to activate the offer:
Online: momsmeals.com/mpga
Phone: 1-877-347-3438
For more information, call LifeStation at: 1-866-220-0934.
The evidence of coverage document outlines your medicare health benefits, services, and prescription drug coverage as a member of Martin's Point Generations Advantage.
This booklet gives you the details about your Medicare health care and prescription drug coverage from January 1 – December 31, 2022. It explains how to get coverage for the health care services and prescription drugs you need.
Prime (HMO-POS) Evidence of Coverage
For all counties in Maine and Belknap, Carroll, Coos and Grafton Counties in New Hampshire (PDF)
Alliance (HMO) Evidence of Coverage
For all counties in Maine and New Hampshire (PDF)
Value Plus (HMO) Evidence of Coverage
Select (LPPO) Evidence of Coverage
For Belknap, Carroll, and Grafton Counties in New Hampshire
Focus DC (HMO SNP) Evidence of Coverage
For Cumberland County in Maine (PDF)
Please contact our Member Services number at 1-866-544-7504 for additional information. (TTY users should call 711)
Your flexible Wellness Wallet benefit reimburses up to your plan’s annual amount for a wide range of eligible gear, fees, and services that help keep you active and well.
On our Wellness Wallet Information page you can find:
2022 Wellness Wallet Member Reimbursement (PDF)
This form is for any services covered under your 2022 Wellness Wallet reimbursement benefit. To be eligible for payment, the date of service or purchase must be in 2022 and you must submit your claim by March 31, 2023.
Wellness Wallet reimbursement request
This form is for any services covered under your 2022 Wellness Wallet reimbursement benefit. To be eligible for payment, the date of service or purchase must be in 2022 and you must submit your claim by March 31, 2023.
2022 Wellness Wallet Member Reimbursement (PDF)
Reimbursement request for medical services
This form is for reimbursement for medical services that you received through a provider or at a medical facility.
Member Reimbursement Request for Medical Services (PDF)
Reimbursement request for Medicare prescription drug purchase
This form is the prescription drug reimbursement form. It is used when you have paid out-of-pocket for your formulary prescription drug.
Reimbursement Request for Medicare Prescription Drug Purchase (PDF)
At Martin’s Point, we are committed to providing our members a fair and timely process for resolving any complaints or disputes. We encourage Martin’s Point Generations Advantage members to contact us with questions, concerns, or problems related to any benefits or service. Please call us at 1-866-544-7504 (TTY: 711), 8 am to 8 pm, seven days a week from October 1–March 31, and Monday through Friday the rest of the year, to discuss your concerns.
For more information on this process, please visit our Grievances & Appeals page.
Automatic Payment Options Form (PDF)
Authorization to Release Information (PDF)
Medicare Appointment of Representative (PDF)
Members Rights and Responsibilities Statement (PDF)
Multi-language Interpreter Services (PDF)
Preventive Care Checklist (PDF)
Provider Attestation for Supplemental Benefits Form (PDF)
Request for Medicare Prescription Drug Coverage Determination (PDF)
Request for Redetermination of Medicare Prescription Drug Denial (PDF)
Residence Address Verification Form (PDF)
Waiver of Liability (PDF)
Better Access to Your Health Information!
As part of the 21st Century Cures Act regulations, the Centers for Medicare and Medicaid (CMS) policy now requires that new systems be put in place next year to make it easier for you to see your important health data. Under the new systems, you’ll be able to:
Including The Advantage, our member newsletter
The Advantage Newsletter 2022 Issue 4 (11/9/22)
The Advantage Newsletter 2022 Issue 3 (8/23/22)
The Advantage Newsletter 2022 Issue 2 (5/24/22)
The Advantage Newsletter 2022 Issue 1 (2/18/22)
The Advantage Newsletter 2021 Issue 4 (11/5/21)
The Advantage Newsletter 2021 Issue 3 (8/19/21)
The Advantage Newsletter 2021 Issue 2 (5/18/21)
The Advantage Newsletter 2021 Issue 1 (02/23/21)
The Advantage Newsletter 2020 Issue 4 (11/17/20)
The Advantage Newsletter 2020 Issue 3 (8/28/20)
The Advantage Newsletter 2020 Issue 2 (6/12/20)
COVID-19 vaccines are covered for Medicare Advantage plan members with no out-of-pocket costs. Make sure to bring your red, white, and blue Medicare card when you receive the vaccine or booster.
For additional coverage information, please see our COVID-19 Resources for Generation Advantage Members.