Plans & Benefits

Learn more about our 5-Star plans and discover how a Martin’s Point Generations Advantage plan can support your health and help you live your best life.

Premiums start as
low as

All Martin’s Point Generations Advantage plans include:

Doctor and hospital visits
No medical/hospital deductibles
$0 Annual in-network physical exam
Annual out-of-pocket maximum
Worldwide emergency and urgent care
Routine vision exam
Hearing aids and batteries
Over-the-counter items
Wellness Wallet reimbursements

Your Wellness Wallet Helps You Keep Moving—Indoors and Out

Along with many indoor items, we now reimburse for gear/fees for many more outdoor activities, because we understand wellness happens inside and outside the gym.

Including:

Golf
Skiing
Fishing
Hiking
Cycling

Yoga
Kayak
Martial Arts
and much more!

Learn More

Plans in your Area

Enroll Today in our 2022 Plans

Take advantage of Annual Enrollment by selecting from our 5-star 2022 plans or enroll in our any of our 2021 plans and get coverage for the rest of the year. Select your year below and see which Generations Advantage plan is right for you.

2022

2021

Plans available statewide in Maine and New Hampshire. What's available may vary depending on your County.

2022 Generations Advantage Prime (HMO-POS) Plan

Our most popular comprehensive plan. Complete medical, hospital, and prescription drug coverage with low copayments for in-network services. Point of Service (POS) benefit allows out-of-network providers for designated services. Includes comprehensive dental coverage.

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2022 Generations Advantage Flex (RPPO) Plan

Flexibility in provider choice and affordability. Pay in-network cost shares for any provider who participates in Medicare throughout the Maine and New Hampshire service area. You may pay for out-of-network providers outside the service area, except for emergencies or urgent care.

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2022 Generations Advantage Select (LPPO) Plan

Wide choice and plan flexibility. Complete medical, hospital, and prescription drug coverage. You can see out-of-network providers for all covered services, with the option to pay less if you see in-network doctors.

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2022 Generations Advantage Alliance (HMO) Plan

Comprehensive in-network medical and hospital benefits at a $0 premium. Does not include Part D prescription drug coverage. Excellent choice if you already have prescription coverage through TRICARE®, the VA, or an employer plan. This plan offers rich supplemental benefits.

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2022 Generations Advantage Value Plus (HMO) Plan

Affordable in-network coverage plus Part D drug benefits. Comprehensive in-network medical and hospital benefits plus Part D prescription coverage with low monthly premium.

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2022 Generations Advantage Focus DC (HMO SNP) Plan

Designed for people living with diabetes. Complete medical, hospital, and prescription drug coverage with $0 copays for in-network, diabetes-related specialist visits, extra coverage through the Part D coverage gap, and enhanced care management. Available in Cumberland County only.

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Compare All Plans

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Plan Components	2022 Prime (HMO-POS) Plan View Plan	2022 Flex (RPPO) Plan View Plan	2022 Select (LPPO) Plan View Plan	2022 Alliance (HMO) Plan View Plan	2022 Value Plus (HMO) Plan View Plan	2022 Focus DC (HMO SNP) Plan View Plan
Monthly Medicare Part B Premium Reduction
Maximum Out-of-Pocket (In-Network)
Maximum Out-of-Pocket (Out-of-Network)
Primary Care Office Visit Copay (In-Network)	$0	$0	$20	$0	$10	$0
Primary Care Office Visit Copay (Out-of-Network)	$35	30% of cost	30% of cost	N/A	N/A	N/A
Specialist Office Visit Copay (In-Network)	$40	$50	$40	$5	$50	$0-$40
Specialist Office Visit Copay (Out-of-Network)	$55	30% of cost	30% of cost	N/A	N/A	N/A
Worldwide Emergency Care Copay	$90	$90	$90	$90	$90	$90
Worldwide Urgent Care Copay	$40 in-country; $90 out-of-country	$45 in-country; $90 out-of-country	$40 in-country; $90 out-of-country	$0 in-country; $90 out-of-country	$40 in-country; $90 out-of-country	$40 in-country; $90 out-of-country
Over-the-Counter Monthly Amount
Wellness Wallet Reimbursement	$400	$200	$200	$450	$300	$450
$0 Preventive Care (In-Network)	Included in plan	Included in plan	Included in plan	Included in plan	Included in plan	Included in plan
Hearing Aids	Included in plan	Included in plan	Included in plan	Included in plan	Included in plan	Included in plan
Eyewear and Contact Lenses	Included in plan	Included in plan	Included in plan	Included in plan	Included in plan	Included in plan
No Part D Prescription Deductible	Included in plan		Included in plan			Included in plan
$0 Annual Routine Physical Exam (In-Network)	Included in plan	Included in plan	Included in plan	Included in plan	Included in plan	Included in plan
$0 Annual Wellness Visit (In-Network)	Included in plan	Included in plan	Included in plan	Included in plan	Included in plan	Included in plan
Out-of-Network Flexibility	Included in plan	Included in plan	Included in plan
Part D Prescription Drug Coverage	Included in plan	Included in plan	Included in plan		Included in plan	Included in plan

With us, finding the right Medicare plan is easy.

We will send you a free 2022 Medicare Advantage guide to learn more about our Generations Advantage plans.

Request Your Copy

Schedule an Appointment

Choose a time that is most convenient for you and a health plan specialist will guide you through all your options right from the comfort of your own home.

SCHEDULE A CALL TODAY

Ready to enroll? Let’s get started.

Find out how to enroll in your plan choice and what documentation you’ll need to complete your online enrollment.

Enroll Now

Have questions? We’re here to help.

Talk to a health plan specialist 8 am–8 pm, seven days a week from October to March 31; and Monday through Friday the rest of the year.

1-800-603-0652 (TTY: 711)

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