2022 Flex (RPPO) Plan

This Medicare Plan Is Being Discontinued

IF YOU ENROLL IN THE FLEX PLAN, YOU MUST ENROLL IN A NEW 2023 PLAN or your coverage will switch to Original Medicare on January 1, 2023.

Generations Advantage Flex (RPPO) is designed for those looking for a health care 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 doctors for all covered medical services, though you pay less for in-network and in-service-area doctors. The Flex plan is available throughout the service area of Maine and New Hampshire.

Your Area

Flex Benefits


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

*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 coverage (see if your drugs are covered for 2022)
  • Emergency and Urgent care coverage worldwide
  • Large network of doctors across Maine and New Hampshire (see if your doctor is in-network)
  • Out-of-network flexibility: option of getting all services outside the network, but you will generally pay more for these services2
  • Over-the-counter (OTC): Up to $50 quarterly for members to purchase select CVS-brand, over-the-counter items
  • Wellness Wallet: Up to $200 reimbursed each year in total for eyewear, face masks, dietary/nutrition, fitness benefit, naturopathic services, acupuncture, and weight management programs (see what's covered)
  • Hearing aids: $495/$695/$1,095/$1,495/$2,095 copay per ear, depending on tier selected (no copays for fittings or evaluations)
  • Flu shots: Get your annual flu shot3 at no cost, either at your primary care provider’s office (who may charge an office visit copay) or a participating pharmacy.4

Comprehensive Dental Benefits

  • No waiting periods for coverage
  • $50 office visit copay
  • $1,000 benefit maximum (in- and out-of-network combined)
  • In-Network: See a dentist in the Delta Dental network.
  • Out-of-Network: See any out-of-network dentist, cost shares differ.
  • Diagnostic and preventive services include cleanings, exams, and X-rays: In-network—fully covered with no coinsurance/deductible; Out-of-network—covered at 50% with no deductible.
  • Basic restorative services include fillings, oral surgery, root canals, and periodontal maintenance: In-network—covered with 50% coinsurance and a one-time $50 deductible; Out-of-network—covered with 75% coinsurance and a one-time $50 deductible.
  • Major restorative services include dentures, bridges, crowns, onlays, and implants: In-network—covered with 50% coinsurance and a one-time $50 deductible; Out-of-network—covered at 75% coinsurance and a one-time $50 deductible.

Part D Prescription Drug Copayments

$275 Prescription deductible for Tiers 3–5 drugs only

Tier 1 2 3 4 5
Pharmacies with preferred cost sharing (including Hannaford pharmacies), 30-day supply* $2 $10 $40 $95 28% of cost
Pharmacies with Standard cost sharing, 30-day supply* $4 $18 $47 $100 28% of cost
Mail-order, 90-day supply $0 $20 $100 $237.50 28% of cost
*For 90-day supply cost, multiply by three.


Medicare Pre-Enroll Guide Image

Open Enrollment Begins October 15

Request your 2022 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 $2 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 Flex 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 Flex 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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