Focus DC (HMO SNP) Plan 2020

Generations Advantage Focus DC (HMO SNP) offers complete medical, hospital, and Part D Prescription Drug coverage, with focused care and benefits for people living with diabetes in Cumberland County.1 All benefits are for in-network services only, except urgent and emergency care. 
 

Your Area

Focus DC Benefits

Costs

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

Features

  • Part D prescription drug coverage with no deductibles (see if your drugs are covered)
  • Emergency care coverage worldwide
  • Urgent care coverage nationwide
  • Large network of doctors across Maine and New Hampshire (see if your doctor is in-network)
  • Over-the-counter (OTC): Up to $50 quarterly for members to purchase select CVS-brand, over-the-counter products
  • Wellness Wallet: Up to $450 reimbursed each year in total for fitness, naturopathic services, eyewear, acupuncture, nutritional/dietary education, and weight management programs
  • Flu shot benefit: 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
Enroll Now
Have questions? We’re here to help.

Talk to a health plan specialist 8 am–8 pm, Monday - Friday.

Enroll:
1-800-603-0652 
(TTY: 711)

Current Members:
1-866-544-7504

Plan Benefit Details and Documents
Additional Resources

Part D Prescription Drug Copayments

Tier 1 2 3 4 5
Pharmacies with preferred cost sharing (including Hannaford pharmacies), 30-day supply* $0 $10 $40 $95 33% of cost
Pharmacies with Standard cost sharing, 30-day supply* $4 $18 $47 $100 33% of cost
Mail-order, 90-day supply $10 $45 $117.50 $250 33% of cost
*For 90-day supply cost, multiply by three.

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.

1This plan is available (in Cumberland County only) to anyone with Medicare who has been diagnosed with diabetes by a doctor or other licensed professional.

2At 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.

3Influenza (flu) vaccines are covered under your Medicare Part B benefit through Generations Advantage Focus DC 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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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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