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Focus DC (HMO SNP) Plan 2021
This is one of our 5-Star plans, earning Medicare’s highest quality rating!
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.
*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.
Features
- Part D prescription drug coverage with no deductibles (see if your drugs are covered for 2021)
- Worldwide urgent and emergency care
- 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 eyewear, face masks, fitness, naturopathic services, acupuncture, nutritional/dietary education, and weight management programs
- Hearing aids: $495/$695/$1,095 copay per ear, depending on tier selected (no copays for fittings or evaluations)
- 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
*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 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 |
What makes a 5 Star Medicare Plan?
Martin's Point has plans that have received the highest possible ratings from the government agency that administers Medicare. Our quality and performance across healthcare and customer experience are top-notch!
Ready to enroll? Let’s get started
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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