2023 Prime (HMO-POS) Plan

This is of the few plans in the country to receive 5 stars from Medicare, earning Medicare’s highest quality rating!

Generations Advantage Prime (HMO-POS) offers complete medical, hospital, and Part D Prescription Drug coverage. You can use in-network doctors and health service providers and pay low copayments for medical services. You also have the flexibility to go outside the network for certain designated services with the Point-of-Service (POS) benefit. This plan is available throughout Maine and New Hampshire.

Your Area

Prime 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

  • Doctor and hospital visits with no deductibles
  • Part D Prescription Drug coverage with no deductibles (see if your drugs are covered)
  • Comprehensive dental coverage
  • Eyewear and contact lens reimbursement
  • Hearing aids
  • Over-the-counter (OTC) items
  • Wellness Wallet reimbursements
  • Coverage while you travel with worldwide urgent and emergency care
  • Large network of doctors across Maine and New Hampshire (see if your doctor is in-network)
  • Out-of-network flexibility: Option of getting many services outside of network with the Point-of-Service benefit (you may pay more for out-of-network services)2
  • Flu shot benefit: Get your annual flu shot at no cost, either at your primary care provider’s office (who may charge an office visit copay) or a participating pharmacy.3,4
Time is running out. Open enrollment ends December 7!
Enroll Now for 2023
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

2023 Plan 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.


Medicare Pre-Enroll Guide Image

Learn More, Enroll Now!

Request your Medicare Guide to learn more about our plans and discover how a Generations Advantage plan can help you live your best life.

1 At 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.

2 Out-of-network/non-contracted providers are under no obligation to treat Select 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.

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