Select (LPPO) Plan 2020

Generations Advantage Select (LPPO) 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 doctors. The Select plan is available throughout Maine and New Hampshire. 
 

Your Area

Select Benefits

Costs

  • Please enter your Zip Code above to see your plan premium.
    • No deductibles
    • $0 annual routine physical (30% out-of-network)
    • $0 annual routine vision exam (30% out-of-network)
    • $20 copays for primary care office visits (30% out-of-network)
    • $0 copays for a range of preventive services when you see an in-network provider
    • $40 copays for specialist visits (30% out-of-network)
    • $0 copays for many generics at Hannaford Pharmacies1

    Maximum Out-of-Pocket

    • Get peace of mind with a predictable limit on costs, even in the case of a serious health problem.
    • $6,700 for in-network services ($10,000 combined in- and out-of-network)
    • Your plan premium and prescription drug copayments don't count toward this maximum.

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)
  • Out-of-network flexibility: option of getting all covered 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 products
  • Wellness Wallet: Up to $200 reimbursed each year in total for eyewear, fitness, naturopathic services, acupuncture, nutritional/dietary education, and weight management programs
  • Hearing aids: $595/$695/$895 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
 
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.

 

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

Find out how to enroll in your plan choice and what documentation you’ll need to complete your online enrollment.
1At 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.

2Out-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.

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