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Value Plus (HMO) Plan 2021
This is one of our 5-Star plans, earning Medicare’s highest quality rating!
Generations Advantage Value Plus (HMO) offers comprehensive medical and hospital benefits and Part D Prescription Drug coverage. You can use in-network doctors and health service providers and pay low copayments for medical services. This plan may be a good option if you seek a low-cost plan with prescription drug coverage. It is available throughout Maine (except Cumberland County), and in Hillsborough and Strafford counties in New Hampshire.Your Area
Value Plus 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 (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 items
- Wellness Wallet: Up to $300 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 shots: Get your annual flu shot2 at no cost, either at your primary care provider’s office (who may charge an office visit copay) or a participating pharmacy,3
*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
$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* | $0 | $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 | $10 | $45 | $117.50 | $250 | 28% 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
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.
2Influenza (flu) vaccines are covered under your Medicare Part B benefit through Generations Advantage Value Plus and costs do not count toward your Part D drug spend or out-of-pocket costs
3The 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.
You may download Adobe Reader free to view the PDF documents.
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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2Influenza (flu) vaccines are covered under your Medicare Part B benefit through Generations Advantage Value Plus and costs do not count toward your Part D drug spend or out-of-pocket costs
3The 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.
You may download Adobe Reader free to view the PDF documents.
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).
View Disclaimers