2023 Value Plus (HMO) Plan

This is of the few plans in the country to receive 5 stars from Medicare, 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.
 

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)
  • Worldwide urgent and emergency care
  • Large network of doctors across Maine (see if your doctor is in-network)
  • Eyewear: $100 for prescription lenses, frames, and contact lenses
  • Over-the-counter (OTC): Up to $60 quarterly ($240 each year in total) for members to purchase select CVS-brand, over-the-counter items
  • Wellness Wallet: Up to $400 reimbursed each year in total for fitness/wellness gear and services, face masks, naturopathic services, acupuncture, nutritional/dietary education, and weight management programs (see what's covered)
  • Hearing aids: $495/$695/$1,095/$1,495/$2,095 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

Comprehensive Dental Benefits

  • No waiting periods for coverage
  • $50 office visit copay
  • $1,000 benefit maximum
  • See a dentist in the Delta Dental network.
  • Diagnostic and preventive services are fully covered with no coinsurance or deductible (includes cleaning, exams, and X-rays).
  • Basic restorative services are covered with 50% coinsurance and $50 deductible (includes amalgam (silver) fillings, oral surgery, root canals, and periodontal maintenance).
  • Major restorative services are covered with 50% coinsurance and $50 deductible (includes dentures, bridges, crowns, onlays, and implants).
 
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

$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
*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.
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.

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