Welcome to Martin's Point Generations Advantage

STEP ONE: PROVIDE IMPORTANT PLAN INFORMATION

We encourage you to complete the following actions as soon as you can.

The information you provide to Martin's Point will help us ensure you have a positive experience when using your health plan.

MAIL ORDER PRESCRIPTIONS—If your plan includes Part D Prescription Drug coverage and you would like to receive your prescription by mail, you will need to submit information and forms to CVS Caremark.

For detailed information on mail-order prescriptions and all related forms and documents, please visit the Pharmacy Network page.

PREMIUM AUTOPAY—If your plan has a monthly premium, you can set up automatic recurring payments or make one-time payments online using the links below.

OTHER HEALTH INSURANCE—If you have other health insurance, please respond to the letter we send or call Member Services as soon as possible so we can coordinate your benefits correctly.

Forms to Return to Martin's Point

Complete and send the forms as directed below.

1. PERMISSION TO SPEAK WITH OTHERS—To allow us to speak with designated family member(s), friend(s), or others about your health care, please fill out the Permission to Speak Form. If you have a designated power of attorney, please also send that documentation along with this completed form.

2. VA HEALTH COVERAGE—If you also receive health benefits through the Veterans Administration, please fill out, sign, and mail the VA Records Release Form.

The above forms should be mailed to:

Martin's Point Generations Advantage—Claims Dept.
PO Box 11410
Portland, ME 04104-9863

3. CONTINUITY OF CARE REQUEST—For those currently on an active course of treatment, "continuity of care" may help avoid care interruptions. Learn about eligibility and apply using the Continuity of Care form.

STEP TWO: GET TO KNOW YOUR MEDICARE PLAN

Understanding your benefits is an important first step toward taking full advantage of your health plan.

Please review your plan documents and, if you have any questions, don't hesitate to contact Member Services.

PDFs of all important plan documents can be found on your Member Plan Page:

PRIME PLAN  |  SELECT PLAN  |  VALUE PLUS PLAN
ACCESS PLAN  |  ALLIANCE PLAN

A Note about Your Member ID Card

Always keep your Generations Advantage member identification card with you.

In most cases, you will present ONLY this card when receiving health care services (including at the pharmacy if your plan covers Part D prescriptions). You will rarely need to present your red, white, and blue Medicare card.

Key Plan Documents

Important documents for plan members include:

• EVIDENCE OF COVERAGE

This document includes your plan's covered services and benefits, our obligations, and your rights and responsibilities.

• PRESCRIPTION DRUG FORMULARY

If you chose a plan with Part D Prescription Drug coverage, this is a list of the medications covered by your plan.

For the most up-to-date list throughout the year, visit the Prescription Drug Formularies page.

• PROVIDER NETWORK LIST

You can find the most current list of health care providers and facilities who participate in your plan’s network on our website.

For help finding an in-network provider, you can always call Member Services.

• EXTRA BENEFITS

Learn more about your extra benefits—including dental, hearing, vision, over-the-counter items, Wellness Wallet, and more.

STEP THREE: CREATE YOUR PORTAL ACCOUNT

We encourage you to create a portal account so you can manage your plan online.

By creating an account, members can get access to tools and information to help you manage your plan and your health.

Ready to get started? You can sign up for online access after the effective date listed on your Member ID card.

With an online portal account, you can:

 View Communications and Plan Materials

Update Your Primary Care Provider (PCP)

 Request a Member ID Card

 View Claims and Authorizations

 Make One-Time Plan Premium Payment

 Access CVS Caremark Explanation of Benefits

STEP FOUR: TAKE HEALTH RISK ASSESSMENT

Take your Health Risk Assessment—an online questionnaire to help you understand your health/health risks, and guide you toward being as healthy as possible.

If you don’t have internet access or have questions, call us at 1-877-659-2403 (TTY: 711) and leave a message. We will return your call within two business days.

How Do I Take the Health Risk Assessment?

To take the HRA (at no additional charge) you must first have an online portal account.

You can find the Health Risk Assessment at MartinsPoint.org/HRA.

Log in with your portal username and password or click “Register” if this is your first time logging in. When prompted, enter your Generations Advantage member ID number and follow the instructions.

This website will allow only you to see your results anytime.

STEP FIVE: SCHEDULE 2024 PREVENTIVE CARE VISITS

Your Generations Advantage plan covers your annual routine physical exam and Medicare Annual Wellness Visit at $0 copays if performed in network.

Schedule both services as early as possible each year to help prevent, manage, or identify chronic conditions or other health concerns.

Note: Separate copays may apply if additional services are provided during your visit.

Preventive Care Visit Overview

ANNUAL PHYSICAL EXAM—A hands-on examination where your provider will normally check your overall physical and mental health.

MEDICARE ANNUAL WELLNESS VISIT—A conversation with your provider about your health goals, scheduling preventive screenings and immunizations, and more.

COMPREHENSIVE VISIT—For your convenience, ask your doctor to schedule both of these preventive care services on the same day in one "Comprehensive Visit."