2024 Prime (HMO-POS) Plan
THE 2024 PRIME PLAN IS AMONG THE HIGHEST RATED MEDICARE ADVANTAGE PLANS IN MAINE AND NEW HAMPSHIRE!*
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
Costs
- It's easy to find plan costs and benefits available in your area. Simply enter your ZIP code.
Plan Benefits
- Doctor and hospital visits with no deductibles
- Part D Prescription Drug coverage with no deductibles1 (see if your drugs are covered)
- Comprehensive dental (see if your dentist is in-network)
- Over-the-counter (OTC) items
- Hearing aids
- Coverage while you travel with worldwide urgent and emergency care
- Eyewear and contact lens reimbursement
- Wellness Wallet reimbursements (see what's covered)
- 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
Part D Prescription Drug Member Costs in Initial Coverage Phase
*For 90-day supply cost, multiply by three.
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.
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Let’s talk about your health needs and how our plans help you keep doing the things you love. Call us today to find out more about Martin’s Point Generations Advantage plans.
Call 1-800-961-4572 (TTY 711)
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 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 your Generations Advantage plan and costs do not count toward your Part D drug spend or out-of-pocket costs.
4 The 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.
*Every year, Medicare evaluates plans based on a 5-star rating system. Medicare’s highest 2024 rating awarded for MA (HMO, HMO-POS, LPPO) style plans in ME and NH is 4.5 out of 5 stars. Generations Advantage 2024 Overall Ratings: 4.5 out of 5 Stars for HMO Contract H5591 (includes HMO-POS) and LPPO Contract H1365. Visit www.Medicare.gov for more information.