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.
*For 90-day supply cost, multiply by three.
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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.