Martin's Point Generations Advantage Alliance (HMO)


Medicare Plan Details

2021 Plan
Monthly Premium
(select county for price)

 

by Martin's Point Generations Advantage
Additional Coverage
Hearing Vision Dental
Overall Government Star Rating
 5.0
out of 5 stars

State: Maine

Select your county to view the price for this plan

 


Plan Type

Medicare Advantage (Part C)

Medicare Advantage combines Part A and Part B. This plan = Part A + Part B

 

$0
$0
$0
$0
$5,000 In-network
No
Yes
Yes
Yes

Medical Benefits

Doctor Services

$0 copay
$5 copay per visit

Tests, labs, & imaging

0-5% coinsurance
$0-5 copay or 0-20% coinsurance
20% coinsurance
5% coinsurance
$90 copay per visit (always covered)
$0 copay

Hospital Services

$300 per day for days 1 through 5
$0 per day for days 6 through 90
$0-350 copay per visit

Skilled nursing facility

$0 per day for days 1 through 20
$178 per day for days 21 through 100

Preventive services

$0 copay

Ambulance

$295 copay

Therapy services

$0 copay
$0 copay

Mental health services

$0 copay
$0 copay
$0 copay
$0 copay

Opioid treatment services

Covered

Other services

10% coinsurance per item
10% coinsurance per item
$0 copay

Prescription Drug Benefits

Tier drug costs for: Standard retail pharmacy drug cost for 1-month

Part B Drugs

20% coinsurance
20% coinsurance

Extra Benefits

Hearing

$5 copay
$0 copay
$295-895 copay

Preventive Dental

Covered under office visit
Covered under office visit
Not covered
Covered under office visit

Comprehensive dental

$5 copay or 20% coinsurance
$5 copay or 20% coinsurance
$5 copay or 50% coinsurance
$5 copay or 20% coinsurance
$5 copay or 20% coinsurance
$5 copay or 20% coinsurance
$5 copay or 50% coinsurance

Vision

$0 copay
$0 copay
$0 copay
$0 copay
$0 copay
$0 copay

Other benefits

Limited coverage
Limited coverage
Not covered
Limited coverage
Limited coverage
Limited coverage
Limited coverage
 4.5
 4
 4
 5
 4
 5

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