Plan year 2026 · coverage ends Dec. 31, 2026CMS crosswalk of Oct. 1, 2026
Martin's Point Generations Advantage Prime is not offered under this ID in 2027
H5591Contract006Plan
HMO-POS · served 5 counties in Maine in 2026
Run by Martin's Point Generations Advantage, Inc. (contract H5591), sold as Martin's Point Generations Advantage, owned by Martin's Point Health Care, Inc.
CMS crosswalk: renews as H5591-022 in 3 of its 5 counties; in the others the plan ends
Martin's Point Generations Advantage Prime (H5591-006) is not offered under this ID in 2027. The CMS plan crosswalk of October 1, 2026 moves its members into Martin's Point Generations Advantage Prime (H5591-022) (the plan renews under a new ID), in the 3 counties where that plan is sold (10,877 members in September 2026). In its other 2 counties (23,646 members) there is no plan to move into: coverage ends December 31, 2026, and members there need to choose a new plan.
What changes for its members in Martin's Point Generations Advantage Prime?
| What you pay or get | 2026 | 2027 | Change |
|---|---|---|---|
| Monthly premium | $38 to $49 | $60 | ▲up $22 |
| In-network out-of-pocket limit | $7,000 | $7,150 | ▲up $150 |
| Drug deductible | $300 | $500 | ▲up $200 |
| Specialist visit (best in its area) | $40 copay | $45 copay | ▲up $5 |
| Emergency room (best in its area) | $115 copay | $130 copay | ▲up $15 |
| Hospital stay, in network (best in its area) | $350 a day for days 1–5, then $0 a day for days 6–90 | $490 a day for days 1–5, then $0 a day for days 6–90 | ▲up $700for a 5-day stay |
| Skilled nursing facility, in network (best in its area) | $0 a day for days 1–20, then $150 a day for days 21–100 | $10 a day for days 1–20, then $221 a day for days 21–100 | ▲up $910for a 30-day stay |
| Over-the-counter items, yearly (best in its area) | $200 a year | $100 a year | ▼down $100 |
| Counties served | 5 | 3 | ▼down 2 |
| Drug tier 3, preferred brand | 25% of the cost | 22% of the cost | ▼down 3 points |
| Drug tier 4, non-preferred drug | 32% of the cost | 29% of the cost | ▼down 3 points |
| Drug tier 5, specialty tier | 29% of the cost | 28% of the cost | ▼down 1 point |
| 10 lines do not change | |||
| Part B premium reduction, monthly (best in its area) | none | none | no change |
| Primary care visit (best in its area) | $0 copay | $0 copay | no change |
| Medical deductible, in network (best in its area) | none | none | no change |
| Ground ambulance, in network (best in its area) | $325 copay | $325 copay | no change |
| Comprehensive dental, yearly limit (best in its area) | not offered | not offered | no change |
| Eyewear, yearly limit (best in its area) | $150 a year | $150 a year | no change |
| Hearing aids, yearly limit for both ears (best in its area) | $500 a year | $500 a year | no change |
| Drug tier 1, preferred generic | $4 | $4 | no change |
| Drug tier 2, generic | $10 | $10 | no change |
| Drug tier 6, select care drugs | $4 | $4 | no change |
Source: CMS plan crosswalk from 2026 to 2027 (Oct. 1, 2026); CMS Medicare Advantage and Part D landscape files for 2027 (Sept. 22, 2026, revised Sept. 30) and 2026 (Sept. 2, 2026 revision); CMS plan benefit package files, 2027 and 2026. Your plan's Annual Notice of Change is the letter that confirms your 2027 plan; confirm on Medicare Plan Finder.
What can members do, and by when?
If you live in Androscoggin (ME), Kennebec (ME), Sagadahoc (ME)
- If you do nothing
- You are moved into Martin's Point Generations Advantage Prime on January 1, 2027.
- October 15 to December 7, 2026
- Open enrollment: choose another Medicare Advantage plan, or Original Medicare with a drug plan, instead.
If you live in Cumberland (ME), York (ME)
- Your coverage
- Ends December 31, 2026: Martin's Point Generations Advantage Prime is not sold where you live.
- October 15 to December 7, 2026
- Open enrollment: join another Medicare Advantage plan, or Original Medicare with a drug plan. Coverage starts January 1, 2027.
- December 8, 2026 to the end of February 2027
- A special enrollment period because the plan is leaving: you can still join a plan, but coverage starts the first day of the month after you join, so choose by December 31 to have no gap.
- If you do nothing
- You are enrolled in Original Medicare when the plan ends, without a drug plan unless you join one (with Extra Help or full Medicaid, Medicare enrolls you in one).
- Without a drug plan
- Going 63 days or more in a row without drug coverage can mean a late enrollment penalty if you join a drug plan later; joining by the end of February keeps a January and February gap under 63 days, waiting longer does not.
Source: Medicare.gov, “Special enrollment periods” and “Joining a plan” (read Oct. 7, 2026).
Where did its members live?
Where its members lived in September 2026; each county and state page lists the 2027 plans sold there.
| County | Members, Sept. 2026 | For 2027 |
|---|---|---|
| Cumberland, ME | 16,330 | plan ends here |
| York, ME | 7,316 | plan ends here |
| Androscoggin, ME | 4,825 | moves into H5591-022 |
| Kennebec, ME | 4,087 | moves into H5591-022 |
| Sagadahoc, ME | 1,965 | moves into H5591-022 |
Source: CMS monthly enrollment by plan and by county, September 2026 (CMS hides counts under 11).
What else should you check?
- 2027 plans in Cumberland, METhe plans you can join instead
- Martin's Point Generations Advantage plans for 2027Plans the same company still offers
- Every plan not offered in 2027764 Medicare Advantage and drug plans