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

H5591Contract016Plan

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: members move into H5591-017 in 3 of its 5 counties; in the others the plan ends

Folds in part

Martin's Point Generations Advantage Prime (H5591-016) 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 (H5591-017), in the 3 counties where that plan is sold (2,302 members in September 2026). In its other 2 counties (740 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?

For members in the 3 counties where Martin's Point Generations Advantage Prime is sold: this plan's 2026 amounts beside Martin's Point Generations Advantage Prime (H5591-017) in 2027. The changed lines are marked and come first.
What you pay or get	2026	2027	Change
Monthly premium	$109	$85	down $24
In-network out-of-pocket limit	$7,000	$8,150	up $1,150
Drug deductible	$275	$500	up $225
Specialist visit	$40 copay	$45 copay	up $5
Hospital stay, in network	$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	$0 a day for days 1–20, then $150 a day for days 21–100	$0 a day for days 1–20, then $221 a day for days 21–100	up $710for a 30-day stay
Over-the-counter items, yearly	$200 a year	$100 a year	down $100
Counties served	5	7	up 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	33% of the cost	up 1 point
Drug tier 5, specialty tier	29% of the cost	28% of the cost	down 1 point
11 lines do not change
Part B premium reduction, monthly	none	none	no change
Primary care visit	$0 copay	$0 copay	no change
Emergency room	$115 copay	$115 copay	no change
Medical deductible, in network	none	none	no change
Ground ambulance, in network	$325 copay	$325 copay	no change
Comprehensive dental, yearly limit	not offered	not offered	no change
Eyewear, yearly limit	$150 a year	$150 a year	no change
Hearing aids, yearly limit for both ears	$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 Lincoln (ME), Oxford (ME), Waldo (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 Piscataquis (ME), Somerset (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.

All 5 counties, most members first; CMS hides counts under 11 per county, so the counties add up to a little less than the plan's total
County	Members, Sept. 2026	For 2027
Lincoln, ME	956	moves into H5591-017
Waldo, ME	696	moves into H5591-017
Oxford, ME	650	moves into H5591-017
Somerset, ME	505	plan ends here
Piscataquis, ME	235	plan ends here

Source: CMS monthly enrollment by plan and by county, September 2026 (CMS hides counts under 11).

What else should you check?

2027 plans in Lincoln, 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