Martin's Point Generations Advantage Prime (HMO-POS) in Lincoln County, Maine — 2026 plan details
Last updated Jul 18, 2026
Reviewed by Jason Burns, Editorial Steward
Published by Senior Direct Answers · Licensed under Citation License 1.0
Martin's Point Generations Advantage Prime (HMO-POS) (H5591-016) is a $109-premium Medicare Advantage HMO-POS from Martin's Point Health Care, Inc. available in Lincoln County, Maine in 2026, with a 4.0-star overall rating, a $7,000 in-network out-of-pocket maximum, and a $275 annual Part D drug deductible.
Plan facts (CMS CY2026 Landscape file)
| Organization | Martin's Point Health Care, Inc. |
|---|---|
| Plan name | Martin's Point Generations Advantage Prime (HMO-POS) |
| Contract ID | H5591 |
| Plan ID | 016 |
| Segment ID | 0 |
| Contract year | 2026 |
| Contract category | MA-PD |
| Plan type | HMO-POS |
| SNP | No |
| Monthly consolidated premium | $109.00 |
| Part C premium | $81.50 |
| Part D basic premium | $27.50 |
| Part D total premium | $27.50 |
| Annual Part D deductible | $275.00 |
| Maximum out-of-pocket (in-network) | $7000.00 |
| Overall star rating | 4.0 |
How this plan is structured
- $109 consolidated premium. A $0 or near-$0 consolidated premium does not remove the Part B premium — the standard 2026 Part B premium is $202.90 per month and still applies. See the 2026 Medicare Part B premium.
- HMO-POS plan type. In an HMO-style Medicare Advantage plan, in-network care and primary-care referral rules generally apply. See how Medicare Advantage HMO and PPO plans differ.
- $7,000 in-network out-of-pocket maximum. The MOOP is the annual cap on what a member pays in-network for covered Part A and Part B services. See how the Medicare Advantage MOOP works.
- Service area = Lincoln County. Medicare Advantage plans are sold by service area; moving out of the plan's service area triggers a Special Enrollment Period to switch plans. See how moving changes your Medicare options.
How it compares in Lincoln County
The CMS CY2026 Landscape file lists 35 Medicare Advantage plans in Lincoln County, Maine, of which 0 carry a 5.0-star overall rating and 18 have a $0 consolidated monthly premium. Consolidated premiums range from $0.00 to $109.00 per month, and in-network out-of-pocket maximums range from $4300.00 to $9250.00.
For the full county plan directory, see all Medicare plans in Lincoln County, Maine.
How to verify your doctors take this plan
Network participation changes throughout the year; we hold no provider-network data, so verify directly with these three sources before you decide:
- Open the plan's official Medicare.gov page and use its provider-directory link: Medicare.gov Plan Finder — H5591-016.
- Call the plan (Martin's Point Health Care, Inc.) using the member-services number listed on that plan page and ask whether each doctor, hospital, and pharmacy is in-network for 2026.
- Get free, unbiased help from your State Health Insurance Assistance Program (SHIP) — see free unbiased Medicare help from SHIP.
What H5591-016 means
CMS assigns every Medicare Advantage and Part D offering a plan identifier made of three parts. In H5591-016, the leading H marks the contract type (H = Medicare Advantage / Part C contract), the four digits 5591 are the contract number issued to the organization, and the three-digit 016 is the plan benefit package under that contract. The segment ID 0 identifies the service-area segment within the plan (0 = the default single segment).
Frequently asked questions
Is Martin's Point Generations Advantage Prime (HMO-POS) an HMO or PPO?
Martin's Point Generations Advantage Prime (HMO-POS) is an HMO-POS — a Health Maintenance Organization-style Medicare Advantage plan, meaning in-network care and referral rules generally apply.
Does Martin's Point Generations Advantage Prime (HMO-POS) include prescription drug coverage?
Yes — Martin's Point Generations Advantage Prime (HMO-POS) is a Medicare Advantage plan with prescription drug coverage (MA-PD) and a $275.00 annual Part D drug deductible for 2026.
What is the maximum out-of-pocket cost for Martin's Point Generations Advantage Prime (HMO-POS)?
The 2026 in-network maximum out-of-pocket limit for Martin's Point Generations Advantage Prime (HMO-POS) is $7000.00, per the CMS CY2026 Landscape file.
What counties offer Martin's Point Generations Advantage Prime (HMO-POS) (H5591-016)?
Martin's Point Generations Advantage Prime (HMO-POS) (H5591-016) is offered in five Maine counties: Lincoln County, Oxford County, Piscataquis County, Somerset County, and Waldo County.
Sources
- CMS, Plan Year 2026 Medicare Advantage & Part D Landscape source file (March 2026) — retrieved 2026-07-18. Overall star rating year: 2026.
- Medicare.gov Plan Finder — compare plans and enroll.