Broker Newsletter - December 2025

Publish Date

Your December Newsletter Update


We want to make it easier for you to provide Tufts Health Plan as a solution to your clients. To help support your hard work, here is what we thought you should know this month:

 

Tips for enrolling SCO and One Care (D-SNP) members

This easy-to-use guide highlights five important steps to ensure your applications for our D-SNP plans go through  – and you get your commission.

See DSNP enrollment tips

 

Make sure you’re ready to sell for 2026

If you have existing business with Tufts Health Plan and want to continue to receive renewals, make sure you’re ready to sell for 2026.

Log into the Broker Portal to check your status:

Certifications & Licenses > Ready to Sell to check RTS status for 2026

Be ready to sell


Provider updates

South Shore will continue to be part of our network for 2026.

The following providers will not be part of our network in 2026:

  • Milford Regional Physicians Group – PCPs only – Specialists remain INN (affects HMO, PPO, OneCare)
  • Pentucket Medical (affects OneCare)
  • Milton Primary Care (affects HMO, PPO)
  • Primary Care Medical Associates (affects HMO, PPO)

 

Helping new members start off right

Once your clients enroll in Tufts Health Plan, make sure they have the information they need to start their plan off right. This checklist created specifically for brokers makes it easy.

Get New Member Checklist

 

Commissions overview

Tufts Health Plan made the difficult decision to discontinue our $0 Tufts Medicare Preferred Access PPO plan and to make some 2026 plans non-commissionable. Below is an outline of the commissionable and non-commissionable plans for your reference:

Discontinued Plans:

  • Tufts Medicare Preferred Access PPO
  • Tufts Medicare Preferred HMO Saver Rx  

List of Non-Commissionable Plans:

  • Massachusetts PPO (H9907) – Tufts Medicare Preferred PPO Rx
  • Massachusetts HMO (H2256) – Tufts Medicare Preferred HMO Smart Saver 

Note: PPO Rx and Smart Saver are non-commissionable for new business only


List of Commissionable Tufts Medicare Preferred HMO Plans at 2026 Fair Market Value:

  • Prime Rx Plus
  • Prime Rx
  • Prime No Rx
  • Value Rx
  • Value No Rx
  • Basic Rx
  • Basic No Rx

List of Commissionable DUAL ELIGIBLE plans at 2026 Fair Market Value:

  • Massachusetts SCO (H8330) – Tufts Health Plan Senior Care Options (HMO-DSNP)
  • Massachusetts One Care DSNP (H5314) – Tufts Health One Care (HMO-DSNP)


Renewals:

  • We will continue to pay renewals on all existing members at 2026 Fair Market Value

These updates will not impact Harvard Pilgrim Health Care Medicare Supplement sales which will be compensated at current rates.