Broker Newsletter - November 2025
Your November Annual Enrollment Period (AEP) 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:
AEP Support
Don’t hesitate to reach out to Broker Support with any questions. We’re here to help you get the information and materials you need. Thank you for everything you do each year during the busy AEP season.
Medicare Sales Manager (Brokers) – Lenieve Henry
857-283-2465
Lenieve.Henry@point32health.org
Duals - SCO & One Care Broker Relationship Manager – Juraci Capataz
781-980-8500
Juraci.Capataz@point32health.org
Medicare Broker Support
1-833-984-2387
medicarebrokersupport@point32health.org
*Updated Hours for Medicare Broker Support: Our phone line is now available Monday through Friday, from 9:00 AM to 3:00 PM. You can also reach us by email or contact your BRM directly for assistance.
SCO and One Care – everything you need to know
Find all the Tufts Health Plan Senior Care Options (SCO) plan information you need:
SCO documents such as the Formulary, ANOC, and more can be found on our documents page:
Use our One Care landing page as a one-stop resource for members transitioning from MMP to D-SNP, including information about ID cards, new plan benefits, 2026 plan documents, FAQs and more.
We are committed to providing the information you need to make enrolling clients in our plans as easy as possible and to ensure you get your commission. Be on the look out next week for our Enrolling SCO and One Care (D-SNP) Members Guide which highlights five important steps to remember when enrolling clients.
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.