- Not available for
Getting this plan:Some of our group plans may be offered through your employer. Speak with them to initiate enrollment or call us directly for more details.
- Some of our employers offer HMO coverage for their retirees. Find out if your employer is offering our HMO, contact Tufts Medicare Preferred at 1-800-890-6600.
With Tufts Medicare Preferred Group HMO plans you select a Primary Care Physician (PCP) from our network of participating physicians in your area.
Our HMO plans include comprehensive coverage for care*, including:
- Doctor's office visits and Specialist care
- Medically necessary inpatient hospitalization
- Lab tests
- Comprehensive Pharmacy coverage
- Emergency coverage worldwide
*Copayments, deductibles, and limitations apply.
Our coordinated approach to healthcare
The PCP you choose works with certain plan specialists he/she uses for referrals, called a “referral circle,” to provide the medical care you need. This means in most cases, you will not have access to the entire Tufts Medicare Preferred HMO network, except in an emergency or urgent care situations, or for out-of-area renal dialysis. If you obtain routine care from out-of-network providers neither Medicare nor Tufts Health Plan Medicare Preferred will be responsible for the costs.
This coordinated approach to care helps ensure that you receive the right level of care in the right setting at the right time.
If you have coverage from an employer or union, joining Tufts Health Plan Medicare Preferred may change how your current coverage works. Read the communications your employer or union sends you. If you have questions, visit your fomer employee's website, or contact the office listed in their communications. Some employers may require you to send your application to them.
Massachusetts Plan Service Area
To join a Tufts Medicare Preferred HMO plan you must live in Barnstable, Bristol, Essex, Hampden, Hampshire, Middlesex, Norfolk, Plymouth, Suffolk or Worcester counties.