The 9 Best Ways Your Plan Helps You Save in 2026

Get up to $450 to stay fit

Use your Wellness Allowance and Weight Management reimbursement to lead a healthy lifestyle.

Wellness Allowance—Depending on your plan, you can get between $100 and $300 per year to use toward gym memberships, fitness classes, home fitness equipment, acupuncture, massage therapy, alternative therapies—and more.¹
Weight Management reimbursement—Get $150 toward the program fees of WeightWatchers® or hospital-based weight loss programs!²

Learn more about your Wellness Allowance

Learn more about your Weight Management reimbursement

For full details, see your Evidence of Coverage available at thpmp.org/documents

See your doctor for between $0 and $10

Many services that you see your primary care physician (PCP) for, such as an annual physical, cost $0.³ But seeing your PCP for a general appointment has a low $10 copay ($0 for HMO Smart Saver Rx members and $0 in-network for PPO RX members). This helps make it easier for you to see your PCP if you need to. And most of your benefits have set copay amounts, which makes it easier to know exactly what a service will cost you.

Learn how to get the most from your next doctor visit

Use your extra discounts to save on hearing aids, massage therapy, and more

Did you know Tufts Health Plan Medicare Advantage HMO and PPO plan members get extra discounts? With your Preferred Extras,⁴ you can save on great programs and services such as hearing aids, nutritional counseling, massage therapy, acupuncture, and much more!

See a complete list of Preferred Extras discounts

Save up to $196 on prescription drug costs with home delivery

If your plan includes prescription drug coverage, you may be able to save up to $49 for a 90-day supply of prescription medications (depending on the plan you are in and the tier your drug is on) by signing up for home delivery. That’s a potential savings of up to $196 a year!⁵ With home delivery, your medications are conveniently mailed to your home.

To sign up, call OptumRx at 1-800-299-7648 (HMO)/1-800-460-0322 (PPO).

Learn more about home delivery

Save up to $250 on eyeglasses (HMO plans)

HMO plan members can get up to $150 ($250 for Smart Saver Rx members) toward the full retail price (not sale price) of eyewear (prescription lenses and/or frames) and/or contact lenses from a provider in the EyeMed network.

Or get up to $90 ($150 for Smart Saver Rx members) toward the price of eyewear (prescription lenses and/or frames) and/or contact lenses from a store not in the EyeMed network.⁶

Learn more about your eyewear discount

Save on hearing aids

You're covered for up to 2 hearing aids per year, 1 hearing aid per ear. The best part? There are five technology levels to choose from and pricing is fixed, with copays ranging from $250 to $1,150 for each hearing aid. You're also covered for a $0 hearing aid evaluation once per year.⁷

Learn more about your hearing aid discount

Get your $0 health screenings

Getting regular screenings is one of the best ways to stay healthy. Take advantage of a $0 copay for many screenings, including cancer, diabetes, glaucoma, and more. (PPO RX members, see your Evidence of Coverage at thpmp.org/documents for cost shares for screenings received out-of-network).

See all preventive screenings

Get up to $1,500 of dental coverage (HMO plans)

Depending on the plan you are in, you can either add dental coverage or enhance your existing dental coverage.⁸

Smart Saver Rx plan—Includes $1,500 of supplemental dental coverage for preventive, basic, and major dental services.
Basic, Basic Rx, Value, and Value Rx plans—Include a $1,000 supplemental dental benefit that covers preventive and basic services. Plus, for an additional monthly premium of $38, you can upgrade to the Tufts Medicare Preferred Dental Option to enhance the included dental coverage by reducing cost share on basic services and adding coverage for major services.
Prime, Prime Rx, and Prime Rx Plus plans—Do not include supplemental dental coverage, but you may add $1,000 of dental coverage for preventive, basic, and major dental services for an additional $38.50 monthly premium.

Members of Basic, Value, and Prime plans can sign up for the Tufts Medicare Preferred Dental Option⁹:

Sign up by December 7, 2025, for a January 1, 2026, effective date.
Sign up by January 31, 2026, for a February 1, 2026, effective date.

Just fill out and submit the Dental Option Enrollment Form available at thpmp.org/forms. If you signed up for the Dental Option in 2025, your coverage will automatically renew. For complete coverage details, see your Evidence of Coverage (EOC).

The Tufts Medicare Preferred Dental Option is not available if you receive your benefits from a current or former employer.

Learn more about dental coverage plans and options

Use your OTC benefit (Smart Saver Rx plan only)

Smart Saver Rx plan members get $75 per calendar quarter to spend on over-the-counter, health-related items such as toothbrushes, aspirin, allergy relief items, adhesive bandages, sunscreen, and more!¹⁰

See OTC Details

This information is not a complete description of benefits. Call 1-800-701-9000 (HMO) or 1-866-623-0172 (PPO) (TTY: 711) for more information. Benefit information described is for Tufts Health Plan Medicare Advantage HMO and PPO plan members. Benefit information may be different if you receive your benefits from a current or former employer.

_{¹$150 ($300 for Smart Saver and $100 for PPO Rx plan) is the total reimbursement amount each year (Jan. 1–Dec. 31) for covered programs and activities including acupuncture visits not covered by Medicare, health education programs, nutritional counseling, fitness benefits (including one fitness tracker or heart rate monitor), physical fitness programs, wellness programs, alternative therapies, and massage therapy. Please see your Evidence of Coverage (EOC) for more details.}

_{²$150 is the total reimbursement amount each year (Jan. 1–Dec. 31). This benefit does not cover costs for pre-packaged meals/foods, books, videos, scales, or other items or supplies.}

_{³A copay may apply if you receive services that address a medical condition during an annual physical or Annual Wellness Visit.}

_{⁴Discounts and services included in the Preferred Extras program are not plan benefits and are not subject to the Medicare appeals process.}

_{⁵Applies to Rx plans. Savings may be different depending on the plan you are in and the tier the drug is on, or if you receive your benefits from a current or former employer.}

_{⁶You can get up to $150 ($250 for Smart Saver members) toward the full retail price (not sale price) for eyeglasses, prescription lenses, frames, and/or contact lenses including upgrades from a provider in the EyeMed Vision Care Network. Or get up to $90 ($150 for Smart Saver members) from a provider not in the EyeMed network. Only one purchase is allowed per calendar year up to the benefit amount; any unused amount after the single purchase will expire and cannot be applied toward another purchase during the calendar year. If you use a non-EyeMed provider, you would need to pay out of pocket and submit for reimbursement. Discounts can’t be combined. Please refer to your Evidence of Coverage for more details.}

_{⁷Hearing aids and hearing aid evaluation must be with a TruHearing, Inc. provider. PPO members may receive hearing aid evaluation from providers other than TruHearing, Inc.; out-of-network cost share applies.}

_{⁸The plan is administered by Dominion Dental Services, Inc., which operates under the trade name Dominion National. Benefit limits apply. Cost share applies to non-preventive services. Services must be performed by providers in the Dominion PPO Network. Please refer to your Evidence of Coverage for more information.}

_{⁹If purchased, the Tufts Medicare Preferred Dental Option replaces the embedded dental benefit included with your plan. Please refer to your Evidence of Coverage for more information.}

_{¹⁰Quarterly OTC credit is for the purchase of Medicare-approved OTC items from participating retailers and plan-approved online stores. Unused balance at the end of a calendar quarter does not roll over. Under certain circumstances, items may be covered under your Medicare Part B or Part D benefit.}