Broker Newsletter - July 2025
Your July 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:
Pre-GAME kick off party/Broker certification/AEP prep
Tufts Health Plan is sponsoring the pre GAME Kick Off Welcome Cocktail Party on August 11th from 7 p.m. to 10 p.m. the night before the Garity event on August 12th. The party will be held at Grace by Nia (in the Grand Pequot Tower of the Foxwoods Resort Casino). This event is open to registered attendees of GAME and Carrier Reps/Vendors of GAME.
This event offers a unique opportunity to connect with attendees in a relaxed and informal setting the evening before the expo. This is your chance to network early, establish valuable relationships before the main event even begins, and make a memorable first impression. We look forward to seeing you there!
How to Identify PCP Status
With our doctor search tool you can check the status of primary care providers (PCPs) to identify if they are accepting patients. Click on the link below. Choose the plan (HMO, PPO, or SCO). Choose location. Click on ‘doctors by name’. PCPs accepting patients will show as ‘Primary care provider / Accepting Patients’. Specialists accepting patients will show as ‘Accepting Patients’.
Important Reminder: SCO Applications
Please avoid creating any MassHealth-only applications. All SCO enrollments must have MassHealth and Medicare Part A and Part B.
4 Steps to Get Ready for AEP
To ensure a successful Medicare Annual Enrollment Period (AEP) season, make sure to complete these 4 steps:
- Complete AHIP Certification
This is a mandatory annual requirement for selling Medicare Advantage plans. AHIP Certification opened on June 23, 2025. Log in using the link below to complete the training and exam. Once complete, you can transmit your scores to Point32Health by selecting “Tufts Health Plan” regardless of the state (CT and/or MA) you do business in - Log in here! - Complete Product Specific Certifications
Complete all necessary product-specific certifications for each state (CT and/or MA) you plan to represent in 2026. This ensures you're knowledgeable about the plans and compliant with Point32Health guidelines. Certifications will be available in August, so watch your email for notifications of training dates and times! - Verify Your License To Be Ready to Sell
Once we receive your AHIP, product certification(s) and verify your license is up to date, you are ready to sell. - Stay Up to Date with Compliance
Re-familiarize yourself with all Medicare marketing guidelines and CMS regulations to avoid any compliance issues. Ensure you have proper documentation for all client interactions and enrollment forms.