Broker Newsletter - March 2026

Publish Date

Your March 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:

 

D-SNP plan monthly application deadline

To ensure Tufts Health Plan can review and process your submissions before sending them to the state, all SCO and One Care applications must be submitted to Tufts Health Plan no later than 2:00 PM on the last working business day of the month.

 

For example:

In March, your applications must be submitted to Tufts Health Plan no later than 2:00 PM on Tuesday, March 31.

 

D-SNP plan monthly application deadline

In order for a D-SNP application to be processed correctly, send us the completed application by:

Email: DSNP_Applications@point32health.org 
 

Examples:

SCO

BN_SCO_Email_Ex

One Care

BN_OC_Email_Ex


Or

Fax: 1-617-673-0785
 

Important: When sending in your SCO and One Care applications, please use one method only. If you send via FMO, please do not resend directly to us.

 

Our network for SCO is growing

Our network for SCO is growing in Hampden and Hampshire counties. Holyoke Community Health Center is now part of the network for SCO.

 

2025 member reimbursements due March 31

If your clients enrolled in a fitness class, paid fees toward a gym membership, joined a qualifying weight management program, or participated in another qualifying program in 2025, remind them to fill out and submit their reimbursement forms. Reimbursement forms for 2025 need to be received by Tufts Health Plan by March 31, 2026.

 

2025 reimbursement amounts

  • Members get up to $150 ($175 for Smart Saver members, and $300 for Saver members) back with their 2025 Wellness Allowance benefit 
  • Members get up to $150 back with their 2025 Weight Management benefit

2025 Wellness Allowance Reimbursement Form
Weight Management Reimbursement Form
 

Medicare CAHPS survey begins March 10

Beginning March 10th, our survey vendor (PressGaney) will begin mailing the annual Medicare CAHPS survey questionnaires to Tufts Health Plan Members.

We have provided general information about the survey below in case you receive questions. The CAHPS survey questionnaire provides a great opportunity for us to learn more about our members’ experiences with the plan and with health plan providers. If you receive any inquiries, please be sure to encourage completion.

The CAHPS survey asks questions about experiences related to getting needed care, quality of care, and quality of their health plan. Members are randomly sampled; not all members are surveyed. The CAHPS survey is sent by a vendor as required by the Centers for Medicare & Medicaid Services (CMS).

Medicare CAHPS communication timeline:  

  • 1st survey mailing – Sent on March 10
  • 2nd survey mailing – March 30
  • Phone attempts to non-responders – April 22-May 30
  • Medicare members have until 6/1 to respond
  • Surveys are sent in English, Spanish, and Chinese (based on the members’ language preference we have on file) 
  • Survey results are aggregated; Tufts Health Plan does not receive member-identifiable responses

 

OEP do’s and don’ts

You can still sell during the Open Enrollment Period (OEP), but there are some important guidelines to keep in mind.  

 

What can you do and not do during OEP that runs from January 1 to March 31?  

CMS prohibits “knowingly” targeting or marketing to Medicare Advantage enrollees during OEP, including distribution of unsolicited marketing materials and activities that use OEP as a sales opportunity.

 

What you can do:

  • Provide information and respond to questions about OEP and the opportunity to switch Medicare Advantage plans when asked.
  • Send marketing materials about Tufts Health Plan when requested by a client.
  • Educate individuals aging into Medicare (“age-ins”) and Low Income Subsidy (LIS) and dual-eligible recipients about Tufts Health Plan.
     

Need to view plan details? Find them on our plan compare page.