Extra Benefits for 2023 plans
We know rising costs takes a toll. That’s why we offer extra benefits that help members save.
$150 Eyewear discount
Members can get up to $150 toward the full retail price (not sale price) for eyeglasses, prescription lenses, frames, and/or contact lenses from a provider in the EyeMed Vision Care Network (includes more than 26,000 eye care providers, including national chains such as LensCrafters®, Pearle Vision®, and Target® Optical), or up to $90 from a store not in the EyeMed network. (Discounts can’t be combined.)).
Stay fit and save with Wellness Allowance
Members can get up to $150 ($350 for members in the Tufts Medicare Preferred HMO Saver Rx and Smart Saver Rx plans) each calendar year for fees they pay for membership in a qualified health or fitness club, wellness programs, acupuncture, online instructional fitness classes or membership fees for online fitness subscriptions (such as Peloton), and much more.1
Hearing aid benefit
With copays ranging from $250 to $1,150 for each hearing aid, members can choose from 5 levels of hearing aids from Standard level to Premier. Members are covered for up to 2 hearing aids per year, 1 hearing aid per ear, provided by Hearing Care Solutions. Members are also covered for a $0 hearing aid evaluation once per year.2
To find a HCS provider, visit hearingcaresolutions.com/tuftshealthplan.
$150 Weight management benefit
Members can receive up to $150 annually towards the fees they pay for weight management programs such as Weight Watchers, Jenny Craig, Hospital-based weight loss programs, and more!
$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, cholesterol, glaucoma, and many more.
Dental coverage that covers more3
Depending on the plan selected, members have the opportunity to either add dental coverage or enhance their dental coverage for an additional premium.
- Saver, Basic, and Value plans—Include $1,000 supplemental dental benefit that covers preventive and basic services. Plus, for an additional monthly premium of $19.50, you can upgrade to the Tufts Health Plan Medicare Preferred Dental Option to enhance the included dental coverage by reducing cost share on basic services and adding coverage for major services.
- Prime 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 $31 monthly premium.
- Smart Saver Rx plan—Includes $1,500 of supplemental dental coverage for preventive, basic, and major dental services.
To find a dentist, go to thpmp.org/dentist.
Members of Saver, Basic, Value, or Prime plans can sign up for the Tufts Health Plan Medicare Preferred Dental Option:
- Sign up by December 7, 2022, for a January 1, 2023, effective date, or
- Sign up by January 31, 2023, for a February 1, 2023, effective date.
Just fill out and submit the form at thpmp.org/2023-dental-enrollment. If members signed up for the Dental Option in 2022, their coverage will automatically renew.
For complete coverage details see the Evidence of Coverage (EOC) available at thpmp.org/documents.
If you have any questions, please contact Medicare Broker support:
1 $150 ($350 for members in the Tufts Medicare Preferred HMO Saver Rx and Smart Saver Rx plans) is the total reimbursement amount each year (Jan. 1–Dec. 31) whether used for a health club, fitness classes, nutritional counseling, or wellness programs.
2 Hearing aids and hearing aid evaluation must be with a Hearing Care Solutions provider. Benefit does not cover cost of mold and tubing.
3 The 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 including details for how to request a pre-treatment estimate and other limitations that apply. Preventive services examples: routine cleanings and oral exams. Basic services examples: fillings and simple extractions. Major services examples: crowns, root canals, and dentures. Dental implants are not covered