Quality Coverage Your Clients Can Depend On

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With high-quality coverage, excellent benefits and services, extra discounts, and a commitment to excellence, you can feel good about recommending Tufts Health Plan Medicare Advantage plans to your clients. 


These are just some of the reasons our plans stand out: 

  1. 5 out of 5 Stars for Quality: Tufts Health Plan Medicare Advantage HMO plans received Medicare’s highest rating for quality—5 out of 5 Stars—for the 8th year in a row! Our plan is the only Medicare Advantage HMO plan in Massachusetts to receive a 5-Star rating for 2023, and no other Massachusetts Medicare Advantage plan has ever received 5 Stars 8 years in a row! Our Star rating reflects how easy it is for members to get the checkups, screenings, and information they need to stay healthy. A plan receives a 5-Star rating only by providing exceptional service to their members in many different areas including customer service, member satisfaction, health care quality, and getting appointments quickly. Plus, because of our 5-Star rating, your clients can still enroll in our Medicare Advantage HMO plans–Even if they already selected another plan.
  2. $0 Monthly Premiums: Our HMO plans and our Access PPO plan are available with premiums as low as $0 a month. 
  3. Prescription Drug Savings: With Rx drug coverage included, our plans offer members great ways to save on their prescription drug costs, such as:
    • $0 copay for Tier 1 drugs at preferred pharmacies
    • $0 vaccines on Tier 6, including Shingrix
    • Savings of up to $212 a year on prescription drug costs by using OptumRx home delivery
  4. $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.)
  5. Up to $500 to Stay Fit: Our Wellness Allowance benefit helps members lead a healthy lifestyle. And it pays them back:
    • Depending on the plan, members can get up to $350 each year for fees they pay towards membership in a qualified health or fitness club; wellness programs; acupuncture; fitness classes such as yoga, Pilates, tai chi, or aerobics, and much more!1
    • Plus, members can use their Weight Management reimbursement to reach their weight loss goals! Members can get up to $150 toward the program fees of WeightWatchers® or hospital-based weight loss programs.2  
  6. Hearing Aid Discount: 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 (HCS). Members are also covered for a $0 hearing aid evaluation once per year.3 To find an HCS provider, visit hearingcaresolutions.com/tuftshealthplan. Note: Hearing aid benefit may not apply if members receive their benefits from a current or former employer.
  7. $0 Health Screenings: Getting regular screenings is one of the best ways to stay healthy. Members can take advantage of a $0 copay for many screenings including cancer, cholesterol, glaucoma, and many more.  
  8. Member-Only Discounts: Save on a variety of healthy lifestyle programs and services, including discounts on yoga classes from home, massage therapy, acupuncture, and more.4 For a complete list of discounts, go to thpmp.org/extras.
  9. Dental Coverage that Covers More5: Depending on the plan, members have the opportunity to either add dental coverage or enhance the dental coverage that comes with their plan 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, members on these plans can upgrade to the Tufts Health Plan Medicare Preferred Dental Option6 to enhance the included dental coverage by reducing the cost share on basic services and adding coverage for major services.
    • Prime and Prime Rx Plus plans—Do not include supplemental dental coverage, but members on these plans 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.

The Tufts Health Plan Medicare Preferred Dental Option is not available if members receive their benefits from a current or former employer.

 

If you have any questions, please contact Medicare Broker Support:  
Email: medicarebrokersupport@point32health.org  
Call: 1-833-984-2387


1$150 (or $350 for members in our Saver Rx, Smart Saver Rx, and Access PPO plans) is the total reimbursement amount each year (January 1–December 31) whether used for a health club, fitness classes, nutritional counseling, or wellness programs.
2$150 is the total reimbursement amount each year (January 1–December 31). This benefit does not cover costs for pre-packaged meals/foods, books, videos, scales, or other items or supplies.
3Hearing aids and hearing aid evaluation must be with a Hearing Care Solutions provider. Benefit does not cover cost of mold and tubing.
4Discounts and services included in the Preferred Extras program are not plan benefits and are not subject to the Medicare appeals process.
5 Benefit limits, network restrictions, and cost shares apply.
6If purchased, the Tufts Medicare Preferred Dental Option replaces the embedded dental benefit included with your plan, if applicable.