The 8 Best Ways Your Plan Can Help You in 2022
Get up to $400 to stay fit.
Our Wellness Allowance benefit helps you lead a healthy lifestyle. And it pays you back:
- Depending on the plan you are in, you can get up to $250 each year for fees you pay for 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, use our Weight Management programs reimbursement to reach your weight loss goals! You can get up to $150 toward the program fees of WeightWatchers®, Jenny Craig®, or hospital-based weight loss programs!2
For details, see your Evidence of Coverage (EOC) booklet.
It only costs $10 to see your doctor.
Many services that you see your primary care physician (PCP) for, such as an annual physical, cost $0. But seeing your PCP for a general appointment has a low $10 copay.3 This helps make it easier for you to see your PCP if you need to. You'll notice that most of your benefits have set copay amounts. This makes it easier to know exactly what a service will cost you.
Use your extra discounts to save on CVS products, massage therapy, and more.
Did you know Tufts Health Plan Medicare Advantage HMO plan members get extra discounts? With Preferred Extras4, you can save on great programs and services such as hearing aids, weight loss programs, certain CVS products, massage therapy, acupuncture, and much more!
You can save up to $196 on prescription drug costs with mail order.
If your plan includes prescription drug coverage, take advantage of mail order, a free service that delivers medications right to your home. By using mail order, you can 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).5 That’s a potential savings of up to $196 a year! Signing up for mail order is easy, just call CVS Caremark toll-free at 1-866-788-5144.
You can save $150 on eyeglasses.
You can get up to $150 toward the full retail price (not sale price) for eyewear (prescription lenses and/or frames) and/or contact lenses from a provider in the EyeMed network!
Or, get up to $90 toward the price for eyewear (prescription lenses and/or frames) and/or contact lenses from a store not in the EyeMed network. (Discounts cannot be combined).
You can save big 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.6
$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.
Up to $1,500 of dental coverage.7
Depending on the plan you are in, the Tufts Health Plan Medicare Preferred Dental Option offers you the opportunity to either add dental coverage or enhance existing dental coverage.
Add dental coverage to your plan for just $30 a month with the Tufts Health Plan Medicare Preferred Dental Option. Get up to $1,000 in dental coverage, including no copay for preventive services; 20% coinsurance on fillings and simple extractions; 50% coinsurance on major services such as dentures, bridges, and crowns; no deductible; and no waiting period.
Saver, Smart Saver, Basic, and Value members:
Your embedded dental benefit provides up to $1,500 in dental services with no deductible, no waiting period, no copay for preventive services, and 50% coinsurance for restorative services such as fillings and simple extractions. Find a dentist.
You can also enhance your dental coverage by upgrading to the Tufts Health Plan Medicare Preferred Dental Option for an additional $18.50 monthly premium.8
Sign up for the Tufts Health Plan Medicare Preferred Dental Option before December 7, 2021, for a January 1, 2022, effective date, or sign up by January 31, 2022, for a February 1, 2022, effective date. Just fill out and submit this form. (If you signed up for the Dental Option in 2020, your coverage will automatically renew.)
1$150 (or $250 for members in our Saver Rx and Smart Saver Rx plan) 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.
3Benefits, copays, and discounts may be different if you receive your benefits from a current or former employer.
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 or if you receive your benefits from a current or former employer. Tufts Medicare Preferred Prime Rx members can save up to $45 for a 90-day supply of prescription medications—a potential savings of up to $180 a year. Tufts Medicare Preferred Prime Rx+ members can save up to $30 for a 90-day supply of medications—a potential savings of $120 a year.
6Hearing aid evaluation and hearing aids must be with a Hearing Care Solutions provider. Benefit may not apply if you receive your benefits from a current or former employer.
7Benefit and network limits may apply. The plan is administered by Dominion Dental Services, Inc., which operates under the trade name Dominion National. Services must be performed by providers in the Dominion PPO Network. To check to see if your dentist is in network or to find a dentist, go to thpmp.org/dentist. Tufts Health Plan Medicare Preferred Dental Option is not available if you receive your benefits from a current or former employer.
8If purchased, the Tufts Health Plan Medicare Preferred Dental Option replaces the embedded dental benefit. Benefit amount remains at $1,000 annual maximum, but coinsurance on restorative services is reduced to 20%, and major services such as dentures, bridges, and crowns are covered with 50% coinsurance. Tufts Health Plan Medicare Preferred Dental Option is not available if you receive your benefits from a current or former employer.
This information is not a complete description of benefits. Call 1-800-701-9000 (TTY: 711) for more information.
Benefit information described is for Tufts Health Plan Medicare Advantage HMO plan members. Benefit information may be different if you receive your benefits from a current or former employer.
Resources & Tools
Use the drug search tools to find out if your drugs are covered and which tier they fall under on your plan type.
Find a Doctor
Find a doctor within your Tufts Health Plan Medicare Preferred HMO network or your Tufts Health Plan Senior Care Options network.
Health Library A-Z
Tufts Health Plan has partnered with Healthwise to provide members with access to a library of high-quality content on conditions, treatments and more.