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Our Wellness Allowance benefit helps you lead a healthy lifestyle - and it pays you back. Members of a Tufts Medicare Preferred HMO plan can receive $150 (or $300 for our Saver Rx plan members) reimbursement each year1 for fees related to:
With our eyewear beneﬁt, you can get up to $150 toward the full retail price, (not sale price) for one complete pair of prescription eyeglasses or contact lenses from a provider in the EyeMed network2. Or, get up to $90 toward the price for one complete pair of eyeglasses or contact lenses from a store not in the EyeMed network3. (Discounts cannot be combined).
EyeMed Vision Care is the network we use to provide your eyewear beneﬁt. The EyeMed network includes more than 26,000 eye care providers including national chains such as LensCrafters, Sears Optical, Target Optical, and JCPenney Optical. See your Provider Directory for a list of providers in the EyeMed network by town.
Members of a Tufts Medicare Preferred HMO plan are also eligible for $150 rebate each year1 towards fees associated with weight management programs that include:
Getting regular screenings is one of the best ways to stay healthy. Screenings help find illness or disease before you start to see the signs and feel the symptoms. The copayment for many screenings is $0, these include:
An important part of enjoying your next trip is knowing that you are covered for emergency and urgent care anywhere in the world. As a member of Tufts Medicare Preferred you do not need a referral from your primary care physician before getting emergency or urgent care.
Here's the difference between emergency and urgently needed care:
If you receive emergency or urgent care when traveling you may need to pay out of pocket. Simply save your receipts, and call Customer Relations for reimbursement details4.
1. $150 is the total reimbursement amount each year (January 1 - December 31) whether used for a health club, fitness classes, nutritional classes, or wellness programs.
2. Get up to $150 towards the full retail price (not sale price) of one complete pair of prescription eyeglasses, or contact lenses once every calendar year from a provider in the EyeMed network, OR up to $90 from a store not in the EyeMed network (discounts can't be combined). Can be applied to complete pair of eyeglasses (lens, frames, & lens options) or contact lenses, but not both. $150 discount cannot be combined with any other discounted offer. Sale items excluded and cannot be combined with store discounts, coupons, or promotional codes.
3. The $90 out-of-network beneﬁt cannot be combined with the $150 in-network beneﬁt. Examples of out-of-network stores include national chains such as BJ's, Costco, and Walmart. You must ﬁle a request for payment to receive the $90. Please use the out-of-network vision services claim form. For more information, call EyeMed at 1-866-308-1863 (TDD/TTY 1-866-308-5375).
4. Reimbursement applies to emergency and urgent care situations only. You may be responsible for any copays that apply.