2027 Tufts Health One Care (D-SNP)
All your current benefits through Medicare and MassHealth (Medicaid) and more, at no cost to you!
One Care Benefit Overview
Your Tufts Health One Care benefits cover these services:
Medical: Visits to doctors and specialists, hospital stays, x-rays and lab tests, and much more.
Behavioral health (mental health and/or substance use): Different types and levels of mental health and substance use services based on needs and recovery goals.
Pharmacy: Prescriptions through your plan as well as over-the-counter items, such as vitamins, allergy medications, nicotine patches, hydrocortisone cream, etc.
Vision: Yearly routine eye exam as well as coverage for eyeglasses and contact lenses.
Dental: Covered dental services include: routine cleanings, X-ray panels, fillings, orthodontic services, crowns, root canals and dentures.
YMCA membership: FREE membership to your local Massachusetts YMCA facility, valid at your local participating YMCA facility in Massachusetts. Membership does not include classes. **Flexible benefits are available if identified in your care plan. Please talk to your care coordinator for more information.
Instant Savings Card: allowance every 3 months to spend on select over-the-counter (OTC) health, hygiene and grocery products at participating retailers. **Flexible benefits are available if identified in your care plan. Please talk to your care coordinator for more information.
Medical equipment: Access to durable medical equipment (DME) including related supplies, replacement parts, training, modifications, and repairs.
Support for Your Health Goals
One Care plan members receive access to one-on-one support dedicated to reaching your health potential with personal care management such as:
A primary care provider (PCP)
You will see your PCP first for most health problems. Your PCP is a doctor or other provider who makes sure you get the care you need to stay healthy.
A care coordinator
You’ll have one care coordinator who will get to know you and help manage your care.
A care team
Your Cityblock Health care team will work together to meet your health needs.
An LTS coordinator
A long-term services (LTS) coordinator is part of your care team if you need long-term services and supports (LTSS) services. Most of these services are provided in your home or the community, but they may be provided in a nursing home or hospital.
Qualifying members may also have access to:
- Personal care attendant services (for qualifying members): You may need help with everyday tasks like taking a bath, getting dressed, preparing meals and eating. Personal care attendant services assist you with activities of daily living. For help with these hands-on tasks, you can hire a worker yourself or use an agency to hire one for you.
- Medication therapy management (for qualifying members): Medication therapy management is a clinical program that provides education and information about your medicines. A pharmacist will look for ways to improve your drug therapy. Services offered include a comprehensive medication review and targeted medication review.
The Tufts Health One Care member services team also has bilingual staff and offers free translation services in more than 300 languages in addition to offering alternate formats such as large print that work with screen reader technology, braille, and audio.
Footnote(s)
1Note: If you pay a premium to MassHealth for CommonHealth, you must continue to pay the premium to MassHealth to keep your coverage.
2Exceptions may apply; see your Member Handbook for details.
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