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This document is a comprehensive formulary containing the prescription drugs covered by Tufts Health Plan Medicare Preferred Medicare Advantage HMO Group Plans.
This document is a comprehensive formulary containing the prescription drugs covered by Tufts Health Plan Medicare Preferred Medicare Preferred individual HMO plans.
This document details the Tufts Health Plan Medicare Preferred Medical Necessity Guidelines. These guidelines are used by Tufts Health Plan to determine medical necessity and appropriateness of health care services for the purpose of determining coverage under the applicable health benefit plan.
This document details drugs that may require prior authorization or Step Therapy to be covered by Tufts Health Plan Medicare Preferred HMO plans. Prior Authorization means that your doctor, or prescriber, must first show that you have a medically necessary need for the drug before Tufts Health Plan will cover the drug cost. Step Therapy is a type of prior authorization that in most cases requires a less expensive drug, that has been proven effective for your condition, is prescribed before moving up a "step" to a more expensive drug.
This directory provides a list of pharmacies in the Tufts Medicare Preferred HMO network. This directory does not apply to Saver and Basic plans. Please note that this directory is for members in Barnstable, Bristol, Essex, Hampden, Hampshire, Middlesex, Norfolk, Plymouth, Suffolk, and Worcester counties. Updated: 3-5-2020
This directory provides a list of pharmacies in the Tufts Medicare Preferred HMO network, Saver and Basic plans only. Please note that this directory is for members in Barnstable, Bristol, Essex, Hampden, Hampshire, Middlesex, Norfolk, Plymouth, Suffolk, and Worcester counties. Updated: 3-5-2020
This document details what to do if your current prescription drugs are not included in the Tufts Health Plan Medicare Preferred HMO formulary, or drug list, or are restricted in some way.
This directory provides a list of providers in the Tufts Medicare Preferred HMO network. Please note that this directory is for members in Barnstable, Bristol, Essex, Hampden, Hampshire, Middlesex, Norfolk, Plymouth, Suffolk, and Worcester counties. Updated: 08/01/2020
This document details the Star Rating given to Tufts Health Plan Medicare Preferred HMO plans. Medicare evaluates plans based on a 5-Star rating system. Star Ratings are calculated each year and may change from one year to the next. For more information on plan ratings, go to www.medicare.gov.
The document provides details around how Tufts Health Plan members can contact the Tufts Health Plan Fraud Hotline with questions, concerns and/or complaints related to possible wasteful, fraudulent, or abusive activity.
This document explains how to submit a complaint to Tufts Medicare Preferred in the form of an appeal or grievance.
This document provides a summary of the coverage and costs associated with Tufts Health Plan Medicare Preferred HMO plans in the following Massachusetts counties: Barstable, Bristol, Essex, Hampden, Hamshire, Middlesex, Norfolk, Plymouth, Suffolk and Worcester. Updated 5-8-2020
This document details the legal, security, and privacy practices related to the Tufts Health Plan website.
Tufts Health Plan complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex.
This notice describes how health information about you may be used and disclosed, and how you can get access to this information.
This document provides detailed coverage information for the custom Wrap plan accompanying some Tufts Medicare Preferred HMO Employer Group plans. See your Tufts Medicare Preferred HMO plan's Evidence of Coverage to see if this information applies to you. This information covers the 2020 calendar year, from January 1, 2020 through December 31, 2020.
This document provides detailed coverage information for the Tufts Medicare Preferred HMO Basic No Rx plan. This information covers the 2020 calendar year, from January 1, 2020 through December 31, 2020. Updated: 12-03-2019
This document provides detailed coverage information for the Tufts Medicare Preferred HMO Basic Rx plan. This information covers the 2020 calendar year, from January 1, 2020 through December 31, 2020. Updated: 12-10-2019
This document provides detailed coverage information for the Tufts Medicare Preferred HMO Prime Fit Rx plan for your Employer Group. This information covers the 2020 calendar year, from January 1, 2020 through December 31, 2020.
This document provides detailed coverage information for the Tufts Medicare Preferred HMO Prime No Rx plan. This information covers the 2020 calendar year, from January 1, 2020 through December 31, 2020. Updated: 12-03-2019
This document provides detailed coverage information for the Tufts Medicare Preferred HMO Prime Rx plan. This information covers the 2020 calendar year, from January 1, 2020 through December 31, 2020. Updated: 12-10-2019
This document provides detailed coverage information for the Tufts Medicare Preferred HMO Prime Rx plan for your Employer Group. This information covers the 2020 calendar year, from January 1, 2020 through December 31, 2020.
This document provides detailed coverage information for the Tufts Medicare Preferred HMO Prime Rx BOS (City of Boston) plan for your Employer Group. This information covers the 2020 calendar year, from January 1, 2020 through December 31, 2020.
This document provides detailed coverage information for the Tufts Medicare Preferred HMO Prime Rx Custom plan for your Employer Group. This information covers the 2020 calendar year, from January 1, 2020 through December 31, 2020.
This document provides detailed coverage information for the Tufts Medicare Preferred HMO Prime Rx HPI plan for your Employer Group. This information covers the 2020 calendar year, from January 1, 2020 through December 31, 2020.
This document provides detailed coverage information for the Tufts Medicare Preferred HMO Prime Rx Plus plan. This information covers the 2020 calendar year, from January 1, 2020 through December 31, 2020. Updated: 12-10-2019
This document provides detailed coverage information for the Tufts Medicare Preferred HMO Prime Rx Plus plan for your Employer Group. This information covers the 2020 calendar year, from January 1, 2020 through December 31, 2020.
This document provides detailed coverage information for the Tufts Medicare Preferred HMO Prime Rx Standard plan for your Employer Group. This information covers the 2020 calendar year, from January 1, 2020 through December 31, 2020.
This document provides detailed coverage information for the Tufts Medicare Preferred HMO Saver Rx plan. This information covers the 2020 calendar year, from January 1, 2020 through December 31, 2020. Updated: 12-10-2019
This document provides detailed coverage information for the Tufts Medicare Preferred HMO Value No Rx plan. This information covers the 2020 calendar year, from January 1, 2020 through December 31, 2020. Updated: 12-03-2019
This document provides detailed coverage information for the Tufts Medicare Preferred HMO Value Rx plan. This information covers the 2020 calendar year, from January 1, 2020 through December 31, 2020. Updated: 12-10-2019
This document provides detailed coverage information for the Tufts Medicare Preferred HMO Value Rx plan for your Employer Group. This information covers the 2020 calendar year, from January 1, 2020 through December 31, 2020.
This document provides detailed coverage information for the Wrap plan accompanying some Tufts Medicare Preferred HMO Employer Group plans. See your Tufts Medicare Preferred HMO plan's Evidence of Coverage to see if this information applies to you. This information covers the 2020 calendar year, from January 1, 2020 through December 31, 2020.
This document provides detailed coverage information for the Tufts Medicare Preferred HMO Basic Rx plan for your Employer Group. This information covers the 2020 calendar year, from January 1, 2020 through December 31, 2020.
This document provides detailed coverage information for the Tufts Medicare Preferred HMO Prime Rx plan for your Employer Group. This information covers the 2020 calendar year, from January 1, 2020 through December 31, 2020.
This document provides detailed coverage information for the Tufts Medicare Preferred HMO Prime Rx Plus plan for your Employer Group. This information covers the 2020 calendar year, from January 1, 2020 through December 31, 2020.
This document provides detailed coverage information for the Tufts Medicare Preferred HMO Prime Rx || plan for your Employer Group. This information covers the 2020 calendar year, from January 1, 2020 through December 31, 2020.
This document provides detailed coverage information for the Tufts Medicare Preferred HMO plan for Harvard University Employer Group. This information covers the 2020 calendar year, from January 1, 2020 through December 31, 2020.
This document provides detailed coverage information for the Tufts Medicare Preferred HMO Prime No Rx plan for your Employer Group. This information covers the 2020 calendar year, from January 1, 2020 through December 31, 2020.
This document provides detailed coverage information for the Tufts Medicare Preferred HMO Prime Rx plan for your Employer Group. This information covers the 2020 calendar year, from January 1, 2020 through December 31, 2020.
This documents details the year-over-year changes to the Tufts Health Plan Medicare Preferred HMO Basic No Rx, from 2019 to 2020, in Essex and Suffolk counties. It outlines how the costs and coverages for this plan have changed compared to the previous year.
This documents details the year-over-year changes to the Tufts Health Plan Medicare Preferred HMO Basic No Rx, from 2019 to 2020, in Worcester county. It outlines how the costs and coverages for this plan have changed compared to the previous year.
This documents details the year-over-year changes to the Tufts Health Plan Medicare Preferred HMO Basic Rx, from 2019 to 2020, in Essex and Suffolk counties. It outlines how the costs and coverages for this plan have changed compared to the previous year. Updated: 12-03-2019
This documents details the year-over-year changes to the Tufts Health Plan Medicare Preferred HMO Basic Rx, from 2019 to 2020, in Hampden and Hampshire counties. It outlines how the costs and coverages for this plan have changed compared to the previous year. Updated: 12-03-2019
This documents details the year-over-year changes to the Tufts Health Plan Medicare Preferred HMO Basic Rx, from 2019 to 2020, in Barstable, Bristol, Middlesex, Norfolk, and Plymouth counties. It outlines how the costs and coverages for this plan have changed compared to the previous year. Updated: 12-03-2019
This documents details the year-over-year changes to the Tufts Health Plan Medicare Preferred HMO Basic Rx, from 2019 to 2020, in Worcester county. It outlines how the costs and coverages for this plan have changed compared to the previous year. Updated: 12-03-2019
This documents details the year-over-year changes to the Tufts Health Plan Medicare Preferred HMO GIC Employer Group Plan, from July 1, 2020 to June 30, 2021. It outlines how the costs and coverages for this plan have changed compared to the previous year.
This documents details the year-over-year changes to the Tufts Health Plan Medicare Preferred HMO Prime No Rx plan, from 2019 to 2020, in Essex and Suffolk counties. It outlines how the costs and coverages for this plan have changed compared to the previous year.
This documents details the year-over-year changes to the Tufts Health Plan Medicare Preferred HMO Prime No Rx plan, from 2019 to 2020, in Barstable, Bristol, Middlesex, Norfolk, and Plymouth counties. It outlines how the costs and coverages for this plan have changed compared to the previous year.
This documents details the year-over-year changes to the Tufts Health Plan Medicare Preferred HMO Prime No Rx plan, from 2019 to 2020, in Worcester county. It outlines how the costs and coverages for this plan have changed compared to the previous year.
This documents details the year-over-year changes to the Tufts Health Plan Medicare Preferred HMO Prime Rx plan, from 2019 to 2020, in Essex and Suffolk counties. It outlines how the costs and coverages for this plan have changed compared to the previous year.
This documents details the year-over-year changes to the Tufts Health Plan Medicare Preferred HMO Prime Rx plan, from 2019 to 2020, in Hampden and Hampshire counties. It outlines how the costs and coverages for this plan have changed compared to the previous year.
This documents details the year-over-year changes to the Tufts Health Plan Medicare Preferred HMO Prime Rx plan, from 2019 to 2020, in Barstable, Bristol, Middlesex, Norfolk, and Plymouth counties. It outlines how the costs and coverages for this plan have changed compared to the previous year.
This documents details the year-over-year changes to the Tufts Health Plan Medicare Preferred HMO Prime Rx plan, from 2019 to 2020, in Worcester county. It outlines how the costs and coverages for this plan have changed compared to the previous year.
This documents details the year-over-year changes to the Tufts Health Plan Medicare Preferred HMO Prime Rx Plus plan, from 2019 to 2020, in Essex and Suffolk counties. It outlines how the costs and coverages for this plan have changed compared to the previous year.
This documents details the year-over-year changes to the Tufts Health Plan Medicare Preferred HMO Prime Rx Plus plan, from 2019 to 2020, in Hampden and Hampshire counties. It outlines how the costs and coverages for this plan have changed compared to the previous year.
This documents details the year-over-year changes to the Tufts Health Plan Medicare Preferred HMO Prime Rx Plus plan, from 2019 to 2020, in Barstable, Bristol, Middlesex, Norfolk, and Plymouth counties. It outlines how the costs and coverages for this plan have changed compared to the previous year.
This documents details the year-over-year changes to the Tufts Health Plan Medicare Preferred HMO Prime Rx Plus plan, from 2019 to 2020, in Barstable, Bristol, Middlesex, Norfolk, and Plymouth counties. It outlines how the costs and coverages for this plan have changed compared to the previous year.
This documents details the year-over-year changes to the Tufts Health Plan Medicare Preferred HMO Value No Rx, from 2019 to 2020, in Essex and Suffolk counties. It outlines how the costs and coverages for this plan have changed compared to the previous year.
This documents details the year-over-year changes to the Tufts Health Plan Medicare Preferred HMO Value No Rx, from 2019 to 2020, in Barstable, Bristol, Middlesex, Norfolk, and Plymouth counties. It outlines how the costs and coverages for this plan have changed compared to the previous year.
This documents details the year-over-year changes to the Tufts Health Plan Medicare Preferred HMO Value No Rx, from 2019 to 2020, in Worcester county. It outlines how the costs and coverages for this plan have changed compared to the previous year.
This documents details the year-over-year changes to the Tufts Health Plan Medicare Preferred HMO Value Rx, from 2019 to 2020, in Essex and Suffolk counties. It outlines how the costs and coverages for this plan have changed compared to the previous year.
This documents details the year-over-year changes to the Tufts Health Plan Medicare Preferred HMO Value Rx, from 2019 to 2020, in Hampden and Hampshire counties. It outlines how the costs and coverages for this plan have changed compared to the previous year.
This documents details the year-over-year changes to the Tufts Health Plan Medicare Preferred HMO Value Rx, from 2019 to 2020, in Barstable, Bristol, Middlesex, Norfolk, and Plymouth counties. It outlines how the costs and coverages for this plan have changed compared to the previous year.
This documents details the year-over-year changes to the Tufts Health Plan Medicare Preferred HMO Value Rx, from 2019 to 2020, in Worcester county. It outlines how the costs and coverages for this plan have changed compared to the previous year.
This document provides detailed coverage information for the Tufts Health Plan Medicare Preferred Supplement Dental Option. This information covers the 2020 calendar year, from January 1, 2020 through December 31, 2020.
This document provides detailed coverage information for the Tufts Medicare Preferred Group Supplement 2 Plan. This information covers the 2020 calendar year, from January 1, 2020 through December 31, 2020.
This document provides detailed coverage information for the Tufts Medicare Preferred Group Supplement 2 Plan ASO. This information covers the 2020 calendar year, from January 1, 2020 through December 31, 2020.
This document provides detailed coverage information for the Tufts Medicare Preferred Group Supplement 2 Plan ASO for City of Worcester. This information covers the 2020 calendar year, from January 1, 2020 through December 31, 2020.
This document provides detailed coverage information for the Tufts Medicare Preferred Group Supplement HPI Plan. This information covers the 2020 calendar year, from January 1, 2020 through December 31, 2020.
This document provides detailed coverage information for the Tufts Medicare Preferred Group Supplement Plan. This information covers the 2020 calendar year, from January 1, 2020 through December 31, 2020.
This document provides detailed coverage information for the Tufts Medicare Preferred Group Supplement Plan - Medway. This information covers the 2020 calendar year, from January 1, 2020 through December 31, 2020.
This document provides detailed coverage information for the Tufts Medicare Preferred Premier Group Supplement Plan. This information covers the 2020 calendar year, from January 1, 2020 through December 31, 2020.
This document provides detailed coverage information for the Tufts Medicare Preferred Prime Group Supplement Plan. This information covers the 2020 calendar year, from January 1, 2020 through December 31, 2020.
This document provides detailed coverage information for the Tufts Health Plan Medicare Preferred Supplement Core plan. This information covers the 2020 calendar year, from January 1, 2020 through December 31, 2020.
This document provides detailed coverage information for the Tufts Health Plan Medicare Preferred Supplement 1A plan. This information covers the 2020 calendar year, from January 1, 2020 through December 31, 2020.
This document provides detailed coverage information for the Tufts Health Plan Medicare Preferred Supplement 1 plan. This information covers the 2020 calendar year, from January 1, 2020 through December 31, 2020.
This document details the legal, security, and privacy practices related to the Tufts Health Plan website.
The document provides details around how Tufts Health Plan members can contact the Tufts Health Plan Fraud Hotline with questions, concerns and/or complaints related to possible wasteful, fraudulent, or abusive activity.
This document is a comprehensive formulary containing the prescription drugs covered by Tufts Health Plan Senior Care Options plan.
This document details the Tufts Health Plan Senior Care Options Medical Necessity Guidelines. These guidelines are used by Tufts Health Plan to determine medical necessity and appropriateness of health care services for the purpose of determining coverage under the applicable health benefit plan.
This document details drugs that may require prior authorization or Step Therapy to be covered by Tufts Health Plan Senior Care Options plan. Prior Authorization means that your doctor, or prescriber, must first show that you have a medically necessary need for the drug before Tufts Health Plan will cover the drug cost. Step Therapy is a type of prior authorization that in most cases requires a less expensive drug, that has been proven effective for your condition, is prescribed before moving up a "step" to a more expensive drug.
This document details certain circumstances in which the plan can offer a temporary supply of a drug when your drug is not included in the Tufts Health Plan Senior Care Options formulary, or drug list, or is restricted in some way.
This directory provides a list of providers in the Tufts Health Plan Senior Care Options plan network. Updated: 08/01/2020
This document details the Star Rating given to Tufts Health Plan Senior Care Options plan. Medicare evaluates plans based on a 5-Star rating system. Star Ratings are calculated each year and may change from one year to the next. For more information on plan ratings, go to www.medicare.gov.
The document provides details around how Tufts Health Plan members can contact the Tufts Health Plan Fraud Hotline with questions, concerns and/or complaints related to possible wasteful, fraudulent, or abusive activity.
This document explains how to submit a complaint to Tufts Medicare Preferred in the form of an appeal or grievance.
This document provides a summary of the coverage and costs associated with the Tufts Health Plan Senior Care Options (HMO-SNP) Plan.
This document details the legal, security, and privacy practices related to the Tufts Health Plan website.
Tufts Health Plan complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex.
This notice describes how health information about you may be used and disclosed, and how you can get access to this information.
This document provides detailed coverage information for the Tufts Health Plan Senior Care Options plan. This information covers the 2020 calendar year, from January 1, 2020 through December 31, 2020. Updated: 12-10-2019
This documents details the year-over-year changes to the Tufts Health Plan Senior Care Options, from 2019 to 2020. It outlines how the costs and coverages for this plan have changed compared to the previous year.
This document is a comprehensive formulary containing the prescription drugs covered by Tufts Health Plan Medicare Preferred Group Retiree Prescription Drug Plans.
This document details the Tufts Health Plan Medicare Preferred Medical Necessity Guidelines. These guidelines are used by Tufts Health Plan to determine medical necessity and appropriateness of health care services for the purpose of determining coverage under the applicable health benefit plan.
This document details drugs that may require prior authorization or Step Therapy to be covered by Tufts Health Plan Medicare Preferred HMO plans. Prior Authorization means that your doctor, or prescriber, must first show that you have a medically necessary need for the drug before Tufts Health Plan will cover the drug cost. Step Therapy is a type of prior authorization that in most cases requires a less expensive drug, that has been proven effective for your condition, is prescribed before moving up a "step" to a more expensive drug.
This document details what to do if your current prescription drugs are not included in the Tufts Health Plan Medicare Preferred HMO formulary, or drug list, or are restricted in some way.
This directory provides a list of providers and pharmacies in the Tufts Health Plan Medicare Preferred Group Retiree Prescription Drug Plan network.
The document provides details around how Tufts Health Plan members can contact the Tufts Health Plan Fraud Hotline with questions, concerns and/or complaints related to possible wasteful, fraudulent, or abusive activity.
This document details the legal, security, and privacy practices related to the Tufts Health Plan website.
This document provides detailed coverage information for the custom Wrap plan accompanying some Tufts Medicare Preferred PDP Employer Group plans. See your Tufts Medicare Preferred PDP plan's Evidence of Coverage to see if this information applies to you. This information covers the 2020 calendar year, from January 1, 2020 through December 31, 2020.
This document provides detailed coverage information for the Tufts Medicare Preferred Group PDP plan. This information covers the 2020 calendar year, from January 1, 2020 through December 31, 2020.
This document provides detailed coverage information for the Tufts Medicare Preferred Group PDP 2 plan. This information covers the 2020 calendar year, from January 1, 2020 through December 31, 2020.
This document provides detailed coverage information for the Tufts Medicare Preferred Group PDP 3 plan. This information covers the 2020 calendar year, from January 1, 2020 through December 31, 2020.
This document provides detailed coverage information for the Tufts Medicare Preferred Group PDP 4 plan. This information covers the 2020 calendar year, from January 1, 2020 through December 31, 2020.
This document provides detailed coverage information for the Tufts Medicare Preferred Group PDP Custom plan. This information covers the 2020 calendar year, from January 1, 2020 through December 31, 2020.
This document provides detailed coverage information for the Tufts Medicare Preferred Group PDP Plus plan. This information covers the 2020 calendar year, from January 1, 2020 through December 31, 2020.
This document provides detailed coverage information for the Tufts Medicare Preferred Group PDP Plus NH plan. This information covers the 2020 calendar year, from January 1, 2020 through December 31, 2020.
This document provides detailed coverage information for the Tufts Medicare Preferred Group PDP V plan. This information covers the 2020 calendar year, from January 1, 2020 through December 31, 2020.
This document provides detailed coverage information for the Wrap plan accompanying some Tufts Medicare Preferred PDP Employer Group plans. See your Tufts Medicare Preferred PDP plan's Evidence of Coverage to see if this information applies to you. This information covers the 2020 calendar year, from January 1, 2020 through December 31, 2020.