2021 Tufts Medicare Preferred Supplement 1A
- Monthly Dental Premium
- Deductible for Diagnostic and Preventive Services
- $0
- Calendar Year Maximum
- $1,000
Drug Copays and Deductibles
Drugs Not Covered
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About the Plan
Our Tufts Medicare Preferred Supplement 1A plan is a private insurance that helps defray the costs of Original Medicare coverage. This plan pays your Medicare Part A deductible, as well as the copays and coinsurance required for most medical and hospital services covered through Medicare. When you join, you remain enrolled in Original Medicare and can continue to see any doctor that accepts Original Medicare with no need for referrals.
What is the difference between Tufts Medicare Supplement 1 plan and Tufts Medicare Supplement 1A plan?
Due to the Federal MACRA (Medicare Access and CHIP Reauthorization Act) mandate the Tufts Medicare Preferred Supplement 1 Plan is not available if you are newly eligible for Medicare on or after January 1, 2020. For more details on MACRA, visit the MACRA FAQ page. If MACRA applies to you, consider enrolling in Tufts Medicare Preferred Supplement 1A or Tufts Medicare Preferred Supplement Core for the coverage you need. Please note, existing members can only switch from Tufts Medicare Supplement 1 plan to Tufts Medicare Supplement 1A if you've been on the Tufts Medicare Supplement 1 plan for at least 12 months.
Download our 2021 Medicare Supplement Plan Comparison Chart
Individuals who join a Tufts Medicare Preferred Supplement plan may be eligible for a discounted premium. The discount is available to individuals 65 and older who join a Supplement plan within six (6) months of acquiring their Medicare Part B coverage for the first time. The discounted premium begins with your plan's initial effective date and applies as follows: 15% off your premium for months 1 through 12, 10% off your premium for months 13 through 24, and 5% off your premium for months 25 through 36. After month 36, the discount ends and that year's premium rate will apply. This discount does not apply to the premium for the optional Tufts Health Plan dental add-on coverage or employer group membership.
Our Tufts Medicare Preferred Supplement 1A plan includes:
- Freedom and control over your own healthcare
- Freedom to see any doctor that accepts Medicare
- Plan coverage that travels with you anywhere in the U.S.
- $150 annual reimbursement towards fitness club membership, instructional fitness classes, and/or nutritional counseling
- $150 annual reimbursement towards weight management programs like WeightWatchers, Jenny Craig, Nutrisystems or hospital-based programs
- $100 annual reimbursement towards eyewear or contact lenses
- No claims forms to file
- Personal service from a local plan with a national reputation for excellence
Tufts Medicare Preferred Supplement 1A plan covers:
- Medicare’s Part A Hospital Medical deductible
- Medicare’s Part B coinsurance for Part B eligible expenses
- Medicare’s copay for covered hospitalization from the 61st day to 90th day
- Medicare’s copay for covered hospitalization from the 91st day on – when using your 60 lifetime reserve days
- Skilled Nursing copays from the 21st day to 100th day of benefit period
- One eye exam per calendar year
- Coverage should you travel abroad
Medical Coverage
Doctor Copay
You are responsible for your Annual Medicare Part B Deductible for medical services; after you've met your deductible the plan pays all subsequent expenses for covered services.
Specialist Copay
You are responsible for your Annual Medicare Part B Deductible for medical services; after you've met your deductible the plan pays all subsequent expenses for covered services.
Routine Vision Exam
The Tufts Medicare Preferred Supplement 1A plan pays for one routine eye exam each calendar year.
Routine Hearing Exam
Not covered.
Laboratory Services
You are responsible for your Annual Medicare Part B Deductible for medical services; after you've met your deductible the plan pays all subsequent expenses for covered services.
X-Rays
You are responsible for your Annual Medicare Part B Deductible for medical services; after you've met your deductible the plan pays all subsequent expenses for covered services.
Diagnostic Procedures
You are responsible for your Annual Medicare Part B Deductible for medical services; after you've met your deductible the plan pays all subsequent expenses for covered services.
Diagnostic Radiology Services
You are responsible for your Annual Medicare Part B Deductible for medical services; after you've met your deductible the plan pays all subsequent expenses for covered services.
Outpatient Surgery
You are responsible for your Annual Medicare Part B Deductible for medical services; after you've met your deductible the plan pays all subsequent expenses for covered services.
Physical, Occupational, and Speech Therapy
You are responsible for your Annual Medicare Part B Deductible for medical services; after you've met your deductible the plan pays all subsequent expenses for covered services.
Cardiovascular Screening
Tufts Medicare Preferred Supplement 1A pays $0; Medicare pays 100% of the allowed amount for covered preventive services when provided according to Medicare guidelines.
Cancer Screening (Colorectal, Prostate, Breast)
Tufts Medicare Preferred Supplement 1A pays $0; Medicare pays 100% of the allowed amount for covered preventive services when provided according to Medicare guidelines.
Urgent Care
You are responsible for your Annual Medicare Part B Deductible for medical services; after you've met your deductible the plan pays all subsequent expenses for covered services.
Emergency Room Visits
You are responsible for your Annual Medicare Part B Deductible for medical services; after you've met your deductible the plan pays all subsequent expenses for covered services.
Inpatient Hospital Coverage
The Tufts Medicare Preferred Supplement 1A plan pays your Part A Deductible for inpatient services and all subsequent expenses related to inpatient stays for covered services.
Ambulance Rides and Services
You are responsible for your Annual Medicare Part B Deductible for medical services; after you've met your deductible the plan pays all subsequent expenses for covered services.
Benefits
Embedded Dental Benefit
Not covered.
Hearing Aid Benefit
Not covered.
Eyewear Benefit
Receive a $100 reimbursement for eyewear or contact lenses every calendar year
Weight Management Programs
$150 reimbursement per year for fees related to weight management programs like WeightWatchers, Jenny Craig, iDiet or hospital-based programs.
Wellness Allowance
$150 per year reimbursement towards fitness club membership, instructional fitness classes, and/or nutritional counseling.