2022 Tufts Medicare Preferred Supplement 1
- Monthly Dental Premium
- Deductible for Diagnostic and Preventive Services
- $0
- Calendar Year Maximum
- $1,000
Drug Copays and Deductibles
Drugs Not Covered
Enroll Now Compare to Other Plans
About the Plan
Our Tufts Medicare Preferred Supplement 1 plan is a private insurance that helps defray the costs of Original Medicare coverage. This plan pays your Medicare Part A and B annual deductibles, as well as the copays and coinsurance required for 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.
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.
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 1 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 1 plan covers:
- Medicare’s Part A Hospital and Part B Medical deductibles
- 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
Medicare Expenses
The 2021 Tufts Medicare Preferred Supplement 1 plan covers all copayments, coinsurance and other expenses related to Medicare-approved coverage.
Doctor Copay
The Tufts Medicare Preferred Supplement 1 plan pays your Annual Medicare Part B Deductible for medical services and all subsequent expenses like copays and coinsurance.
Specialist Copay
The Tufts Medicare Preferred Supplement 1 plan pays your Annual Medicare Part B Deductible for medical services and all subsequent expenses like copays and coinsurance.
Preventive Services
Tufts Medicare Preferred Supplement 1 pays $0; Medicare pays 100% of the allowed amount for covered preventive services when provided according to Medicare guidelines.
Routine Vision Exam
The Tufts Medicare Preferred Supplement 1 plan pays for one routine eye exam each calendar year.
Routine Hearing Exam
Not covered.
Laboratory Services
The Tufts Medicare Preferred Supplement 1 plan pays your Annual Medicare Part B Deductible for medical services and all subsequent expenses like copays and coinsurance.
X-Rays
The Tufts Medicare Preferred Supplement 1 plan pays your Annual Medicare Part B Deductible for medical services and all subsequent expenses like copays and coinsurance.
Diagnostic Procedures
The Tufts Medicare Preferred Supplement 1 plan pays your Annual Medicare Part B Deductible for medical services and all subsequent expenses like copays and coinsurance.
Diagnostic Radiology Services
The Tufts Medicare Preferred Supplement 1 plan pays your Annual Medicare Part B Deductible for medical services and all subsequent expenses like copays and coinsurance.
Outpatient Surgery
The Tufts Medicare Preferred Supplement 1 plan pays your Annual Medicare Part B Deductible for medical services and all subsequent expenses like copays and coinsurance.
Physical, Occupational, and Speech Therapy
The Tufts Medicare Preferred Supplement 1 plan pays your Annual Medicare Part B Deductible for medical services and all subsequent expenses like copays and coinsurance.
Cardiovascular Screening
Tufts Medicare Preferred Supplement 1 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 1 pays $0; Medicare pays 100% of the allowed amount for covered preventive services when provided according to Medicare guidelines.
Urgent Care
The Tufts Medicare Preferred Supplement 1 plan pays your Annual Medicare Part B Deductible for medical services and all subsequent expenses like copays and coinsurance.
Emergency Room Visits
The Tufts Medicare Preferred Supplement 1 plan pays your Annual Medicare Part B Deductible for medical services and all subsequent expenses like copays and coinsurance.
Inpatient Hospital Coverage
The Tufts Medicare Preferred Supplement 1 plan pays your Part A Deductible for inpatient services and all subsequent expenses related to inpatient stays for covered services.
Ambulance Rides and Services
The Tufts Medicare Preferred Supplement 1 plan pays your Annual Medicare Part B Deductible for medical services and all subsequent expenses like copays and coinsurance.
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.