2022 Tufts Medicare Preferred
Supplement 1A

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.

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.