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2024 Tufts Medicare Preferred
Supplement 1

Supplemental

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Per Month

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$0 per benefit period

Medicare Part A Deductible

$0 per year

Medicare Part B Deductible

$0 per visit

For Covered Services

Dental Option

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 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.

Important Note Regarding the Federal MACRA mandate:

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.

Visit the MACRA FAQ Page

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.

For Tufts Medicare Preferred Supplement 1 plan, these amounts are:

Regular Premium: $245.50

Discount: Months 1-12 (15%): $208.68

Discount: Months 13-24 (10%): $220.95

Discount: Months 25-36 (5%): $233.23

Medicare Expenses

The Tufts Medicare Preferred Supplement 1 plan covers all copayments, coinsurance and other expenses related to Medicare-approved coverage.

Primary Care Provider (PCP)

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.

Skilled Nursing

$0 days 1-100. Coverage for up to 100 days each benefit period.