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2027 Tufts Medicare Preferred
Supplement 1

Supplemental

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Per Month

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N/A

Medicare Part A Deductible

N/A

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: $297.00

Discount: Months 1-12 (15%): $252.45

Discount: Months 13-24 (10%): $267.30

Discount: Months 25-36 (5%): $282.15

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.

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.

Acupuncture

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.

Covers up to 12 visits in 90 days for members with chronic low back pain. 8 additional visits covered for those demonstrating an improvement. No more than 20 visits administered annually.

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Dental Benefits

With Dental Option Added: for additional monthly premium of $41.50, preventive services covered at $0 copay; restorative services covered at 20% of total cost; comprehensive services covered at 50% of total cost.

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Calendar Year Maximum

With Dental Option Added: $1,000 per calendar year

Individual Annual Deductible

With Dental Option Added: $0

Periodic Oral Evaluation

With Dental Option Added: $0. Covers two per year.

Comprehensive Oral Exam

With Dental Option Added: $0. Covers one every 36 months.

Intra Oral Bitewing X-ray (X-rays of Crowns of Teeth)

With Dental Option Added: $0. Covers two per year.

Intra Oral X-ray - Entire Mouth (Panoramic & Full Mouth)

With Dental Option Added: 20% of total cost. Includes panoramic or full mouth series. Covers one every 60 months.

Single Tooth X-ray Images

With Dental Option Added: 20% of total cost. Covered as needed.

Silver Fillings and White Fillings

With Dental Option Added: 20% of total cost. Covers one every 24 months per surface, per tooth.

Periodontal Cleaning

With Dental Option Added: 20% of total cost. Covers one every 6 months following active periodontal therapy; not to be combined with regular cleanings.

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Embedded Dental Benefit

Not covered.

Telehealth

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.

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, iDiet or hospital-based programs.

Wellness Allowance

$150 per year reimbursement towards fitness club membership, instructional fitness classes, and/or nutritional counseling.

Enter your zip code to see the plan benefits.

2027 Tufts Medicare Preferred
Supplement 1

Jump to:

About the Plan

Medical Coverage

Dental Benefits

Additional Benefits

2027 Tufts Medicare Preferred Supplement 1

Jump to:

About the Plan

Medical Coverage

Dental Benefits

Additional Benefits

2027 Tufts Medicare Preferred
Supplement 1