Medicare Advantage (HMO/PPO) : Using Your Plan
Learning how to use your Medicare Plan is important to your health and well being! View the articles below to gain access to important "How To's", plan materials, and other resources. You can also use the Drug & Pharmacy Search tool to find a covered drug or a pharmacy in your area.
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How to Change Your Doctor
Need to change your doctor? You can change your primary care provider (PCP) at any time, for any reason.
How to Find Out if a Drug is Covered
When you are prescribed a new drug, it’s a good idea to look it up in the formulary to make sure it’s covered, find out what tier it’s on, and see if your drug has any special requirements.
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How to Get Care With Your Plan
Learn how to get care from your plan.
How to Get Your Wellness Reimbursement
Your Wellness Allowance helps you lead a healthy lifestyle, and it pays you back!
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How to Use Your Annual Notice of Change (ANOC) Letter
In September, Tufts Health Plan Medicare Advantage HMO members receive an ANOC letter that shows what’s changing for the upcoming year.
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How to Use Your Evidence of Coverage (EOC) Booklet
How to use your Evidence of Coverage (EOC).
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How to Use Your Explanation of Benefits (EOB)
Your EOB shows you the costs for any medical services you received from the previous month, but it’s not a bill. You don’t need to send any payments or take any action. It helps you track your medical costs and shows you how expenses are divided between your doctor, your health plan, and your copay.
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Need a New Medicare Plan After Moving?
If you moved recently, we might be able to help. You may qualify to enroll in a new Medicare Advantage plan from Tufts Health Plan.
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Refer a Friend to Tufts Health Plan
Our plans include multiple Medicare Advantage HMO, PPO and Medicare Supplement plans.
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Referrals Are Central to Your Care
When you join an HMO plan, you select a provider to be your primary care provider (PCP). Your PCP will provide your routine care, preventive care and treatment for common illnesses. Your PCP is also responsible for coordinating or overseeing your care.
