Plan Overview

Tufts Health Plan Medicare Preferred HMO is a Medicare Advantage plan that provides coverage through the plan’s network of doctors, hospitals, and other providers.  Members must select a Primary Care Physician (PCP) to manage their care and obtain referrals to specialists. 

Contact the plan to see if your doctors and hospitals are in the network. There are no out-of-network benefits, with the exception of emergency care. 

Tufts Health Plan Medicare Preferred HMO is a Medicare Advantage plan under contract with the federal government that includes Medicare Part D prescription drug benefits.  Contact the plan for details. This Medicare plan’s benefits and rates are subject to federal approval and may change January 1, 2016.

Your Responsibility

Do your doctors and hospitals participate in Tufts Medicare Preferred?

Contact the plan.

Plan Contact Information

Contact the plan for additional information on
participating providers and benefits.

Tufts Health Plan Medicare Preferred 1.888.333.0880

Copays Effective January 1, 2015     

Physician Office Visit
$10 per visit     

Preventive Services

Covered at 100% - no copay

Outpatient Mental Health and Substance Abuse Care

$10 per visit

Inpatient Hospital Care

Covered at 100% - no copay

Inpatient and Outpatient Surgery
Covered at 100% - no copay

Emergency Room
$50 per visit (waived if admitted)

Prescription Drug

Prescription drug copays for these plans will increase the copays listed Effective January 1, 2016

Retail up to 30-day supply:                  Mail Order up to 90 day supply:
Tier 1:   $10                                        Tier 1:   $25
Tier 2:   $30                                        Tier 2:   $75
Tier 3:   $65                                        Tier 3:   $165

Who is Eligible?

Retirees, GIC Retired Municipal Teachers (RMTs), Elderly Governmental Retirees (EGRs), Survivors, and their eligible dependents with Medicare Part A and Part B are eligible. 

Where You Live Determines Which Plan You May Enroll In:

Tufts Health Plan Medicare Preferred is available in the following Massachusetts counties:

Barnstable, Bristol, Essex, Hampden, Hampshire, Middlesex, Norfolk, Plymouth, Suffolk, Worcester

Tufts Medicare Preferred Evidence Of Coverage CY2014 doc format of tuftsmedicarepreferred_cy14_eoc.doc
file size 2MB

Tufts Medicare Preferred Evidence Of Coverage Wrap Plan CY2014 doc format of tuftsmedicarepreferred_cy2014_wrapeoc.doc

Tufts Medicare Preferred Rx 2012  doc format of tufts_medicare_preferred_rx2012.doc
file size 3MB

Tufts Medicare Preferred Handbook Amendment 2012  doc format of tufts_medicare_preferred_amendmentcy12.doc

Tufts Medicare Preferred Annual Notice of Change CY13  doc format of tufts_medicare_preferred_annual_notice_of_changecy

This information provided by the Group Insurance Commission .

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