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, including 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, 2014.
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, 2013
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
Retail up to 30-day supply: Mail Order up to 90 day supply:
Tier 1: $10 Tier 1: $20
Tier 2: $25 Tier 2: $50
Tier 3: $50 Tier 3: $110
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 2013 
file size 2MB
Tufts Medicare Preferred Rx 2012 file size 3MB
Tufts Medicare Preferred Handbook Amendment 2012
Tufts Medicare Preferred Annual Notice of Change CY13
This information provided by the Group Insurance Commission.
