Plan Overview
Tufts Medicare Complement is a supplemental Medicare HMO 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 and urgent care.
Your Responsibility
Do your doctors and hospitals participate in Tufts Medicare Complement?
Contact the plan.
Plan Contact Information
Contact the plan for additional information on
participating providers and benefits.
Tufts Health Plan Medicare Complement 1.800.333.0880
Copays Effective July 1, 2013
Physician Office Visit
$10 per visit
Preventive Services
Covered at 100% - no copay
Retail Clinic
$10 per visit
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 Complement is available throughout Massachusetts.
The plan is also available in the following other state:
Rhode Island
Tufts Health Plan Medicare Complement is available only in certain parts of the following states; contact the plan to find out if you live in the service area:
Connecticut, New Hampshire, New York, Vermont
Tufts Medicare Complement FY13 Handbook 
file size 2MB
Tufts Medicare Complement FY13 Handbook 
This information provided by the Group Insurance Commission.
