Tufts Medicare Advantage Plans

Finding the right Medicare Advantage plan is key to your well-being. If you’re in Massachusetts, Tufts Medicare Advantage plans promise personalized healthcare with a range of HMO and PPO options.

In this comprehensive guide, we’ll walk you through the specifics to help you decide if Tufts is the match for your healthcare goals.


Key Takeaways


  • HMO plans from Tufts focus on coordinated care through a primary care physician, while PPO plans provide greater flexibility to see any healthcare provider but may involve higher costs for out-of-network services.


  • Enrollment in Tufts Medicare Advantage plans is streamlined through an online application or phone support, offering tailored plans across Massachusetts including prescription drug coverage, wellness benefits, and access to an array of online resources.

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Understanding Tufts Medicare Advantage Plans


Tufts Medicare Advantage Plans, Understanding Tufts Medicare Advantage Plans


With Tufts Health Plan, you’re not just enrolling in a Medicare Advantage plan; you’re signing up for a personalized healthcare experience. The Tufts Medicare Advantage Plans offer a range of comprehensive coverage options, including HMO and PPO plans tailored to meet the specific needs and preferences of individuals.

Whether you prefer to have a primary care physician who coordinates your care, or you prefer the freedom to choose any physician, Tufts has a plan for you.

In addition to the standard benefits offered by Original Medicare, Tufts Medicare Advantage plans provide supplementary coverage that caters to your unique healthcare needs.

Enter your zip code to start exploring the variety of plans available in your area on the Tufts Medicare Preferred website and identify the one that best suits your needs.


Personalized Plan Selection

Choosing a healthcare plan that aligns with your unique needs and preferences can often feel like navigating a complex maze. Thankfully, Tufts Health Plan has simplified this process with the Tufts Plan Finder.

This resource is designed to guide members in identifying the most suitable plan, enabling them to locate authorized doctors, hospitals, and other care providers affiliated with their plan.

The process is simple and intuitive. Answering a series of concise inquiries on the Tufts Plan Finder questionnaire helps individuals to narrow down their plan options, making the selection of the most suitable plan for their specific healthcare needs easier.

And should your healthcare needs evolve over time, Tufts offers the flexibility to adjust your plan, providing peace of mind that your coverage can adapt with you.


Benefits of Enrolling with Tufts

When you enroll in Tufts Medicare Advantage Plans, you gain access to an extensive network of healthcare providers.

This includes a variety of:

  • doctors


  • specialists


  • hospitals


  • primary care physicians



  • EyeMed Vision Care providers


The Tufts network ensures that your healthcare needs are comprehensively covered.

But the benefits don’t stop there. Tufts Medicare Advantage Plans are widely respected for their competitive benefits, positioning them as a strong choice when compared to other available plans in Massachusetts.

Whether you’re seeking extensive coverage or a plan that offers flexibility, Tufts has got you covered.

Exclusive Features of Tufts HMO and PPO Options


Tufts Medicare Advantage Plans, Exclusive Features of Tufts HMO and PPO Options


Diving deeper into the offerings of Tufts, their Health Maintenance Organization (HMO) and Preferred Provider Organization (PPO) options stand out with unique features.

The HMO plan offers:

  • A coordinated care approach


  • Your designated primary care physician responsible for overseeing the coordination of your care among a network of healthcare providers


  • Ensuring that you receive high-quality healthcare services tailored to your needs


On the other hand, if you value autonomy in your healthcare decisions, the Tufts PPO plans might be a better fit.

These plans offer the flexibility to choose any physician without the necessity of a primary care physician for care coordination. This means you have the freedom to consult any specialist or healthcare provider that fits your needs.


Network Freedom and Coordination

One of the key distinctions between HMO and PPO plans lies in their approach to healthcare provider selection.

HMOs require members to utilize doctors and hospitals within the network and do not provide coverage for out-of-network healthcare providers, except in medical emergencies. This model ensures that your primary care physician can effectively coordinate your care, optimizing your health outcomes.

Conversely, PPO plans offer greater flexibility, enabling members to consult specialists without referrals and providing coverage for out-of-network care.

This means you can choose to consult any healthcare provider, even if they fall outside the Tufts network. However, you might encounter higher costs if you choose to go out-of-network.


Balance of Cost and Choice in PPO Plans

Although PPO plans offer more freedom, understanding the balance between cost and choice remains important. Tufts PPO plans achieve this balance by offering lower monthly costs compared to traditional HMO and PPO plans.

However, this is accomplished through cost-sharing mechanisms such as a deductible, coinsurance, and co-payments.

Even though consulting out-of-network providers at a higher cost may seem attractive, considering the potential financial impact is key. Expenses associated with out-of-network services might be elevated, and coinsurance, a percentage of service or prescription expenses that you may be responsible for, is often higher for out-of-network services.

This means that even though you have the freedom to choose any provider, staying within the network can lead to substantial cost savings.

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The Senior Care Advantage with Tufts


Tufts Medicare Advantage Plans, The Senior Care Advantage with Tufts


When it comes to senior care, Tufts Medicare Advantage Plans go above and beyond. The Tufts Senior Care Advantage plan is specifically designed to cater to the needs of senior individuals, providing comprehensive coverage and support.

From medical and prescription coverage to complimentary transportation to medical appointments and dental services, the plan considers the unique needs of seniors.

Beyond the extensive coverage, the plan also provides:

  • A supportive primary care team tasked with overseeing all aspects of member care


  • Medical, behavioral, social, and community care coordination


  • Aiming to seamlessly integrate medical and social needs for the overall benefit of the member


  • A coordinated care approach that ensures a holistic care experience for senior members


Comprehensive Coverage for Seniors

The Senior Care Options plan is available to individuals over 65 with Medicare and MassHealth Standard. Those with only MassHealth Standard are also eligible.

What’s more, the cost of the plan is $0 for those who meet the eligibility requirements, making it an attractive option for seniors.

The plan provides an enhanced level of health benefits compared to MassHealth Standard and Original Medicare, catering specifically to seniors, all at no additional cost. In addition, the plan offers coverage for prescription drugs at no cost, along with the convenience of home delivery options.

This means you can get your medications delivered right to your doorstep, eliminating the need for frequent trips to the pharmacy.


Supportive Primary Care Team

The primary care team plays a crucial role in coordinating care for seniors in Tufts Medicare Advantage Plans. The team includes a Primary Care Provider who oversees your care, collaborating with a team of specialists, and a dedicated Care Manager who works with you, your doctors, and caregivers.

This comprehensive care coordination ensures that all your healthcare needs are taken care of, from medical management to assistance in meeting your medical needs.

The team dedicates efforts to comprehensively comprehend the seniors’ life circumstances, motivations, aspirations, and concerns, ensuring that you receive personalized care that considers your overall wellbeing.

Streamlined Enrollment Process


Tufts Medicare Advantage Plans, Streamlined Enrollment Process


Enrolling in a Tufts Medicare Advantage plan has been made incredibly easy and hassle-free. With the option to apply online, you can enroll in a plan from the comfort of your home.

All you need to do is provide your personal details, including your name, address, date of birth, and Medicare ID. You may also need to provide information about your current healthcare coverage.

If you’re more comfortable speaking to a representative, Tufts also provides phone enrollment support. You can speak to a customer support representative who can guide you through the enrollment process.

The support is available from 8 a.m. to 8 p.m. seven days a week, excluding the period from April 1 to September 30, when it is available Monday through Friday.


Online Application Ease

Applying for a Tufts Medicare Preferred plan online is straightforward. With a designated online platform, you can submit your application in the comfort of your own home. All you need is a stable internet connection and the necessary personal information.

For a smooth application process, make sure to have your personal information, Medicare ID, and any specific inquiries or issues regarding the enrollment process prepared and readily available when making the application.

Once you’ve submitted your application, the approval process generally takes approximately 2 weeks.


Phone Enrollment Support

If you prefer a more personal touch, Tufts also offers phone enrollment support. With just a phone call, you can get the assistance you need to enroll in a Tufts Medicare Advantage plan.

You don’t have to worry about language barriers either, as Tufts offers multi-language interpreter services on their phone line.

When you call, ensure you have your personal information, Medicare ID, and any specific inquiries or issues regarding the enrollment process ready. This ensures that the enrollment process goes as smoothly as possible, and you can start enjoying the benefits of your Tufts Medicare Advantage plan in no time.

Tailored Plans for Different Needs

One of the standout features of Tufts Medicare Advantage plans is their ability to cater to different needs.

Whether you’re living in:

  • Bristol


  • Essex


  • Hampden


  • Middlesex


  • Norfolk


  • Plymouth


  • Suffolk


  • Worcester


Tufts has got you covered. They offer a range of plans that provide coverage across Massachusetts, ensuring that your healthcare needs are met no matter where you are.

But the customization doesn’t stop there. Many of the Tufts Medicare Advantage plans also include prescription drug coverage.

So, not only do you get coverage for doctor visits and hospital stays, but you also get coverage for your prescriptions, bringing added convenience and peace of mind.


Coverage Across Massachusetts

With Tufts Health Plan, you can rest assured that your healthcare needs will be met, no matter where in Massachusetts you reside. They provide HMO and PPO Medicare Advantage plans in various regions in Massachusetts, ensuring that you get the coverage you need.

The plans not only offer comprehensive coverage but also come with specific benefits, including:

  • A $0 medical deductible


  • Prescription drug coverage


  • A $350 annual wellness allowance


  • A $150 annual eyewear benefit


This means that you can get extensive coverage with added benefits, all tailored to your needs.


Prescription Drug Coverage Inclusion

Many of the Tufts Medicare Advantage plans offer integrated coverage for medical and prescription drugs. This means you can get your medications covered under the same plan, eliminating the need for a separate prescription drug plan.

In addition, the plans include a premium prescription drug program that covers various drug categories without a coverage gap or late enrollment penalty.

So, you can get your medications without worrying about additional costs or penalties.

Maximizing Your Medicare Advantage Benefits


Tufts Medicare Advantage Plans, Maximizing Your Medicare Advantage Benefits


Tufts Medicare Advantage plans provide not only comprehensive coverage but also numerous wellness benefits and online resources to help you make the most of your benefits.

From a $0 Annual Wellness Visit to a Wellness Allowance of up to $150 ($350 for certain members), Tufts ensures that you can make the most out of your Medicare Advantage plan.

Along with wellness benefits, Tufts offers a range of online resources to help you manage your plan and make informed health choices.

By creating a secure online account, you can:

  • Access your plan details


  • Locate in-network doctors and pharmacies


  • Review forms and plan documents


  • And much more, all within a secure online environment.


Wellness Benefits

One of the key features of Tufts Medicare Advantage plans is the wellness benefits. These benefits encompass:

  • A Wellness Allowance of up to $150 ($350 for certain members)


  • An annual Eyewear Benefit


  • Coverage for alternative therapies such as acupuncture, massage, and mindful meditation.


To help you stay active and healthy, Tufts also offers a range of fitness programs, including:

  • Gym and health club memberships


  • Various fitness classes


  • Dance classes


  • Sports leagues


  • Nutritional counseling


  • The SilverSneakers program


With these programs, you can enjoy a healthy lifestyle while benefiting from your Medicare Advantage plan.


Utilizing Online Resources

To help you manage your healthcare needs conveniently, Tufts offers a secure online portal where you can access a range of resources. From enrolling in a plan to accessing account information, and managing your health, you can do it all from the comforts of your home.

And if you need to find a healthcare provider within the Tufts network, you can simply conduct a search using your plan name on the Tufts Medicare Preferred website.

The website offers search tools to find:

  • Primary care doctors


  • Dental care providers


  • EyeMed Vision Care providers


  • Network pharmacies


  • Other relevant healthcare providers.


To summarize, Tufts Medicare Advantage Plans offer a comprehensive and personalized healthcare experience.

With a range of coverage options, including HMO and PPO plans, tailored benefits, and a streamlined enrollment process, Tufts ensures that your healthcare needs are met, no matter where you are in your health journey.

So, whether you’re just starting to explore Medicare Advantage plans or looking to switch to a plan that better fits your needs, consider Tufts Medicare Advantage Plans. It’s more than just a health plan; it’s a partner in your health journey.


Frequently Asked Questions


  Does Tufts offer Medicare Advantage plans?

Yes, Tufts offers Medicare Advantage plans, which include medical and prescription drug coverage beyond Original Medicare.


  What are the pitfalls of a Medicare Advantage plan?

When considering a Medicare Advantage plan, it’s important to be aware of potential pitfalls such as restrictive networks, high out-of-pocket costs, and limited choice of doctors and medical offices.

It’s crucial to assess your current and future medical needs before deciding.


→  Who has the highest star rated Medicare Advantage plans?

The highest star rated Medicare Advantage plans are offered by Blue Cross Blue Shield, Humana, Aetna, UnitedHealthcare, Cigna, and Anthem. Consider these options for comprehensive coverage.


  What type of plan is Tufts Medicare Preferred?

Tufts Medicare Preferred is a Medicare Advantage plan, also known as Medicare Part C, which offers medical and prescription drug coverage beyond Original Medicare (Medicare Parts A & B).


 What is the process for applying for Tufts Medicare Advantage plans online?

You can apply for Tufts Medicare Advantage plans online by visiting the Tufts Medicare Preferred website and following the straightforward application process to create a secure online account.

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Russell Noga
( Medicare Expert )

Russell Noga is the CEO of ZRN Health & Financial Services, and head content editor of several Medicare insurance online publications. He has over 15 years of experience as a licensed Medicare insurance broker helping Medicare beneficiaries learn about Medicare, Medicare Advantage Plans, Medigap insurance, and Medicare Part D prescription drug plans.