Broker Newsletter - January 2025

Publish Date

Your January Update

We want to make it easier for you to provide Tufts Health Plan as a solution to your clients. To help support your hard work, here is what we thought you should know this month:

Thank you for a successful AEP
We sincerely appreciate all your hard work and support during AEP. Your efforts made a big difference and were instrumental to our success. We look forward to another successful year!

 

Making sure new members start off right
Once your clients enroll in Tufts Health Plan, make sure they have the information they need to start their plan off right. This checklist created specifically for brokers makes it easy.

Log into the broker portal and click on Training & Materials > Libraries > Medicare Enrollment & Product Materials >Tufts Health Plan Medicare Preferred HMO and PPO Materials to access the Member Checklist:
Get New Member Checklist

 

OEP do’s and don’ts

You can still sell during OEP but there are some important guidelines to keep in mind.

What can you do and not do during the Open Enrollment Period (OEP) that runs from January 1 to March 31?

The Centers for Medicare & Medicaid Services (CMS) prohibits “knowingly” targeting or marketing to Medicare Advantage enrollees during the OEP, including distribution of unsolicited marketing materials and activities that use OEP as a sales opportunity.

What you can do:

  • Provide information and respond to questions about OEP and the opportunity to switch Medicare Advantage plans when asked.
  • Send marketing materials about Tufts Health Plan when requested by a client.
  • Educate individuals aging into Medicare (“age-ins”) and Low Income Subsidy (LIS) and dual-eligible recipients about Tufts Health Plan.

Need to view plan details? Find them on our plan compare page.

 

Reasons to sell: Exciting plan benefits your clients want in 2025!

Our Access PPO plan includes:

  • $0 monthly premium
  • $1,500 of dental coverage with PPO Visa® Flex Advantage spending card – no network
  • Increased OTC benefit – a total of $520 a year to spend on OTC items
  • Reduced copay for outpatient diagnostic radiology services to $140 per day (OON: 45% coinsurance) – ultrasounds remain at $100 per day


Our Smart Saver Rx HMO plan includes:

  • $0 monthly premium
  • $2,500 of dental coverage
  • Increased OTC benefit – a total of $560 a year to spend on OTC items
  • Reduced copay for outpatient diagnostic radiology services to $140 per day (ultrasounds remain at $100 per day)

Compare all plans: www.tuftsmedicarepreferred.org/plans/compare

 

Medicare Made Simple
Our Medicare Made Simple guide can help you explain coverage options to your clients who are new to Medicare.

Log into the broker portal and click on Training & Materials > Libraries > Medicare Enrollment & Product Materials >Tufts Health Plan Medicare Preferred HMO and PPO to access the Medicare Made Simple Guide:
See Medicare Made Simple guide