Medicare Advantage Plans (Part C)

Many people choose to sign up for a Medicare Advantage plan in addition to Original Medicare because it covers everything Original Medicare covers plus additional benefits. Medicare Advantage plans are available with prescription drug coverage, so you can have medical and drug coverage in one plan.

What are the types of Medicare Advantage Plans?

Health Maintenance Organization (HMO)

Patients select a primary care physician (PCP) from within the network, and referrals to specialists go through your PCP.

Offered by Tufts Health Plan.

Preferred Provider Organization (PPO)

No network restrictions or referrals. Patients don’t have to select a PCP, but seeing a doctor inside the network will generally have lower costs for services than seeing a doctor outside of the network.

Offered by Tufts Health Plan.

Private Fee-for-Service

The plan determines how much it will pay and how much you must pay for care. Not all providers may accept the plan's payment terms. Also, if your plan has a network, you may pay more to see an out-of-network provider.

Not offered by Tufts Health Plan.

Why choose a Medicare Advantage plan?

Additional coverage

Medicare Advantage plans typically cover vision, hearing, and health and wellness.

Filling cost gaps

Covers the cost of care that may fall outside the established scope or time frame of Original Medicare.

Managed care

Our plans offer coordinated care within a network of care providers.

How Tufts Health Plan Medicare Advantage (HMO) plans cover the gaps

Tufts Health Plan Medicare Advantage (HMO) (Part C) plans provide all the coverage of Original Medicare (Part A and Part B) plus coverage for important additional benefits:

• Out-of-pocket limit to the amount you would have to pay for medical expenses in a year.
• Available with prescription drug coverage so you can have your medical and prescription drug coverage all in one plan.
• Coverage for routine vision and hearing exams, fitness reimbursements, worldwide travel coverage, and more.
• You choose a primary care physician to help coordinate the care you need and make informed decisions about your health.
• We have thousands of PCPs in our network to choose from and can help you select a PCP if you don’t currently have one.
• Monthly premiums for our Medicare Advantage plans start as low as $0.