Using Your Plan
Learning how to use your Medicare Plan is important to your health and well being! View the articles below to gain access to important "How To's", plan materials, and other resources. You can also use the Drug & Pharmacy Search tool to find a covered drug or a pharmacy in your area.
Welcome New Tufts Health Plan Medicare Advantage Plan Members!
Choosing a health plan is an important decision. Thank you for putting your trust in us. We’re committed to providing you with the highest quality benefits and services.
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How Your HMO Plan Works
The better you understand your plan, the better prepared you’ll be to navigate your care and take control of your health. Here are some of the basics to keep in mind when using your Tufts Medicare Preferred HMO plan.
Get Member-Only Discounts with Your Preferred Extras
As a member of a Tufts Health Plan Medicare Advantage HMO or PPO plan, you get extra discounts designed to help you lead a healthy lifestyle that are above and beyond what's covered under Original Medicare.
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Are You in the Medicare Part D Donut Hole?
Many people think of the delicious treat when they hear “Donut Hole” — not the terrifying gap in prescription drug coverage that all Medicare prescription drug plans are required to include.
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How Does a Prescription Drug Deductible Work?
A prescription drug deductible is the amount you pay for drugs before we begin to pay our share. Several of our HMO plans have a prescription drug deductible.
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How to Change Your Doctor
Need to change your doctor? You can change your primary care physician (PCP) at any time, for any reason.
How to Find Out if a Drug is Covered
When you are prescribed a new drug, it’s a good idea to look it up in the formulary to make sure it’s covered, find out what tier it’s on, and see if your drug has any special requirements.
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How to Get Your Wellness Reimbursement
Your Wellness Allowance helps you lead a healthy lifestyle, and it pays you back!
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How to Use Your Annual Notice of Changes (ANOC) Letter
In September, Tufts Health Plan Medicare Advantage HMO members receive an ANOC letter that shows what’s changing for the upcoming year.
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How to Use Your Evidence of Coverage (EOC) Booklet
How to use your Evidence of Coverage (EOC).
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How to Use Your Explanation of Benefits (EOB)
Your EOB shows you the costs for any medical services you received from the previous month, but it’s not a bill. You don’t need to send any payments or take any action. It helps you track your medical costs and shows you how expenses are divided between your doctor, your health plan, and your copay.
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Referrals Are Central to Your Care
When you join an HMO plan, you select a doctor to be your primary care physician (PCP). Your PCP will provide your routine care, preventive care, and treatment for common illnesses. Your PCP is also responsible for coordinating or overseeing your care.
