2025 Tufts Medicare Preferred
Supplement Core
Individuals who join a Tufts Medicare Preferred Supplement plan may be eligible for a discounted premium. The discount is available to individuals 65 and older who join a Supplement plan within six (6) months of acquiring their Medicare Part B coverage for the first time. The discounted premium begins with your plan's initial effective date and applies as follows: 15% off your premium for months 1 through 12, 10% off your premium for months 13 through 24, and 5% off your premium for months 25 through 36. After month 36, the discount ends and that year's premium rate will apply. This discount does not apply to the premium for the optional Tufts Health Plan dental add-on coverage or employer group membership.
For the Tufts Medicare Preferred Supplement Core plan, these amounts are:
Regular Premium: $152.50
Discount: Months 1-12 (15%): $129.63
Discount: Months 13-24 (10%): $137.25
Discount: Months 25-36 (5%): $144.88
Primary Care Provider (PCP)
You are responsible for your Annual Medicare Part B Deductible for medical services; after you've met your deductible the plan pays all subsequent expenses for covered services.
Specialist Copay
You are responsible for your Annual Medicare Part B Deductible for medical services; after you've met your deductible the plan pays all subsequent expenses for covered services.
Routine Vision Exam
Not covered.
Routine Hearing Exam
Not covered.
Laboratory Services
You are responsible for your Annual Medicare Part B Deductible for medical services; after you've met your deductible the plan pays all subsequent expenses for covered services.
X-Rays
You are responsible for your Annual Medicare Part B Deductible for medical services; after you've met your deductible the plan pays all subsequent expenses for covered services.
Diagnostic Procedures
You are responsible for your Annual Medicare Part B Deductible for medical services; after you've met your deductible the plan pays all subsequent expenses for covered services.
Diagnostic Radiology Services
You are responsible for your Annual Medicare Part B Deductible for medical services; after you've met your deductible the plan pays all subsequent expenses for covered services.
Outpatient Surgery
You are responsible for your Annual Medicare Part B Deductible for medical services; after you've met your deductible the plan pays all subsequent expenses for covered services.
Physical, Occupational, and Speech Therapy
You are responsible for your Annual Medicare Part B Deductible for medical services; after you've met your deductible the plan pays all subsequent expenses for covered services.
Cardiovascular Screening
The Tufts Health Plan Supplement Core pays $0; Medicare pays 100% of the allowed amount for covered preventive services when provided according to Medicare guidelines.
Cancer Screening (Colorectal, Prostate, Breast)
The Tufts Health Plan Supplement Core pays $0; Medicare pays 100% of the allowed amount for covered preventive services when provided according to Medicare guidelines.
Urgent Care
You are responsible for your Annual Medicare Part B Deductible for medical services; after you've met your deductible the plan pays all subsequent expenses for covered services.
Emergency Room Visits
You are responsible for your Annual Medicare Part B Deductible for medical services; after you've met your deductible the plan pays all subsequent expenses for covered services.
Inpatient Hospital Coverage
You are responsible for your Medicare Part A Deductible for inpatient services for each benefit period; after you've met the Part A deductible the plan pays all subsequent expenses for covered services.
Ambulance Rides and Services
You are responsible for your Annual Medicare Part B Deductible for medical services; after you've met your deductible the plan pays all subsequent expenses for covered services.
Skilled Nursing
$0 days 1-20/$200 per day days 21-100. Coverage for up to 100 days each benefit period.
Embedded Dental Benefit
Not covered.
Hearing Aid Benefit
Not covered.
Eyewear Benefit
Not covered.
Weight Management Programs
Not covered.
Wellness Allowance
Choose how to stay fit with up to a $150 reimbursement for fees you pay toward joining a health club, fitness class (such as aerobics, Pilates, Tai Chi, or yoga), and nutritional counseling sessions.