The 9 Best Ways Your Plan Helps You Save in 2025

Get up to $450 to stay fit

Our Wellness Allowance benefit helps you lead a healthy lifestyle. And it pays you back:

Use your Wellness Allowance to lead a healthy lifestyle—Depending on your plan, you get between $150 and $300 per year. We’ve expanded this benefit in 2025 to include even more categories. Use it toward home fitness equipment, gym membership, fitness classes (including yoga, Pilates, tai chi, and aerobics), fitness tracking devices, nutritional counseling, acupuncture, massage therapy, alternative therapies—and more.¹
Use your Weight Management reimbursement to reach your weight loss goals—Get $150 toward the program fees of WeightWatchers® or hospital-based weight loss programs!²

For details, see your Evidence of Coverage (EOC) booklet.

See your doctor for between $0 and $10

Many services that you see your primary care physician (PCP) for, such as an annual physical, cost $0. But seeing your PCP for a general appointment has a low $10 copay ($5 copay for HMO Saver Rx members; $0 copay for HMO Smart Saver Rx and Access PPO members).³ This helps make it easier for you to see your PCP if you need to. And most of your benefits have set copay amounts, which makes it easier to know exactly what a service will cost you.

Learn how to get the most from your next doctor visit

Use your extra discounts to save on hearing aids, massage therapy, and more

Did you know Tufts Health Plan Medicare Advantage HMO and PPO plan members get extra discounts? With Preferred Extras,⁴ you can save on great programs and services such as hearing aids, nutritional counseling, massage therapy, acupuncture, and much more!

See a complete list of Preferred Extras discounts

Save up to $196 on prescription drug costs with home delivery

If your plan includes prescription drug coverage, you can avoid going to the pharmacy and have prescriptions you take regularly delivered to your door. With OptumRx Home Delivery Pharmacy, you may be able to save up to $49 for a 90-day supply of prescription medications (depending on the plan you are in and the tier your drug is on). That’s a potential savings of up to $196 a year!⁵ With home delivery, your medications are conveniently mailed to your home.

To sign up, call OptumRx at 1-800-299-7648 (HMO)/1-800-460-0322 (PPO).

Learn more about home delivery

Save up to $250 on eyeglasses

You can get up to $150 ($250 for Saver, Smart Saver, and Access PPO members) toward the full retail price (not sale price) of eyewear (prescription lenses and/or frames) and/or contact lenses from a provider in the EyeMed network.

Or get up to $90 ($150 for Saver and Smart Saver members; $250 for Access PPO members) toward the price of eyewear (prescription lenses and/or frames) and/or contact lenses from a store not in the EyeMed network.⁶

Learn more about your eyewear discount

Save on hearing aids

You're covered for up to 2 hearing aids per year, 1 hearing aid per ear. The best part? There are five technology levels to choose from and pricing is fixed, with copays ranging from $250 to $1,150 for each hearing aid. You're also covered for a $0 hearing aid evaluation once per year.⁷

Learn more about your hearing aid discount

Get your $0 health screenings

Getting regular screenings is one of the best ways to stay healthy. Take advantage of a $0 copay for many screenings, including cancer, diabetes, glaucoma, and more. (Access PPO members, see your Evidence of Coverage at thpmp.org/documents for cost shares for screenings received out-of-network).

See all preventive screenings

Get up to $2,500 of dental coverage

Depending on the plan you are in, you can either add dental coverage or enhance your existing dental coverage.⁸

Smart Saver Rx plan—Includes $2,500 of supplemental dental coverage for preventive, basic, and major dental services.
Saver, Basic, and Value plans—Include a $1,000 supplemental dental benefit that covers preventive and basic services. Plus, for an additional monthly premium of $37, you can upgrade to the Tufts Medicare Preferred Dental Option to enhance the included dental coverage by reducing cost share on basic services and adding coverage for major services.
Prime and Prime Rx Plus plans—Do not include supplemental dental coverage, but you may add $1,000 of dental coverage for preventive, basic, and major dental services for an additional $36.50 monthly premium.
Access PPO plan—Includes a Visa® Flex Advantage spending card with a preloaded $1,500 dental benefit to use at any dentist in the country who accepts Visa—no networks or cost sharing to worry about.

Learn more about the Access PPO Flex Advantage spending card

Members of Saver, Basic, Value, or Prime plans can sign up for the Tufts Medicare Preferred Dental Option⁹:

Sign up by December 7, 2024, for a January 1, 2025, effective date.
Sign up by January 31, 2025, for a February 1, 2025, effective date.

Just fill out and submit the Dental Option Enrollment Form available at thpmp.org/forms. If you signed up for the Dental Option in 2024, your coverage will automatically renew. For complete coverage details, see your Evidence of Coverage (EOC).

The Tufts Medicare Preferred Dental Option is not available if you receive your benefits from a current or former employer.

Learn more about dental coverage plans and options

Use your OTC benefit (Saver Rx, Smart Saver Rx, and Access PPO plan members only)

Tufts Medicare Preferred Saver Rx, Smart Saver Rx, and Access PPO plan members can use your OTC benefit on over-the-counter, health-related items such as toothbrushes, aspirin, allergy relief items, adhesive bandages, sunscreen, and more!¹⁰

See OTC Details for Saver & Smart Saver Rx HMO plans

See OTC Details for Access PPO plan

This information is not a complete description of benefits. Call 1-800-701-9000 (HMO) or 1-866-623-0172 (PPO) (TTY: 711) for more information. Benefit information described is for Tufts Health Plan Medicare Advantage HMO and Access PPO plan members. Benefit information may be different if you receive your benefits from a current or former employer.

¹$150 ($175 for Smart Saver, $300 for Saver Rx, and $185 for Access PPO plans) is the total reimbursement amount each year (Jan. 1–Dec. 31) whether used for nutritional counseling, wellness programs, alternative therapies, massage therapy, fitness tracking devices and heart rate monitors, and additional types of fitness and health clubs, and classes.

²$150 is the total reimbursement amount each year (Jan. 1–Dec. 31). This benefit does not cover costs for pre-packaged meals/foods, books, videos, scales, or other items or supplies.

³A copay may apply if you receive services that address a medical condition during an annual physical or Annual Wellness Visit.

⁴Discounts and services included in the Preferred Extras program are not plan benefits and are not subject to the Medicare appeals process.

⁵Applies to Rx plans. Maximum savings are for Tier 2 drugs. Savings may be different depending on the plan you are in or if you receive your benefits from a current or former employer.

⁶You can get up to $150 ($250 for Saver, Smart Saver, and Access PPO members) toward the full retail price (not sale price) for eyeglasses, prescription lenses, frames, and/or contact lenses including upgrades. Or get up to $90 ($150 for Saver and Smart Saver members; $250 for Access PPO members) from a provider not in the EyeMed network. If you use a non-EyeMed provider, you would need to pay out of pocket and submit for reimbursement. Discounts can’t be combined. Please refer to your Evidence of Coverage for more details.

⁷Hearing aids and hearing aid evaluation must be with a Hearing Care Solutions provider.

⁸[HMO]: The plan is administered by Dominion Dental Services, Inc., which operates under the trade name Dominion National. Benefit limits apply. Cost share applies to non-preventive services. Services must be performed by providers in the Dominion PPO Network. Please refer to your Evidence of Coverage for more information.

[PPO]: Dental services covered under the Flex Advantage spending card are limited to non-cosmetic, non-Medicare covered dental procedures. Coverage is up to the annual benefit limit, and the member is responsible for all costs above this amount. Unused balance at the end of the year does not roll over. Please refer to your Evidence of Coverage for more information.

⁹If purchased, the Tufts Medicare Preferred Dental Option replaces the embedded dental benefit included with your plan. Please refer to your Evidence of Coverage for more information.

¹⁰Quarterly OTC credit is for the purchase of Medicare-approved OTC items from participating retailers and plan-approved online stores. Unused balance at the end of a calendar quarter does not roll over. Under certain circumstances, items may be covered under your Medicare Part B or Part D benefit.