Understanding Tufts Health Plan Senior Care Options

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As we navigate the complexities of aging, it's essential to understand our senior care options. Tufts Health Plan offers a range of plans designed to meet the unique needs of seniors.

Tufts Health Plan's senior care options are built on a foundation of comprehensive coverage, with plans that include dental, vision, and hearing coverage. This ensures that seniors have access to the care they need to maintain their overall health and well-being.

Our plans also offer a range of benefits, including home care, adult day care, and respite care. These benefits can be a lifeline for seniors who require ongoing care and support.

Plan Details

When choosing a plan, consider the level of care you need, as Tufts Health Plan offers different levels of coverage for senior care, including the Tufts Medicare Preferred HMO plan, which has a $0 premium for eligible members.

The Tufts Medicare Preferred HMO plan offers a wide range of benefits, including coverage for doctor visits, hospital stays, and prescription medications.

Credit: youtube.com, Choose Tufts Health One Care.

Tufts Health Plan also offers the Tufts Medicare Preferred HMO SNP (Special Needs Plan) for seniors with chronic conditions, such as diabetes or heart disease, which provides additional benefits and services tailored to their specific needs.

This plan has a network of over 90,000 providers, including primary care physicians, specialists, and hospitals, making it easy to find a doctor or facility near you.

Tufts Health Plan's Care Management program helps members manage their chronic conditions and stay healthy, with services such as disease management, care coordination, and health education.

This program is available to all members, regardless of their level of care, and can be accessed through Tufts Health Plan's website or by calling their customer service number.

Tufts Health Plan also offers a range of wellness programs and services, including fitness classes, nutrition counseling, and stress management, to help members stay healthy and active.

Medication and Costs

The Tufts Health Plan Senior Care Options (HMO D-SNP) has a specific approach to managing medication costs.

Credit: youtube.com, Tufts Health Direct: low or no cost, more doctors…your ConnectorCare plan made easier.

The plan has a drug deductible of $590.00, which you'll need to pay before the plan starts covering your medication costs.

If you need to pay out-of-pocket for medication, the plan has a maximum limit of $2,000.00 per year.

The plan's drug benefit type is defined as standard, meaning that it covers a set list of medications, which you can find on the plan's formulary.

Drug Info

If you're enrolled in a plan like Tufts Health Plan Senior Care Options, you should know about the costs associated with prescription medications.

The drug deductible for this plan is a significant $590.00, which you'll need to meet before any coverage kicks in.

Here are some key details about the plan's drug coverage:

The drug out-of-pocket maximum is a crucial figure to keep in mind, as it's the most you'll pay for prescription medications in a year.

Part D Premium Reduction

The Low-Income Subsidy, also known as LIS or "Extra Help", can significantly reduce the cost of prescription drugs for people with Medicare. This subsidy is a game-changer for those who need it.

Credit: youtube.com, 4 Reasons Why You Need Medicare Part D Coverage

The LIS helps lower the Part D premium, which is the cost of prescription drug coverage under Medicare. For example, the Part D premium for this plan is $38.40.

With the LIS, the Part D premium is reduced to $0.00. This means that individuals who qualify for the LIS won't have to pay anything out of pocket for their Part D premium.

Other Health Plan Deductibles: Core Meaning

Other health plan deductibles can vary significantly depending on the carrier and location. Part B premium reduction is not always available with all plans.

If you're considering a plan, know that actual Part B premium reduction could be lower than expected. Deductibles, copays, and coinsurance may still apply.

For example, Tufts Health Plan Senior Care Options (HMO D-SNP) has specific details that can be found on MedicareAdvantageRX.com.

Care Options

Tufts Health Plan Senior Care Options offers several plans to choose from. These plans are designed to provide comprehensive coverage for seniors.

Credit: youtube.com, Senior Care Options (SCO) Video

You can select from five different Senior Care Options plans: Fallon NaviCare, Commonwealth Care Alliance, Senior Whole Health, United Health Care, and Tufts. Each plan has its own unique features and benefits.

If you're looking for specific plan details, here are the phone numbers for each plan: Fallon NaviCare at 1-877-255-7108, Commonwealth Care Alliance at 1-866-610-2273, Senior Whole Health at 1-888-566-3526, United Health Care at 1-800-393-0939, and Tufts at 1-855-670-5938.

In the MVES area, you can choose from six Senior Care Options plans: Commonwealth Care Alliance, Tufts Health Plan, Senior Whole Health, United Health Care, Fallon Navicare, and BMC HealthNet Plan.

Here are the plans available in the MVES area:

  • Commonwealth Care Alliance
  • Tufts Health Plan
  • Senior Whole Health
  • United Health Care
  • Fallon Navicare
  • BMC HealthNet Plan

Tufts Health Plan Senior Care Options (HMO D-SNP) offers a $0 health plan deductible and a MOOP (Maximum Out-of-Pocket) of $9,350 in-network.

Aging Services of North Central Massachusetts Partners with Five Senior Care Options

Aging Services of North Central Massachusetts has partnered with five senior care options to provide comprehensive support to seniors in the region.

Credit: youtube.com, Tufts Health Plan Foundation - Healthy Aging in MA and RI

These partnerships include Home Health VNA of North Central Massachusetts, which provides in-home care services.

The five senior care options are committed to delivering high-quality care and services to seniors in North Central Massachusetts.

Home Health VNA of North Central Massachusetts offers a range of services, including skilled nursing, physical therapy, and occupational therapy.

The partnerships are designed to provide a seamless and coordinated approach to senior care, with a focus on promoting independence and quality of life.

Aging Services of North Central Massachusetts is dedicated to supporting the health and well-being of seniors in the region, and these partnerships are an important step in achieving that goal.

The five senior care options are: Home Health VNA of North Central Massachusetts, Life Care Center of Leominster, The Residence at Cedar Hill, The Residence at Five Corners, and The Residence at Northwood Village.

Phases and Stages

Tufts Health Plan's senior care options are designed to meet the unique needs of older adults.

Credit: youtube.com, What’s a Care Manager? And Why It Matters | Tufts Health Plan

The plan offers several phases and stages to help seniors navigate the healthcare system.

Phase 1 is the Early Intervention phase, which provides preventive care and early treatment to prevent chronic conditions from developing.

During Phase 2, seniors can access advanced care, including medications and therapies, to manage chronic conditions.

In Phase 3, seniors can receive palliative care to alleviate symptoms and improve quality of life.

Tufts Health Plan's senior care options also offer a range of support services, including home health care and adult day care, to help seniors stay independent.

These services are designed to be flexible and adaptable to meet the changing needs of seniors as they age.

Wellness and Support

As a senior, it's essential to prioritize your health and well-being. Every year, Medicare evaluates plans based on a 5-star rating system, so choose a plan that meets your needs.

Tufts Health Plan offers wellness programs, such as fitness and nursing hotline services, to support your health goals. These programs can help you stay active and connected to medical professionals when you need them.

Regular exercise can improve your physical and mental health, and Tufts Health Plan's fitness programs can provide the motivation and support you need to get moving.

Frequently Asked Questions

Is Tufts Medicare plan good?

Tufts's Medicare Advantage plans have consistently received a 5-star rating from Medicare since 2016, indicating high quality and reliability. If you're looking for flexible healthcare options, Tufts Medicare plans may be worth exploring further.

What kind of plan is Tufts Medicare preferred?

Tufts Medicare Preferred is a Medicare Advantage plan (Medicare Part C) that combines medical and prescription drug coverage. It offers more comprehensive benefits beyond Original Medicare (Medicare Parts A & B).

Is Tufts Health Plan the same as MassHealth?

Tufts Health Plan offers a MassHealth plan called Tufts Health Together, which includes all MassHealth benefits. However, Tufts Health Plan is a separate entity from MassHealth, offering additional services and support.

Tasha Kautzer

Senior Writer

Tasha Kautzer is a versatile and accomplished writer with a diverse portfolio of articles. With a keen eye for detail and a passion for storytelling, she has successfully covered a wide range of topics, from the lives of notable individuals to the achievements of esteemed institutions. Her work spans the globe, delving into the realms of Norwegian billionaires, the Royal Norwegian Naval Academy, and the experiences of Norwegian emigrants to the United States.

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