Copays
Additional Benefits
Prescriptions
Coverage
100

This is the only TMP plan that has a $0 copay for PCP's .

HMO Smart Saver Rx.

100

This TMP plan has the highest Embedded Dental Deductible.

What is the HMO Smart Saver RX plan

$100. but also has a $1500 annual benefit.

100

Medications listed in lowercase italics are what kind of drug

Generic drugs.

100

These Tufts plans currently have a five star rating.

All of our TMP HMO plans.

200

This TMP plan has the lowest copay for Outpatient Services and Surgery.

HMO Prime Rx Plus  $75

200

These TMP plans offer an OTC benefit.

What are the HMO Smart Saver Rx HMO Saver Rx plans.

$50 per calendar quarter to spend on Medicare approved health-related items

200

These plans have identical copays for all Tiers of prescriptions.

CarePartners of CT.

200

This TMP HMO has the highest annual out of pocket maximum.

The HMO Saver Rx plan

300

This CarePartners plan has the lowest copay to see a Specialist.

CareAdvantage Prime HMO. $40

300

One on one Care Managers are available to members of these plans.

All CarePartners of Connecticut.

300

Shingrix is listed at this Tier.

Tier 6.

300

This Medicare Supplement plan does not offer any coverage for Eyewear or Exams.

Tufts Medicare Preferred Supplement Core

400

This TMP plan has the highest Inpatient Care copays.

HMO Smart Saver Rx

Days 1–5: $390 per day, $0 per day after day 5

400

This CPCT plan does not require an EyeMed provider to utilize the Annual Eyewear Benefit.

CarePartners Access PPO

400

A Wixela inhaler has this utilization management condition on Tufts MA plans.

What is a QL quantity limit

400

This plan is offered in less counties than any of Tufts other plans.

TMP HMO Basic No Rx

500

This plan has a one time $795 copayment for inpatient stays (after deductible)

CarePartners Access (PPO)

500

This is the maximum amount the Medicare Supplement Dental Option will pay in a year.

$1000

500

These two plans have the highest Prescription Deductible for Tier 3 of all of our plans.

What is the HMO Smart Saver Rx HMO Saver Rx

$250 for Tiers 3–5  

500

This state has plans that have Premiums that vary by what county the member is in.

Massachusetts

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