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Medicare Advantage · HMO
Tufts Health Plan
Plan year 2027

Tufts Medicare Preferred HMO Prime Rx Plus H2256-001-001 (HMO)

Monthly premium
$280
+ your Part B premium
Max out-of-pocket
$3,850
in-network annual cap
Primary care
$10
per visit copay
Specialist
$30
per visit

Your costs at a glanceIn-network, for the 2027 plan year

Medical deductible
$0
Rx deductible
$0
Inpatient hospital
$200
per stay
no limit on covered hospital days
Inpatient mental health
$200
per stay
Outpatient surgery
$175
Emergency room
$130
Urgent care
$30

What's included, and what it's actually worth4 benefits included. Tap any card for the detail

Hearing

$250–$1,150copay per hearing aid
Details$250–$1,150 copay per hearing aid
This is a supplemental benefit with plan-specific limits. See plan documents for details.

Vision

$150/yr eyewear allowance
Eyewear allowance$150/yr eyewear allowance
This is a supplemental benefit with plan-specific limits. See plan documents for details.
See more details about this plan
Doctor Visits: PCP$10 copay
In-network$10 copay per visit
Doctor Visits: Specialist$30 copay
In-network$30 copay per visit
Inpatient Hospital$200 per stay
In-network$200 per stay
Benefit limitNone — additional covered days are unlimited
Outpatient Surgery$175 copay
In-network$175 copay per procedure
Mental Health$200 per stay
Inpatient psychiatric$200 per stay
Fitness$0 fitness benefit
TransportationNon-emergency transportation benefit
DetailsNon-emergency transportation benefit

Your coverageCheck your coverageFrom the doctors and prescriptions you added

Our take

Where this plan shines

This plan’s out-of-pocket maximum ($3,850) is among the lowest available.
No separate drug deductible.
No separate medical deductible.

Things to know before you enroll

Network restriction — you’ll need to use in-network providers except in emergencies.
Limited coverage while traveling outside the plan’s service area.
Questions? Talk to a licensed agent at1-866-764-3312 (TTY: 711)

Plan documents

Plan questions

Common questions about Tufts Medicare Preferred HMO Prime Rx Plus (HMO)

What does Tufts Medicare Preferred HMO Prime Rx Plus (HMO) cover?

Tufts Medicare Preferred HMO Prime Rx Plus (HMO) is a Medicare Advantage plan that the current plan record identifies as including Part D prescription drug coverage. The plan record also identifies Part D prescription drug coverage. Published supplemental benefits include vision ($150/yr eyewear allowance), hearing ($250–$1,150 copay per hearing aid), fitness ($0 fitness benefit), and transportation (Non-emergency transportation benefit). Review the plan documents for covered services, limits, and rules. Coverage can change each plan year.

Learn about Medicare Advantage

How much does Tufts Medicare Preferred HMO Prime Rx Plus (HMO) cost in 2027?

The published 2027 monthly plan premium for Tufts Medicare Preferred HMO Prime Rx Plus (HMO) is $280. Any Medicare premiums you owe are separate from the listed plan premium. The listed medical deductible is $0. The listed Part D deductible is $0. The in-network medical out-of-pocket maximum is $3,850; it does not include Part D drug spending. Published visit costs include primary care $10 and specialist visits $30. These figures are plan data, not a personal yearly-cost estimate.

Understand Medicare drug-cost limits

Can I use my current doctors with Tufts Medicare Preferred HMO Prime Rx Plus (HMO)?

CMS lists Tufts Medicare Preferred HMO Prime Rx Plus (HMO) as a HMO plan. A network label alone does not confirm that a specific doctor participates. Use the doctor lookup tool, then confirm with the doctor's office and the plan before receiving care. Provider networks and member costs can change. Emergency care and travel coverage can follow different network rules.

Check your doctors

Does Tufts Medicare Preferred HMO Prime Rx Plus (HMO) cover my prescriptions?

The current plan record for Tufts Medicare Preferred HMO Prime Rx Plus (HMO) does not include tier-level formulary costs. The listed Part D deductible is $0. A tier listing does not confirm that a specific prescription is covered. Check each medication against the plan's current formulary, restrictions, pharmacy network, and costs before enrolling.

Check your prescriptions

What dental, vision, and hearing benefits does Tufts Medicare Preferred HMO Prime Rx Plus (HMO) include?

The current plan record for Tufts Medicare Preferred HMO Prime Rx Plus (HMO) lists vision ($150/yr eyewear allowance) and hearing ($250–$1,150 copay per hearing aid). The current data does not list dental as offered benefits. Benefit allowances, frequency, eligibility, and participating providers can have additional limits, so review the Summary of Benefits or Evidence of Coverage for the complete rules.

When can I enroll in Tufts Medicare Preferred HMO Prime Rx Plus (HMO)?

Tufts Medicare Preferred HMO Prime Rx Plus (HMO) is a 2027 Medicare Advantage plan. The Annual Enrollment Period runs from October 15 through December 7, with changes taking effect January 1. The Medicare Advantage Open Enrollment Period runs from January 1 through March 31 for people already enrolled in Medicare Advantage. A qualifying circumstance may create a Special Enrollment Period outside those dates. Confirm the enrollment window and effective date that apply to you before changing coverage.

Review Medicare enrollment periods

More plan options

Browse the full 2027 Medicare Advantage with drug coverage directory. This plan is offered in Massachusetts. Plan availability can vary by county.

Helpful next steps

Tufts Medicare Preferred HMO Prime Rx Plus H2256-001 (HMO) — 2027