Tufts Medicare Preferred's NEW Private Fee-for-Service (PFFS) plan is an exciting option that gives you the ability to choose your own doctors and specialists without referrals.
• Medical Coverage
• Prescription Drug Coverage
• Doctor and Hospital Choice
• Extra Members-Only Discounts and Services
• Who is eligible for Tufts Health Plan Medicare Preferred PFFS?
• Plan Service Area
Medical Coverage
With a Private Fee-for-Service Plan, you may go to any doctor or hospital anywhere in the country that is Medicare-approved, willing to provide care, and accepts Tufts Medicare Preferred's terms and conditions of payment. When you go to a doctor or hospital, just remember to always inform the provider that you are enrolled in a Medicare PFFS plan. With our PFFS plan, you'll get*:
Note
A Medicare Advantage Private Fee-for-Service plan works differently than a Medicare supplement plan. Your doctor of hospital is not required to agree to accept the plan's terms and conditions, and thus may choose not to treat you, with the exception of emergencies. If your doctor or hospital does not agree to accept our payment terms and conditions, they may choose not to provide health care services to you, except in emergencies. Providers can find the plan's terms and conditions on our website at: www.tuftshealthplan.com/medicare.
*Co-payment, deductibles and limitations apply
Prescription Drug Coverage
With Tufts Medicare Preferred PFFS, you can choose to have both medical and prescription drug coverage in one plan. We help make it simple... and affordable.
With Tufts Medicare Preferred PFFS, you have the option to receive medical coverage only, or you can add Medicare Part D prescription drug coverage. You may choose from two prescription drug options, Rx and Rx Plus. Our prescription drug options are available to anyone who joins Tufts Medicare Preferred PFFS.
Extra Members Only Discounts and Services
As a Tufts Medicare Preferred PFFS member, you'll also have access to a number of discount programs and services that go beyond basic healthcare coverage. We call them Preferred Extras, because they are offered to you over and above the benefits under our contract with the Federal government. These services are intended to help save you money, improve your health, and enhance your quality of life, including:
- New for 2008, FastStart, order your prescriptions over the phone, no paper work, next day shipping and additional savings.
- New for 2008, special discount on Lasik Surgery .
- Discount on health and wellness programs such as wellness seminars and nutrional counseling.
- Savings on Weight Watchers (12 week program).
- Savings on health and fitness club membership.
- Discount on acupuncture and massage therapy from participating providers.
The products and services described above are neither offered nor guaranteed under our contract with the Medicare program. In addition, they are not subject to the Medicare appeals process. Any disputes regarding these products and services may be subject to the Tufts Medicare Preferred grievance process.
Who is eligible for Tufts Health Plan Medicare Preferred PFFS?
To join this plan, you must:
- Be eligible for Medicare on the basis of age or disability.
- Be entitled to Medicare benefits under Part A and enrolled in Part B.
- Continue to pay Medicare Part B premiums, if not otherwise paid for under Medicaid or by another third party.
- Live in the Tufts Medicare Preferred PFFS Service Area.
- Not currently have End-Stage Renal Disease (ESRD).
NOTE: If you do not need regular dialysis, or have had a successful kidney transplant, you are eligible by supplying a doctor's note or record with your enrollment form.
Plan Service Area
Tufts Medicare Preferred's Private Fee-for-Service plan is available throughout Massachusetts.
H3057-2008-103R1 9-28-07