PARTCRX

Plan Summary

Insurance Type
Medicare Advantage Plan (Part C w/ RX)
Insurance Provider
Tufts Health Plan
CMS Rating
Plan Type
HMO
Annual Deductible
$0.00

What To Know About This Plan

  • This plan has health and drug coverage

Cost Sharing Information

Prescription Drug Copay/Coninsurance Details - Initial Coverage Limit

30 Day SupplyPreferred Retail PharmaciesNon-Preferred Retail PharmaciesMail-Order Pharmacies
Tier 1: Preferred Generic$5 copay$5 copay$4 copay
Tier 2: Non-Preferred Generic$10 copay$10 copay$8 copay
Tier 3: Preferred Brand Name$33 copay$33 copay$33 copay
Tier 4: Non-Preferred Brand Name$93 copay$93 copay$93 copay
Tier 5: Specialty Tier33% coinsurance33% coinsurance33% coinsurance
90 Day SupplyPreferred Retail PharmaciesNon-Preferred Retail PharmaciesMail-Order Pharmacies
Tier 1: Preferred Generic$15 copay$15 copay$12 copay
Tier 2: Non-Preferred Generic$30 copay$30 copay$24 copay
Tier 3: Preferred Brand Name$99 copay$99 copay$99 copay
Tier 4: Non-Preferred Brand Name$279 copay$279 copay$279 copay
Tier 5: Specialty Tier33% coinsurance33% coinsurance33% coinsurance

CMS Ratings

Staying healthy - screenings, tests and vaccines

Breast cancer screening
Not Rated
Colorectal cancer screening
Cholesterol screening for patients with heart disease
Glaucoma testing
Annual flu vaccine
Pneumonia vaccine
Improving or maintaining physical health
Improving or maintaining mental health
Monitoring physical ability
Access to primary care doctor visits
Adult BMI assessment

Managing Chronic Conditions

Care for older adults – medication review
Not Rated
Care for older adults – functional status assessment
Not Rated
Care for older adults – Pain screening
Not Rated
Osteoporosis management in women who had a fracture
Diabetes care – eye exam
Diabetes care – kidney disease monitoring
Diabetes care – blood sugar controlled
Diabetes care – cholesterol controlled
Controlling blood pressure
Rheumatoid arthritis management
Improving bladder control
Reducing the risk of falling
Plan all-cause readmissions

Ratings of Plan Responsiveness and Care

Getting needed care
Getting appointments and care quickly
Customer service
Overall rating of health care quality
Overall rating of plan

Member Complaints, Problems Getting Services, and Choosing to Leave the Plan

Complaints about the health plan
Beneficiary access and performance problems
Members choosing to leave the plan
Plan makes timely decision about appeals
Reviewing appeals decisions
Call center – foreign language interpreter and TTY/TDD availability

Physician Finder

Physicians that accept Tufts Medicare Preferred HMO Prime Rx (HMO) for Massachusetts

/
OAKLAND, MARGARET
10 GOVE ST
EAST BOSTON, MA 02128
ZARRAGA, IDA
10 GOVE ST
EAST BOSTON, MA 02128
HENKEL, LUIS
1000 BROADWAY
CHELSEA, MA 02150
ELLIS, KATHRYN
730 MAIN ST
MILLIS, MA 02054
LAMBL, BARBARA
10 GOVE ST
EAST BOSTON, MA 02128
GERWECK, KENNETH
163 GORE ST
EAST CAMBRIDGE, MA 02141
ARMAND, WYNNE
151 EVERETT AVE
CHELSEA, MA 02150
BRODSKY, LYNNE
151 EVERETT AVE
CHELSEA, MA 02150
KROHN, HERBERT
151 EVERETT AVE
CHELSEA, MA 02150
LEWIS, VICTOR
151 EVERETT AVE
CHELSEA, MA 02150
GONZALEZ, WANDA
151 EVERETT AVE
CHELSEA, MA 02150
LEVINE, CINDY
1000 BROADWAY
CHELSEA, MA 02150
COLLINS, JEFFREY
151 EVERETT AVE
CHELSEA, MA 02150
MCDONNELL, NANCY
301 BROADWAY
CHELSEA, MA 02150
GIBBES, JACQUELINE
1000 BROADWAY
CHELSEA, MA 02150
PERCAC-LIMA, SANJA
151 EVERETT AVENUE
CHELSEA, MA 02150
CARR, LISA
151 EVERETT AVENUE
CHELSEA, MA 02150
BUDGE, EDUARDO
151 EVERETT AVE
CHELSEA, MA 02150
FISCH, JUDITH
151 EVERETT AVE
CHELSEA, MA 02150
SORIA, VICTOR
150 EVERETT AVE
CHELSEA, MA 02150
MUSCOLO, GABRIELLA
151 EVERETT AVE
CHELSEA, MA 02150
ATKINS, ELISHA
151 EVERETT AVENUE
CHELSEA, MA 02150
DRESKIN, JANE
151 EVERETT AVE
CHELSEA, MA 02150
GREER, DIANE
151 EVERETTE AVE CHC
CHELSEA, MA 02150
MORLEY, KATHARINE
151 EVERETT AVE
CHELSEA, MA 02150
Details
MARGARET OAKLAND, M.D.
Phone Number
(617) 569-5800
Office Locations
10 GOVE ST
EAST BOSTON, MA 02128
10 GOVE ST EAST BOSTON MA, 02128

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