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

/
ELLIS, KATHRYN
730 MAIN ST
MILLIS, MA 02054
HENKEL, LUIS
1000 BROADWAY
CHELSEA, MA 02150
OAKLAND, MARGARET
10 GOVE ST
EAST BOSTON, MA 02128
LAMBL, BARBARA
10 GOVE ST
EAST BOSTON, MA 02128
GERWECK, KENNETH
163 GORE ST
EAST CAMBRIDGE, MA 02141
ZARRAGA, IDA
10 GOVE ST
EAST BOSTON, MA 02128
SERRELL, NANCY
151 EVERETT AVE
CHELSEA, MA 02150
ARMAND, WYNNE
151 EVERETT AVE
CHELSEA, MA 02150
BENZAQUEN, LAURA
151 EVERETT AVE
CHELSEA, MA 02150
BRODSKY, LYNNE
151 EVERETT AVE
CHELSEA, MA 02150
RIEGER, ILSE
151 EVERETT AVE
CHELSEA, MA 02150
KROHN, HERBERT
151 EVERETT AVE
CHELSEA, MA 02150
GUGLIETTA, PATRICIA
151 EVERETT AVE
CHELSEA, MA 02150
KEHOE, LAURA
101 MERRIMAC ST
BOSTON, MA 02114
MORLEY, KATHARINE
151 EVERETT AVE
CHELSEA, MA 02150
XERRAS, DEAN
100 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
ABREGO, JOSE
1000 BROADWAY
CHELSEA, MA 02150
MENDIOLA, MONICA
1000 BROADWAY
CHELSEA, MA 02150
SORIA, VICTOR
150 EVERETT AVE
CHELSEA, MA 02150
CHOY, EDWIN
151 EVERETT AVE
CHELSEA, MA 02150
GANI, JERINA
1000 BROADWAY
CHELSEA, MA 02150
Details
KATHRYN ELLIS, M.D.
Phone Number
(508) 376-2515
Office Locations
730 MAIN ST
MILLIS, MA 02054
730 MAIN ST MILLIS MA, 02054

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