Tufts Health Unify (Medicare-Medicaid )

Medicare Advantage Plan for Massachusetts

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PARTCRX

Plan Summary

Insurance TypeMedicare Advantage Plan (Part C w/ RX)
Insurance ProviderTufts Health Plan
Plan IDH7419-1-0
CMS RatingNot Rated1
Plan TypeMedicare-Medicaid Plan
Annual Deductible$0.00

What To Know About This Plan

  • This plan has health and drug coverage

Why We Like This Plan

  • has both Health and Drug Coverage
  • has no additional premium costs outside of your Medicare Part B premium

Plan Details

Costs and Other Important Information

Plan Year:
2018
Optional Supplemental Benefits
No
Maximum out-of-pocket enrollee responsibility (does not include prescription drugs)
Not Applicable
Other health plan deductibles?
No
Health Plan Deductible
$0
Monthly Drug Plan Premium
$0.00
Monthly Health Plan Premium
$0.00

Benefits

Service
Cost
Inpatient hospital coverage
$0 copay
Outpatient hospital coverage
$0 copay
Doctor visits
Primary:$0 copay
Specialist:$0 copay
Preventive care
$0 copay
Emergency care/Urgent care
Emergency:$0 copay
Urgent care:$0 copay
Diagnostic procedures/lab services/imaging
Diagnostic tests and procedures:$0 copay
Lab services:$0 copay
Diagnostic radiology services (e.g., MRI):$0 copay
Outpatient x-rays:$0 copay
Mental health services
$0 copay
Outpatient group therapy visit with a psychiatrist:$0 copay
Outpatient individual therapy visit with a psychiatrist:$0 copay
Outpatient group therapy visit:$0 copay
Outpatient individual therapy visit:$0 copay
Skilled Nursing Facility
$0 copay
Rehabilitation services
Occupational therapy visit:$0 copay
Physical therapy and speech and language therapy visit:$0 copay
Ambulance
$0 copay
Transportation
$0 copay
Foot care (podiatry services)
Foot exams and treatment:$0 copay
Routine foot care:$0 copay
Medical equipment/supplies
Durable medical equipment (e.g., wheelchairs, oxygen):$0 copay
Prosthetics (e.g., braces, artificial limbs):$0 copay
Diabetes supplies:$0 copay
Wellness programs (e.g., fitness, nursing hotline)
Covered
Medicare Part B drugs
Chemotherapy:$0 copay
Other Part B drugs:$0 copay

Coverage Area for Tufts Health Unify (Medicare-Medicaid )

StateMassachusetts
CountySuffolk

Cost Sharing Information

All cost-sharing assumes in-network healthcare providers.

Prescription Drug Copay/Coninsurance Details - Initial Coverage Limit

30 Day SupplyPreferred Retail PharmaciesNon-Preferred Retail PharmaciesMail-Order Pharmacies
Tier 1: Preferred GenericNot offereds0% coinsuranceNot offered
Tier 2: Non-Preferred GenericNot offered0% coinsuranceNot offered
Tier 3: Preferred Brand NameNot offered0% coinsuranceNot offered
Tier 4: Non-Preferred Brand Name
Tier 5: Specialty Tier
90 Day SupplyPreferred Retail PharmaciesNon-Preferred Retail PharmaciesMail-Order Pharmacies
Tier 1: Preferred GenericNot offered0% coinsuranceNot offered
Tier 2: Non-Preferred GenericNot offered0% coinsuranceNot offered
Tier 3: Preferred Brand NameNot offered0% coinsuranceNot offered
Tier 4: Non-Preferred Brand Name
Tier 5: Specialty Tier

Physician Finder

Physicians that accept Tufts Health Unify (Medicare-Medicaid ) for Massachusetts

/
DABORA, SANDRA
10 GOVE ST
EAST BOSTON, MA 02128
BLEVINS, PENGWYNNE
10 GOVE ST
EAST BOSTON, MA 02128
DOHLMAN, JAN
10 GOVE ST
EAST BOSTON, MA 02128
CARDENAS, LILIA
10 GOVE ST
EAST BOSTON, MA 02128
CHEN, DOROTHY
10 GOVE ST
EAST BOSTON, MA 02128
CHUA, MARGARETH
10 GOVE ST
EAST BOSTON, MA 02128
KOSTICH, MIRJANA
10 GOVE ST
EAST BOSTON, MA 02128
SCHAPIRO, JEFFREY
10 GOVE ST
EAST BOSTON, MA 02128
HUTNER, ALINE
10 GOVE ST
EAST BOSTON, MA 02128
WOODSON, JONATHAN
10 GOVE ST
EAST BOSTON, MA 02128
HELLER, CHARMALIE
10 GOVE ST
EAST BOSTON, MA 02128
BENTLEY, MARI
10 GOVE ST
EAST BOSTON, MA 02128
MANANDHAR, MONICA
10 GOVE ST
EAST BOSTON, MA 02128
KUEBLER, FRANCES
10 GOVE ST
EAST BOSTON, MA 02128
BROWN, ALLISON
10 GOVE ST
EAST BOSTON, MA 02128
HAZARIKA, RAJNEESH
10 GOVE ST
EAST BOSTON, MA 02128
LAMBL, BARBARA
10 GOVE ST
EAST BOSTON, MA 02128
CHOU, LORETTA
10 GOVE ST
EAST BOSTON, MA 02128
OAKLAND, MARGARET
10 GOVE ST
EAST BOSTON, MA 02128
ZARRAGA-FORSYTH, IDA
10 GOVE ST
EAST BOSTON, MA 02128
MAHERAS, STYLIANOS
10 GOVE ST
EAST BOSTON, MA 02128
GIBBES, JACQUELINE
1000 BROADWAY
CHELSEA, MA 02150
BUDGE, EDUARDO
151 EVERETT AVE
CHELSEA, MA 02150
ZEIDMAN, JESSICA
151 EVERETT AVENUE
CHELSEA, MA 02150
SCHEUFELE, ELISABETH
151 EVERETT AVE
CHELSEA, MA 02150
Details
SANDRA DABORA, MD, PHD
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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