2018 Tufts Medicare Preferred HMO Value No Rx (HMO) H2256-19-7 in MA from Tufts Health Plan | HealthPocket

Tufts Medicare Preferred HMO Value No Rx (HMO)

Medicare Advantage Plan for Massachusetts

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PARTC

Plan Summary

Insurance TypeMedicare Advantage Plan (Part C)
Insurance ProviderTufts Health Plan
Plan IDH2256-19-7
CMS Rating1
Plan TypeHMO
Annual Deductible$0.00

What To Know About This Plan

  • This is a health coverage only plan with no drug coverage

Why We Like This Plan

  • has been rated 5 stars by CMS

Plan Details

Costs and Other Important Information

Plan Year:2018
Prescription Drugs Covered?Yes
Health Plan Deductible$0
Monthly Drug Plan Premium$0
Monthly Health Plan Premium$103

Coverage Area for Tufts Medicare Preferred HMO Value No Rx (HMO)

StateMassachusetts
CountySuffolk

CMS Ratings

Staying healthy - screenings, tests and vaccines

Breast cancer screening
Colorectal cancer screening
Annual flu vaccine
Improving or maintaining physical health
Improving or maintaining mental health
Monitoring physical ability
Adult BMI assessment

Managing Chronic Conditions

Special needs plan care management
Care for older adults – medication review
Care for older adults – functional status assessment
Care for older adults – Pain screening
Osteoporosis management in women who had a fracture
Diabetes care – eye exam
Diabetes care – kidney disease monitoring
Diabetes care – blood sugar controlled
Controlling blood pressure
Rheumatoid arthritis management
Reducing the risk of falling
Plan all-cause readmissions

Member Experience with Health Plan

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

Member Complaints, and Changes in Health Plan's Performance

Complaints about the health plan
Members choosing to leave the health plan
Beneficiary access and performance problems
Health plan quality improvement

Health Plan Customer Service

Plan makes timely decision about appeals
Reviewing appeals decisions
Call center – foreign language interpreter and TTY/TDD availability - Medical

Drug Plan Customer Service

Call center – foreign language interpreter and TTY/TDD availability - Drugs
Appeals auto-forward
Appeals upheld

Member Complaints, and Changes in Drug Plan's Performance

Complaints about the drug plan
Members choosing to leave the drug plan
Beneficiary access and performance problems
Drug plan quality improvement

Member Experience with Drug Plan

Rating of drug plan
Getting needed prescription drugs

Drug Pricing and Patient Safety

MPF Price Accuracy
High risk medication
Part D medication adherence for diabetes
Part D medication adherence for hypertension
Part D medication adherence for cholesterol
Medication Therapy Management program completion rate

Physician Finder

Physicians that accept Tufts Medicare Preferred HMO Value No Rx (HMO) for Massachusetts

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BENTLEY, MARI
10 GOVE ST
EAST BOSTON, MA 02128
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
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
BRAVO, KEVIN
151 EVERETT AVE
CHELSEA, MA 02150
BUDGE, EDUARDO
151 EVERETT AVE
CHELSEA, MA 02150
ZEIDMAN, JESSICA
151 EVERETT AVENUE
CHELSEA, MA 02150
ADAMS, NANCY
1000 BROADWAY
CHELSEA, MA 02150
Details
MARI BENTLEY, 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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