As SOMA’s official Health Insurance Partner, we’re proud to help empower individuals with intellectual disabilities and their families.

Tufts Health One Care is a health plan for adults who have both Medicare and Medicaid. It’s a plan that focuses on health, wellness and empowerment. Our mission? To make it easier for members with intellectual and/or physical disabilities or complex health issues to manage their health. Members get more benefits than they have with separate MassHealth and Medicare plans at $0 added costs to them. And they get the services and support to live their lives to the fullest.

Want to learn more about Tufts Health One Care?

Click here to fill out a form to get our downloadable information kit.

Tufts Health One Care (Medicare-Medicaid plan) can make it easier for you to manage complex health issues, such as intellectual and physical disabilities and chronic conditions. With Tufts Health One Care, you get all your Medicare and MassHealth benefits – and more – through one plan.

That means you’ll get more benefits and better care at no added cost to you.

Tufts Health One Care covers doctor visits, hospital stays, medication, care management services, vision services, etc. You’ll also be eligible for added services that you don’t get when you have two separate plans. For example, you’ll have more options for:

• Behavioral health
• In-home support services
• Care management
• Medical services
• Non-medical transportation
• Help with everyday activities and tasks (personal assistance services)
• Medical equipment including environmental aids and assistive/adaptive technology, supplies and repairs
• Dental services
• Community-based services

Better, simpler care

As a member of Tufts Health One Care, you’ll get care management services at home. Care coordinators can provide you with services that make a real difference in your health and daily life. Clinicians can work with you and your care coordinator to make sure you get the care you need when you need it. Here are highlights of the services you have access to as a member of Tufts Health One Care:

• You’ll have a care coordinator who will be with you and your caregivers every step of the way on your health journey.
• You’ll have the support of a care team dedicated to you and your health. Your team members will meet you wherever and whenever works for you – at home, in the community, or by phone or video visit.
• Your care team will take the time to find out what’s important to you about your health. They’ll work with you to create a personal care plan to improve your health and daily life. Your team will make sure you get the services you need when you need them.
• Your care team can help you connect to the right provider or program for your long-term behavioral health goals.
• Your team will help streamline your care and coordinate your services, tests and appointments with your providers.

You’ll have access to in-home urgent care. No more long wait times – you can get treatment for acute care concerns without having to leave home 24 hours a day/7 days a week.

Becoming a member

You may be eligible for Tufts Health One Care if you are 21 to 64 years old and have MassHealth Standard or MassHealth CommonHealth and Medicare. People are ineligible if they have private health insurance from their job or a home and community-based services waiver. Tufts Health One Care serves members in the following counties: Barnstable, Bristol, Essex, Middlesex, Norfolk, Plymouth, Suffolk, and Worcester.

How to enroll

You can choose Tufts Health One Care as your health plan when you enroll in One Care or anytime if you’re already a One Care member. If you have MassHealth and Medicare, you can easily enroll online, by mail or by phone:

• Fill out a One Care enrollment form on the Mass.gov website.
• Go to https://www.mass.gov/info-details/how-to-enroll-in-one-care to download a paper enrollment form. The form includes information about where to mail or fax your completed form.
• Call MassHealth at 1-800-841-2900 (TTY: 711), Monday through Friday, from 8 a.m. to 5 p.m.

We’ll soon be introducing you to SOMA athletes, family members and caregivers who are making a difference and fostering inclusion across the state. Each quarter, we’ll present the Tufts Health Plan Healthy Heroes Award to a deserving person (or group of people) who: 

• Is a good role model who exemplify the importance of making healthy and empowering choices
• Is a SOMA athlete or family member/caregiver of an athlete
• Helps SOMA athletes and/or family members reach their health and wellness goals
• Demonstrates how healthy choices can improve the lives of SOMA athletes and their families

We’ll feature award winners’ stories here to celebrate their accomplishments and inspire others to make a difference. 

Want to nominate someone for the award?

Click here

Special Olympics Massachusetts (SOMA) – SOMA is helping to build a community where people with and without disabilities can showcase their skills, nurture social connects and live their best lives. 

Disability:IN – Disability:IN empowers businesses to achieve disability inclusion and equality. 

Disability Policy Consortium (DPC) – DPC’s mission is to ensure the voice of people with disabilities is heard on key issues, to support the health of our community through participatory research and expert policy analysis, and to empower grassroots disability leaders to transform their communities. 

Massachusetts Development Disabilities Council (MDDC) – The MDDC is an independent agency dedicated to empowering people with develop disabilities and their families to enjoy full productive lives by promoting self-sufficiency, community inclusion and opportunity. 

Opportunities for Inclusion – This organization’s mission is to serve individuals with intellectual, developmental and physical disabilities, frail elders and their families. Their programs promote independence, inclusion, self-advocacy, cultural diversity and the overall dignity and welfare of participants and staff. 

My Ombudsman – This organization helps MassHealth members understand their health care rights and health plan benefits so they can get the care they need.