MassHealth-Medicare One Care Plan

Welcome to Tufts Health One Care

Tufts Health One Care is a plan that brings your MassHealth and Medicare benefits under one care option. Tufts Health One Care is a simpler, better way to manage your health, and you’ll get more benefits at $0 cost to you.

This welcome kit has all the information you need about your health plan benefits. Visit TuftsHealthOneCare.org to see your Member Handbook, Summary of Benefits, List of Covered Drugs, Provider and Pharmacy Directory, and Annual Notice of Changes. 

Your benefits are waiting. Get started below!

One Care
One Care

Join our member portal and choose a Primary Care Provider (PCP)

Our member portal is the easiest way to get the information you need at any time. Find a health care provider, view your new member ID card and more. Sign up at TuftsHealthPlan.com/MemberLogin.

You also can download the Tufts Health Plan app to start using the portal on your smartphone.

You will need to have a primary care provider (PCP) who is part of our network. Your PCP is the person you will see for much of your care. If your current PCP is in our network then you can keep your PCP. He or she helps keep you healthy. If you want to switch your PCP, you can use the member portal to choose a new PCP.

One Care

Find a PCP or other provider

You can choose from our network of excellent and trusted health care providers. Visit TuftsHealthOneCare.org to find a doctor, hospital or other provider. See if the doctors you see now are in our network or search for new ones.

You also can call us at 1-855-393-3154 (TTY: 711) and follow the prompts. Our member services team or your care manager can help you find a provider who is right for your age and health concern.

One Care

Check your covered services and health plan benefits

Find out what medical, behavioral health, dental and vision benefits are covered by your plan.

One Care

Get care from a doctor, other health care provider or your personal care team

Find out how to access routine, urgent and emergency care.

One Care

Get a ride to your appointments

Find out how to get free transportation to medical appointments.

Need help?

Call us at 1-855-393-3154 (TTY: 711), seven days a week, from 8 a.m. to 8 p.m. We have bilingual staff available and can provide translation services if your preferred language is not English. Translation services are free.

We respect the privacy and confidentiality of your protected health information

View our Notice of Privacy Practices (“the Notice”) for details on how we protect your privacy. The Notice informs you how we use and/or disclose your PHI. For more information or a paper copy of the Notice, call the Member Services number on the back of your member ID card.

Why we collect data

We collect data to better serve your needs. To get helpful data, we may ask about your: 

  • Race, ethnicity and language
  • Disability status
  • Sexual orientation and gender identity
  • Social determinants of health (SDOH) (These are non-medical issues that may affect your health. SDOH can include things like where you live and work, your access to food, and more.)

We may gather this data when you have a health assessment or by phone, email or text. We use it to: 

  • Respect your identity and preferences
  • Reduce health inequities
  • Give you services and materials that meet your cultural needs

We follow federal and state laws and our own rules when we collect and use data. Our Notice of Privacy Practices describes our practices with respect to data. 

We do not use this data to make decisions about your coverage or eligibility.

If you have any questions please call Members Services at 866-738-4116 (TTY: 711), Monday through Friday, from 8 a.m. to 6 p.m.

Helpful contact information

For information on your plan coverage, benefits, and your rights and responsibilities, or to ask for a printed copy of your Member Handbook in alternative formats, such as large print or braille, please call us at 1-855-393-3154 (TTY: 711).

We can give you material in other formats and different languages. We have bilingual staff available and free translation services in more than 200 languages.

Disclaimers

Tufts Health One Care is a health plan that contracts with both Medicare and MassHealth to provide benefits of both programs to enrollees. It is for people with both Medicare and MassHealth ages 21 through 64 at the time of enrollment.

This is not a complete list. The benefit information is a brief summary, not a complete description of benefits. For more information contact the plan or read the Member Handbook.

ATTENTION: If you speak a language other than English, language assistance services, free of charge, are available to you. Call 1-855-393-3154 (TTY: 711), seven days a week, from 8 a.m. to 8 p.m. The call is free. 

Si habla español, tiene disponible los servicios de asistencia de idioma gratis. Llame al 1-855-393-3154 (TTY: 711), siete días de la semana, de 8 a.m. a 8 p.m. La llamada es gratuita.

You can get this document for free in other formats, such as large print, formats that work with screen reader technology, braille, or audio. Call 1-855-393-3154 (TTY: 711), seven days a week, from 8 a.m. to 8 p.m. The call is free.

The List of Covered Drugs and/or pharmacy and provider networks may change throughout the year. We will send you a notice before we make a change that affects you.
Benefits may change on January 1 of each year.