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What is a One Care plan?
A One Care plan, like Tufts Health One Care, is a health plan option that gives you a better, easier way to manage your health. These plans simplify your care by bringing your MassHealth and Medicare benefits together.
You’ll have one health plan, one insurance card and one person – a care manager – who coordinates your care. Your care team will personalize and simplify your care with all the benefits that you currently receive through MassHealth and Medicare, plus more.
Your benefits
With Tufts Health One Care, you’ll get more benefits and better care at no added cost to you. You’ll pay $0 copayments and get all your prescriptions through one plan. 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
The Tufts Health One Care difference
With Tufts Health One Care, you’ll get your all your MassHealth and Medicare benefits for your physical and behavioral health (mental health and substance use disorders) needs in one plan. You’ll also get exceptional care management through Cityblock. With Cityblock care management, you’ll have the support you need to get the most from your care plan.
Together with Cityblock, we’ll work to ensure you get the best and most convenient care so you can reach your full health potential. We’ll help you get holistic support, such as addressing nutritional and housing challenges that affect your health and well-being. We can meet with you and help you apply for food stamps, find local food pantries, access emergency housing, etc.
Learn more about your care, your care plan or your care team.
Tufts Health One Care is part of Point32Health, one of the largest health providers in New England. Point32Health is committed to providing high-quality and affordable health care, improving the health and wellness of our members, creating healthier communities and promoting health equity.
Use our search tool to see if your providers are in our network.
Eligibility
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.
Questions about Tufts Health One Care?
Call us at 1-855-393-3154 (TTY: 711), seven days a week, from 8 a.m. to 8 p.m.
Questions about One Care plans?
Call MassHealth at 1-800-841-2900 (TTY: 711), Monday through Friday, from 8 a.m. to 5 p.m.
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 mass.gov/doc/one-care-enrollment-decision-form/download 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.
Have MassHealth but not Medicare?
Call MassHealth at 1-800-841-2900 (TTY: 1-800-497-4648), to find out if you qualify for Medicare based on your health needs.
Disclaimers
Tufts Health One Care is a health plan that contracts with both Medicare and MassHealth (Medicaid) to provide benefits of both programs to enrollees.
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 (2024).
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 Formulary, pharmacy network, and/or provider network may change at any time. You will receive notice when necessary.
Benefits may change on January 1 of each year.
H7419_4520_CMS Approved
Page modified on: 3/16/2022 5:35 PM