Benefits & Costs

You pay no premiums or copayments!

With Tufts Health One Care, you get all the benefits that you currently receive through Medicare and MassHealth (Medicaid) and much more, at no cost to you.



Your Tufts Health One Care benefits cover these services:


  • Visits to doctors and specialists
  • Hospital stays
  • X-rays and lab tests, and much more

Behavioral health (mental health and/or substance use)

  • You have access to different types and levels of mental health and substance use services based on your needs and recovery goals.


  • You get your prescriptions through one plan as well as over-the-counter items, such as vitamins, allergy medications, nicotine patches, hydrocortisone cream, etc.


  • You can get a yearly routine eye exam as well as coverage for eyeglasses and contact lenses.


  • Your covered dental services include: two routine cleanings each year, an X-ray panel every two years, fillings, orthodontic services, crowns, root canals and dentures (denture services are covered once every seven calendar years).

Medical equipment

  • Your plan covers durable medical equipment (DME) including related supplies, replacement parts, training, modifications, and repairs. Examples of DME that are covered include:
    • Wheelchairs
    • Crutches
    • Powered mattress systems
    • Diabetic supplies
    • Hospital beds ordered by a provider for use in the home
    • Intravenous (IV) infusion pumps
    • Speech generating devices
    • Oxygen equipment and supplies
    • Nebulizers
    • Walkers
  • Other DME items may be covered, including environmental aids or assistive/adaptive technology. The plan may also cover you learning how to use, modify, or repair your DME item. Your Care Team will work with you to decide if these other DME items and services are right for you and will be in your Individualized Care Plan (ICP).

You’ll also get added support to help you reach your health potential, such as:


For more information about your benefits and costs, see your Tufts Health One Care Member Handbook or call us toll-free at 1-855-393-3154 (TTY: 711), seven days a week, from 8 a.m. to 8 p.m.

* Note: If you pay a premium to MassHealth for CommonHealth, you must continue to pay the premium to MassHealth to keep your coverage.
** Exceptions may apply; see your Member Handbook for details. 


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