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.
Quicklinks:
Benefits
Your Tufts Health One Care benefits cover these services:
Medical
- 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.
Pharmacy
You get your prescriptions through your plan as well as over-the-counter items, such as vitamins, allergy medications, nicotine patches, hydrocortisone cream, etc.
Vision
You can get a yearly routine eye exam as well as coverage for eyeglasses and contact lenses.
Dental
Your covered dental services include: routine cleanings, X-ray panels, fillings, orthodontic services, crowns, root canals and dentures.
YMCA membership**
Fitness is essential to your health. We now offer FREE membership to your local Massachusetts YMCA facility.*
*YMCA membership is valid at your local participating YMCA facility in Massachusetts. Membership does not include classes.
Instant Savings Card**
Members receive an allowance every 3 months to spend on select over-the-counter (OTC) health, hygiene and grocery products at participating retailers. The Instant Savings card gives you $155 per quarter and can be used to purchase planapproved items, such as adhesive bandages, toothbrushes, sunscreen, shampoo, select groceries and more!
**Flexible benefits are available if identified in your care plan. Please talk to your care coordinator for more information.
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
You will see your PCP first for most health problems. Your PCP is a doctor or other provider who makes sure you get the care you need to stay healthy.
You’ll have one care coordinator who will get to know you and help manage your care.
Your Cityblock Health care team will work together to meet your health needs.
A long-term services (LTS) coordinator is part of your care team if you need long-term services and supports (LTSS) services. Most of these services are provided in your home or the community, but they may be provided in a nursing home or hospital.
Your LTS coordinator will help you find community resources and supports to help you with overall wellness, independence and recovery.
You may need help with everyday tasks like taking a bath, getting dressed, preparing meals and eating. Personal care attendant services assist you with activities of daily living. For help with these hands-on tasks, you can hire a worker yourself or use an agency to hire one for you.
The Tufts Health One Care member services team has bilingual staff and offers free translation services in more than 300 languages. We offer alternate formats such as large print and formats that work with screen reader technology, as well as braille and audio.
Medication therapy management is a clinical program that provides education and information about your medicines. A pharmacist will look for ways to improve your drug therapy. Services offered include a comprehensive medication review and targeted medication review.
There are never any premiums1 or copayments (2026) for the services listed in the medical, behavioral health, pharmacy, dental and LTSS sections2 of the Tufts Health One Care Summary of Benefits when:
- Your services (including medical care, services, supplies and equipment) are deemed necessary according to your care plan.
- You get your care from a network provider.
For more information about your benefits, 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. (Please note: our hours shift to Monday through Friday, from April 1 through September 30.)
Have MassHealth but not Medicare?
Call MassHealth at 1-800-841-2900 (TTY: 711), to find out if you qualify for Medicare based on your health needs.
Disclaimers
Tufts Health One Care is a Dual Special Needs Plan (D-SNP) health plan that contracts with both Medicare and MassHealth (Medicaid) to provide benefits of both programs to enrollees. Enrollment in the plan depends on the plan’s contract renewal with Medicare.
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 (2026).
If you speak Spanish, 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. (Please note: Our hours shift to Monday through Friday, from April 1 through September 30). 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. (Ten en cuenta lo siguiente: Del 1 de abril al 30 de septiembre, nuestro horario pasa a ser de lunes a viernes). 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. (Please note: Our hours shift to Monday through Friday, from April 1 through September 30). The call is free.
The List of Covered Drugs and/or pharmacy and provider networks may change from time to time 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.
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Footnote(s)
1
Note: If you pay a premium to MassHealth for CommonHealth, you must continue to pay the premium to MassHealth to keep your coverage.
2
Exceptions may apply; see your Member Handbook for details.