Skip to main content
English
Spanish
About Us
Contact Us
Login
Find a Doctor or Hospital
Benefits + Costs
Information + Tools
Your Health
Pharmacy
Forms + Documents
Search
About Us
Contact Us
Login
Member
English
English
Spanish
Home
Benefits + Costs
Overview of Benefits + Costs
Covered Services
Discounts + Perks
Tufts Health Together EXTRAS
Asthma Screening
Childbirth, Newborn, and Breastfeeding Classes
Children's Car Seats
Fitness Reimbursements
Rewards for Immunizations
Rewards for New Mothers
Rewards for Yearly Checkups for Kids and Teens
Supermarket Gift Card
Information + Tools
Overview of My Information + Tools
Documents + Resources
Overview
Helping Members During Coronavirus
COVID-19 Vaccine FAQ
Referral Requirement for Specialty Services
Fraud and Abuse
Community Relations Team
More Helpful Information
Your Information
Sign Up for Your Member Portal
Update Your Personal Information
Your Member ID Card
Change Your Doctor
When You Need a Referral
How to Renew Your Coverage
Frequently Asked Questions
Your Health
Disease Management Coaching Programs
Overview
Asthma
COPD
Diabetes
Behavioral Health
Alcohol and SUD
Overview
Children's Behavioral Health Initiative Services
Depression
Family Support and Training (FS&T)
In-home Behavioral Services (IHBS)
In-home Therapy (IHT)
Intensive Care Coordination (ICC)
Intensive Clinical Management (ICM)
Mobile Crisis Intervention (MCI)
Therapeutic Mentoring (TM)
Get the most out of your treatment
Understanding Your Benefits
Prevention & Treatment Programs
Children's Health
Good Measures
Women's Health
Doulas Offer Special Care for a Special Time
Smoking Cessation
More Support
24/7 NurseLine
Integrated Care Management
Medication Safety
Urgent Care Situations
Utilization Management
Pharmacy
Overview
Information about your copayment
Pharmacy Copayments
Members Who Don't Have to Pay Copayments
Yearly Copayment Limit
Over-the-counter Drug Coverage
Forms + Documents
Find a Doctor
Filter Content by:
All
All
Broker
Provider
Member
Employer
Match By:
Any Word or Synonyms
Exact Match
Overview
Information about your copayment
Pharmacy Copayments
Members Who Don't Have to Pay Copayments
Yearly Copayment Limit
Over-the-counter Drug Coverage
Member
/
Tufts Health Together Plans
/
Pharmacy
Members who do NOT have pharmacy copays
Some members do not have to pay a copay at all. You do not have to pay a MassHealth copay for any service covered by MassHealth if:
Your income is at or below 50% of the federal poverty level (FPL)
You are eligible for MassHealth because you are receiving certain public assistance benefits such as Supplemental Security Income (SSI), Transitional Aid to Families with Dependent Children (TAFDC), or services through the Emergency Aid to the Elderly, Disabled and Children (EAEDC) Program. See regulations at 130 CMR 506.015 and 130 CMR 520.037
You are under 21 years old
You are pregnant or you have recently given birth (you are in the postpartum period)
You are receiving benefits under MassHealth Limited (Emergency Medicaid)
You are a member who has MassHealth Senior Buy-In or MassHealth Standard, and you are receiving a drug that is covered under Medicare Parts A and B only, when provided by a Medicare-certified provider,
You are in a long-term care facility such as:
A nursing facility
Chronic-disease or rehabilitation hospital, or
Intermediate-care facility for individuals with intellectual disabilities or
You have been admitted to a hospital from such a facility or hospital
You are receiving hospice services
You were a foster care child and you are eligible for MassHealth Standard, until age 21 or 26 as described in regulations at 130 CMR 505.002(H),
You are American Indian or an Alaska Native and you are currently receiving or have ever received services at the Indian Health Service (IHS), an Indian tribe, a tribal organization, or an urban Indian organization, or
You are in another exempt category (see regulations at 130 CMR 506.015 or 130 CMR 520.037).
PLAN TYPE:
CHOOSE YOUR PLAN TYPE
Not sure?
Employer Individual or Family Plans
Medicare Plans
Tufts Health Direct Plans
Tufts Health RITogether
Tufts Health Together Plans
Tufts Health Unify