Medical Benefits

With your Tufts Health One Care plan, you get access to high-quality health care services, including the following, at no cost to you:

• Visits to doctors and specialists, and hospital stays
• X-rays and lab tests
• Prescription drugs and prescribed over-the-counter drugs
  • Check the List of Covered Drugs (Drug List) to see if your drugs are covered
• Eye exams, eyeglasses and contact lenses
• Dental services for preventive and medically necessary care

You also get added support to help you manage your health, such as:

• A dedicated care team of doctors, nurses, mental health advocates and social workers who works with you, listens and does what it takes to get you the care you need.
• Care management through Cityblock
• Access to in-home urgent care, so you can receive treatment for acute care concerns 24 hours a day, 7 days a week, without having to leave home.
• Support that goes beyond medical care. You can count on your Cityblock care coordinator to help you with everyday things such as getting quick answers from a doctor, groceries or rides to your appointments.

How to get in touch

• Get health support by phone any time you need it with the Cityblock on-call clinician. Simply call 1-833-904-2273 (TTY: 1-800-720-3479)
• Use our self-service tool, your member portal, that allows you to access your health plan information 24 hours a day, 7 days a week. You can access the portal from your home computer. Or, download the Tufts Health Plan app to access it from your mobile device.
• Call the Tufts Health One Care Member Services team at 1-855-393-3154 (TTY: 711), seven days a week, from 8 a.m. to 8 p.m.
   

  

---

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