Benefits & Costs

You pay no premiums or copayments!

With Tufts Health Unify, you get all the benefits that you currently receive through MassHealth, Medicare and much more, at no cost to you.

Benefits

Your Tufts Health Unify 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 one 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 eyeglasses and contact lenses.

Dental

Your covered dental services include: two routine cleanings each year, X-rays, fillings, orthodontic services, crowns, root canals and dentures.

Medical equipment

Your plan covers medical devices including environmental aids and assistive/adaptive technology, supplies and repairs, training, supplies, repairs, replacement parts and modifications.

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

A primary care provider (PCP)

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.

A care manager

You’ll have one care manager who will get to know you and help coordinate your care.

A care team

Your Cityblock Health care team will work together to meet your health needs.

An LTS coordinator

A long-term services coordinator is part of your care team if you need these services. Your LTS coordinator will help you find community resources and supports to help you with overall wellness, independence and recovery.

Personal assistance services

You may need help with everyday tasks like taking a bath, getting dressed, grocery shopping and making food.

Community support services

You may need help with skills and activities that help you manage your health, live independently and take part in your community.

Help in your language

The Tufts Health Unify member services team has bilingual staff and offers FREE translation services in more than 200 languages.

Medication therapy management (if you’re eligible)

Support to make sure that your medications are appropriate, safe and effective. We look for ways to save you money while optimizing your therapy and treatment.

Costs

There are no premiums* or copayments (2023) for the services listed in the medical, behavioral health, pharmacy, dental and LTSS sections** of the Tufts Health Unify Summary of Benefits when:

Your services (including medical care, services, supplies and equipment) are medically necessary
You get your care from a network provider

For more information about your benefits and costs, see your Tufts Health Unify 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.

Disclaimers

Tufts Health Unify is a health plan that contracts with both Medicare and MassHealth to provide benefits of both programs to enrollees. It is for people with both Medicare and MassHealth ages 21 through 64 at the time of enrollment.

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 (2023).

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 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.

H7419_4520_CMS Approved
Page modified on: 3/16/2022 5:35 PM