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Tufts Medicare Preferred PFFS: Medical Benefit
Tufts Health Plan Medicare Preferred's new Private Fee-for-Service (PFFS) plan offers different levels of coverage to meet your medical and prescription coverage needs.

The chart below gives you a brief overview of our PFFS medical coverage options. For a more detailed description of plan benefits and costs, see the Tufts Medicare Preferred PFFS Summary of Benefits booklet.

Once you have compared the medical benefits below, compare your prescription drug options by clicking on 'Prescription Benefit' on the menu to the left.

Click on Step 2 to Select Your Prescription Drug Plan.
 
 
Print Comparison Chart  Download Adobe Reader( Adobe® Reader® required )
  PFFS Basic PFFS Prime
Doctor's Office Visits $25 $15
Specialist's Office Visits $25 $15
Inpatient General Hospital Coverage $200/day for day(s) 1-5;
After Day 5: $0 co-payment 		$200/year
Worldwide Emergency Coverage $50 $50
Maximum Out-Of-Pocket Costs (per calendar year) $3,500 $0
Vision Services $25 co-payment for one routine eye exam per year;
$69 toward eyewear every year		 $15 co-payment for one routine eye exam per year;
$69 toward eyewear every year
Hearing Services $25 co-payment for one routine hearing test per year $15 co-payment for one routine hearing test per year
 
Note:
A Medicare Advantage Private Fee-for-Service plan works differently than a Medicare supplement plan. Your doctor of hospital is not required to agree to accept the plan's terms and conditions, and thus may choose not to treat you, with the exception of emergencies. If your doctor or hospital does not agree to accept our payment terms and conditions, they may choose not to provide health care services to you, except in emergencies. Providers can find the plan's terms and conditions on our website at: tuftshealthplan.com/medicare.


H3057-2008-123R1 7-10-2008
This document was last modified: 7-10-2008
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