Tufts Medicare Preferred HMO Smart Saver Rx (HMO) Medicare Advantage Plan H2256-047-3 • 2027 • Barnstable County, MA
- Monthly Premium
- $0.00Plus Part B premium.
- Medical Deductible
- $0.00
- Maximum Out-of-Pocket
- $9850.00In-network
- Part B Giveback
- Not offered
- Prescription Coverage
- Enhanced, $700.00 deductible
- Additional Benefits
- Dental, Vision, Hearing
- Service Area
- Barnstable County, MA
- Local Enrollment
- 0 beneficiaries in Barnstable County
Tufts Medicare Preferred HMO Smart Saver Rx (HMO) Introduction
Tufts Medicare Preferred HMO Smart Saver Rx is a Medicare Advantage HMO plan offered by Tufts Health Plan. It uses a Health Maintenance Organization (HMO) provider network and comes with prescription drug coverage. For the 2027 plan year it has a $0.00 monthly premium, $0.00 medical deductible, and $9850.00 in-network maximum out-of-pocket. CMS Plan ID H2256-047-3 identifies this plan. The 2027 Part D prescription drug deductible is $700.00.
You must live in Barnstable County, Massachusetts to enroll in this plan. CMS reports 0 beneficiaries enrolled in this plan in Barnstable County. For assistance with this plan, new members can call (877)218-4835 (TTY 711).
Compare Similar Plans in Barnstable County
Compare this plan with the two most-enrolled HMO plans available in Barnstable County, Massachusetts. Enrollment is based on CMS local enrollment data.
| Plan Detail | Tufts Medicare Preferred HMO Smart Saver Rx | Tufts Medicare Preferred HMO Basic Rx | Tufts Medicare Preferred HMO Prime Rx |
|---|---|---|---|
| CMS Plan ID | H2256-047-3 |
H2256-026-2 |
H2256-015-2 |
| Local Enrollment | 0 | 921 | 226 |
| Monthly Premium | $0.00 | $82.00 | $214.00 |
| Medical Deductible | $0.00 | $0.00 | $0.00 |
| Maximum Out-of-Pocket | $9,850.00 | $4,500.00 | $3,850.00 |
| Part B Giveback | Not offered | Not offered | Not offered |
| Primary Care | $0 copay | $10 copay | $10 copay |
| Specialist | $60 copay | $45 copay | $30 copay |
| Part D Deductible | $700.00 | $200.00 | $0.00 |
| CMS Star Rating | 4.0 | 4.0 | 4.0 |
| Dental | 0%-50% coinsurance | 0%-50% coinsurance | Not covered |
| Vision | $15 copay | $15 copay | $15 copay |
| Hearing | $0 copay | $0 copay | $0 copay |
Want to explore more options? Browse all Medicare Advantage plans in Barnstable County, or compare Medicare Advantage plans across Massachusetts, including premiums, out-of-pocket costs, CMS ratings, and enrollment.
Plan Benefits
Cost-sharing for Tufts Medicare Preferred HMO Smart Saver Rx includes out-of-pocket expenses for covered healthcare services. The following tables provide a summary of typical in-network out-of-pocket costs for plan H2256-047-3.
You can also compare 2027 costs and coverage with last year, side-by-side: Plan H2256-047-3 Cost Compare.
Office Visits
- Primary care
- In-network: $0 copay
- Specialist
- In-network: $60 copay
Preventive and Wellness Services
- Annual wellness exam
- In-network: $0 copay
- Telehealth benefit
- In-network: $0-$450 copay
- Routine chiropractic
- Not covered
- Fitness benefits
- Coming soon
- Health education
- Not covered
- Counseling services
- Not covered
- Over-the-counter drug benefits
- Not covered
- Health transportation (non-emergency)
- Coming soon
Diagnostic, Lab, and Imaging Services
- Diagnostic radiology services
- In-network: $145-$350 copay
- Lab services
- In-network: $0-$60 copay
- Outpatient x-rays
- In-network: $0-$60 copay
- Diagnostic tests and procedures
- In-network: $0-$60 copay
Emergency and Urgent Care Services
- Emergency room care
- $115 copay
- Worldwide emergency care
- Coming soon
- Urgent care
- $40 copay
- Inpatient hospital care
- Tier 1
$490 per day for days 1-5
$0 per day for days 6-90
$0 per stay - Skilled Nursing Facility
- Tier 1
$0 per day for days 1-20
$221 per day for days 21-100 - Ground ambulance
- In-network: $375 copay
Mental Health Services
- Outpatient individual therapy
- In-network: $0-$30 copay
- Outpatient group therapy
- In-network: $0-$30 copay
- Inpatient psychiatric hospital care
- Tier 1
$490 per day for days 1-5
$0 per day for days 6-90
$0 per stay
Rehabilitation Services
- Physical therapy and speech and language therapy
- In-network: $30 copay
- Occupational therapy
- In-network: $30 copay
Medical Equipment and Supplies
- Diabetes supplies
- In-network: 0%-20% coinsurance
- Durable medical equipment
- In-network: 20% coinsurance
- Prosthetics
- In-network: 20% coinsurance
Medicare Part B Drugs
- Chemotherapy
- In-network: 0%-20% coinsurance
- Other Part B drugs (Medicare-covered)
- In-network: 0%-20% coinsurance
Dental Services
- Oral exam
- In-network: 0%-50% coinsurance
- Dental x-rays
- In-network: 0%-50% coinsurance
- Cleaning
- In-network: $0 copay
- Periodontics
- In-network: 50% coinsurance
- Endodontics
- In-network: 50% coinsurance
- Restorative services
- In-network: 50% coinsurance
- Implant services
- Not covered
- Orthodontics
- Not covered
- Oral/Maxillofacial surgery
- In-network: 50% coinsurance
Vision Services
- Routine eye exam
- In-network: $15 copay
- Contact lenses
- Not covered
- Eyeglass frames only
- Not covered
- Eyeglass lenses only
- Not covered
- Eyeglasses (frames & lenses)
- Not covered
- Upgrades
- Not covered
Hearing Services
- Hearing exam
- In-network: $0 copay
- Fitting/evaluation
- In-network: $0 copay
- Prescription hearing aids
- In-network: $250-$1150 copay
- OTC hearing aids
- Not covered
Additional and Special Needs Services
- Adult day health services
- Not covered
- Home-based palliative care
- Not covered
- Personal emergency response system
- Coming soon
- Weight management programs
- Not covered
- Wigs for chemotherapy-related hair loss
- Coming soon
- Alternative therapies
- Not covered
- Massage therapy
- Not covered
- Home/bathroom safety devices
- In-network: 20% coinsurance
Certain preventive services are covered 100% by Tufts Medicare Preferred HMO Smart Saver Rx as a Part B benefit.
Prescription Drug Coverage
Tufts Medicare Preferred HMO Smart Saver Rx includes a Medicare Part D prescription drug plan (PDP). Plan type and coverage level are defined by CMS and may vary between basic and enhanced benefit designs.
This plan includes an enhanced benefit Medicare Part D plan (PDP), providing coverage beyond the standard CMS-defined minimum.
Prescription Drug Plan Premium
The Part D prescription drug plan premium is included in the overall Medicare Advantage plan cost. Additional adjustments may apply through the Low-Income Subsidy (LIS) program, also known as Extra Help, administered by Social Security. LIS benefits are separate from Medicare Special Needs Plan coverage.
| Part D Premium Component | Amount |
|---|---|
| Basic Part D Premium: | $0.00 |
| Supplemental Part D Premium: | $$0.00 |
| Total Part D Premium: | $0.00 |
| Low-Income Premium Subsidy: | $33.82 |
| Low-Income Premium Subsidy Paid by CMS: | $0.00 |
| Low-Income Subsidy Premium: | $0.00 |
For more details, visit the Social Security Extra Help program .
Prescription Drug Plan Deductible
This plan has a $700.00 annual Part D deductible. You'll pay this deductible at the pharmacy before Tufts Health Plan starts contributing towards your prescription costs.
Prescription Drug Plan Out-of-Pocket Costs
Beyond premiums and deductibles, Tufts Medicare Preferred HMO Smart Saver Rx may have additional costs at pharmacies. The table below outlines out-of-pocket expenses by drug tier.
| Drug Tier | Retail | Mail Order |
|---|---|---|
| Preferred Generic | $0.00 copay | Coming soon |
| Generic | $2.00 copay | Coming soon |
| Preferred Brand | 20% coinsurance | Coming soon |
| Non-Preferred Drug | 25% coinsurance | Coming soon |
| Specialty Tier | 25% coinsurance | Coming soon |
| Vaccines | $0.00 copay | Coming soon |
| *Deductible does not apply. | ||
CMS 5-Star Performance Ratings (Contract ID: H2256)
Medicare Advantage (Part C) and Part D plans are rated each year by CMS on a 5-star scale. Ratings summarize plan performance across clinical care and member experience measures.
| CMS Measure | Star Rating |
|---|---|
| 2027 Overall Rating | |
| Staying Healthy: Screenings, Tests, Vaccines | |
| Managing Chronic (Long Term) Conditions | |
| Member Experience with Health Plan | |
| Complaints and Changes in Plans Performance | |
| Health Plan Customer Service | |
| Drug Plan Customer Service | |
| Complaints and Changes in the Drug Plan | |
| Member Experience with the Drug Plan | |
| Drug Safety and Accuracy of Drug Pricing |
Contact Information for Tufts Health Plan
- Website
- Tufts Health Plan Plan Page
- Providers
- Tufts Health Plan Providers Page
- Formulary
- Tufts Health Plan Formulary Page
- Pharmacy
- Tufts Health Plan Pharmacy Page
- New Member Health Plan Help
- (877)218-4835
- New Member Health Plan TTY
- 711
- New Member Part D Help
- (877)218-4835
- New Member Part D TTY Users
- 711
Enrollment status and eligibility information are available through the Social Security Administration. Additional information about Medicare Advantage is available at Medicare.gov.
Medicare Advantage Plan Availability
Tufts Medicare Preferred HMO Smart Saver Rx is available to eligible Medicare beneficiaries residing in Barnstable County, Massachusetts, including communities such as Buzzards Bay, East Falmouth, East Sandwich, Falmouth, North Falmouth, Pocasset, Sagamore Beach, Sandwich, Hyannis, Barnstable, Brewster, Centerville, Chatham, Cotuit, Dennis, Dennis Port, Eastham, Forestdale, Harwich, Harwich Port, Marstons Mills, Mashpee, Orleans, Osterville, Provincetown, South Dennis, South Yarmouth, Wellfleet, West Barnstable, West Yarmouth, Yarmouth Port, and other areas throughout the county. Enrollment eligibility is based on county of residence, not city.
Medicare Plan Data Sources and Methodology
| Data Source | Publisher | Last Accessed |
|---|---|---|
| Landscape Source Files | Centers for Medicare & Medicaid Services | November 10, 2026 |
| Medicare Part C & D Performance | Centers for Medicare & Medicaid Services | November 10, 2026 |
| Plan Benefits Package | Centers for Medicare & Medicaid Services | November 10, 2026 |
| Monthly Enrollment by Contract/Plan/State/County | Centers for Medicare & Medicaid Services | November 10, 2026 |
Data sources and methodology documentation.
| Publisher | Reference | Last Accessed |
|---|---|---|
| Tufts Health Plan (official source) | http://www.tuftsmedicarepreferred.org | October 4, 2026 |
| CMS.gov | Medicare Advantage Plan Fact Sheet | 25 May, 2025 |
| NCOA.org | 5 Steps to Choosing the Right Medicare Plan for You | 25 May, 2025 |
| Medicare.gov | Explore your Medicare coverage options | 25 May, 2025 |
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