	Tufts HMO (MA) In-Network Only
Calendar Year Deductible	None
Percentage Co-Insurance	None
Out-of-Pocket Maximum	$3,000/Individual $6,000/Family
Doctor's Office Visits	$20 copay
Specialist Office Visits	$35 copay
Telehealth Visit	$20 copay teladoc.com
Urgent Care	$20 copay
Preventive Care Screening, Immunization, Radiology and Labs	No charge
X-ray and Advanced Imaging	No charge
Lab	No charge
Outpatient Surgery and Procedures	$500 copay
Emergency Room Services*	$150 copay (copay waived if admitted)
Inpatient Hospital	$500 copay
Behavioral Health Visit	$20 copay
Chiropractor Visit	$35 copay 12 visit maximum per year
Acupuncture Visit	$20 copay
Physical Speech and Occupational Therapy	$35 copay

Prescription Drugs

Tufts members are automatically enrolled in the three-tier Tufts prescription drug plan. Manage your prescriptions online at https://tuftshealthplan.com/.

Prescription Drugs
Out-of-Pocket Maximum	Included with Medical Out-of-Pocket Maximum
Pharmacy - Retail	Tier 1: $15 copay Tier 2: $30 copay Tier 3: $50 copay
Pharmacy - Mail Order	2x copay for 90-day supply

	Description
Tier 1	Generic: These drugs offer the greatest value compared to others that treat the same conditions.
Tier 2	Preferred brand and some generic: These may be preferred brand drugs, based on their effectiveness and value. Some are newer, more expensive generic drugs.
Tier 3	Non-preferred brand: These generally include non-preferred brands and generic drugs. They may cost more than drugs placed on lower tiers that are used to treat the same conditions.
Specialty Drugs: Limited to 30-day supply with appropriate tier copay (see above) when purchased at a designated specialty pharmacy.

Search for In-Network Providers

Find providers in-network with Marvell's Tufts HMO Plan by going to https://tuftshealthplan.com/:

Select "Find a Doctor, Hospital..." from the top right-hand side of the page
Under "Search Using a Plan Name", click on "Select Your Plan Name"
On the next page, select or type into the search tool the Plan Name: Choice Copay
Use the search tool and select the category of provider

Traveling/Coverage Outside Tufts Areas

If you are traveling outside a Tufts coverage area and have an urgent care or emergency need, please call the Tufts number listed on the back of your ID card.

For more resources available to Marvell employees when traveling, visit the Travel Page.

Is Your Child at College? If your child attends college outside of a Tufts coverage area, they will still have access to urgent and emergency medical care. However, they would need to wait until they visit home for routine care appointments. View www.tuftshealthplan.com for information on obtaining emergency medical services outside of a coverage area.

Telehealth

Get care anytime, anywhere for non-emergency conditions, including everyday care issues, colds and flu, allergies, dermatology, and behavioral health. Register at tuftshealthplan.com/teladoc and download the Teladoc mobile app.

Medical Second Opinion With 2nd.MD

Facing a medical decision? Starting January 1, 2020, Marvell employees and their family members (including spouses, children, parents, grandparents, and siblings) have access to 2nd.MD. With 2nd.MD, you can connect with board-certificed, expert doctors for an expert second opinion via phone or video all within a matter of days, and at no cost to you. Learn more here.

Autism Support

Autism Services Provider - Cortica : Tufts Health Plan partners with Cortica, a physician-led autism services provider that offers advanced neurological therapies for children with autism spectrum disorder and other developmental differences in Massachusetts. Cortica’s centralized, coordinated team of providers support patients, families, and primary care providers (PCPs) by offering significantly reduced wait times for diagnostic assessments, medical care, applied behavior analysis, developmental therapies such as speech and occupational therapies, and counseling.

Additional Resources:

Chiropractor Coverage

Search the www.tuftshealthplan.com for a list of chiropractors who accept Tufts insurance or provide a discount to Tufts members.

Tufts Member Discounts

Tufts offers many Member Discounts to their members and family including

Fitness club membership discounts, including home fittness products
Mindfulness and stress management program
Healthy Eating Programs inclduing Jenny Craig weight management, DASH for Health and Dinner Daily
25% off on Acupunture and Massage
15% off Mindfullness Based Stress Reduction Program

Preventive Care

Stay healthy with preventive care - learn about your Tufts coverage here.

Preventive Care Resources through Tufts

Tufts easy-to-use, interactive tool: Get Started and create a list of screenings tests you may need at your next visit.
Screening frequency based on gender and age
Colorectal Cancer Screening: Cologuard, is an effective at-home testing option, is covered at no cost share when ordered by your PCP. Colorguide is available by prescription only. Learn more here.
Skin Cancer Screenings: One in faive Americans will develop skin cancer in their lifetime, according to the American Academy of Dermatology. Skin cancer is also one of the easiest to treat if you find it early. Learn more here.

MyRewards: Earn $500 for Smart Shopping

Tufts members are rewarded up to $500 per year for "shopping" for healthcare services. Login to your account at mytuftshealthplan.com or use the "Tufts Health Plan" mobile app and click "Find a Doctor". Learn more at tuftshealthplan.com/myrewards or on this flyer.