Plan year 2026 · coverage ends Dec. 31, 2026CMS crosswalk of Oct. 1, 2026
Tufts Medicare Preferred HMO Smart Saver Rx is not offered under this ID in 2027
H2256Contract046Plan
HMO · served 10 counties in Massachusetts in 2026
Run by Tufts Associated Health Maintenance Organization (contract H2256), sold as Tufts Health Plan, owned by Point32Health, Inc.
CMS crosswalk: members move into H2256-047
Tufts Medicare Preferred HMO Smart Saver Rx (H2256-046) is not offered under this ID in 2027: the CMS plan crosswalk of October 1, 2026 moves its members into Tufts Medicare Preferred HMO Smart Saver Rx (H2256-047), which is sold in every county it served. 49,927 people were enrolled in it in September 2026; they can also choose another plan during open enrollment, October 15 to December 7, 2026. The crosswalk also lists part of the plan as terminated without saying which members; your Annual Notice of Change says whether you move to a new plan or your coverage ends.
What changes for its members in Tufts Medicare Preferred HMO Smart Saver Rx?
| What you pay or get | 2026 | 2027 | Change |
|---|---|---|---|
| In-network out-of-pocket limit, by county | $6,400 | $7,150 to $9,850 | ▲up $3,450 at the top |
| Drug deductible | $615 | $700 | ▲up $85 |
| Specialist visit (best in its area) | $50 copay | $60 copay | ▲up $10 |
| Hospital stay, in network (best in its area) | $425 a day for days 1–6, then $0 a day for days 7–90 | $459 a day for days 1–6, then $0 a day for days 7–90 | ▲up $170for a 5-day stay |
| Skilled nursing facility, in network (best in its area) | $0 a day for days 1–20, then $218 a day for days 21–100 | $0 a day for days 1–20, then $221 a day for days 21–100 | ▲up $30for a 30-day stay |
| Ground ambulance, in network (best in its area) | $350 copay | $375 copay | ▲up $25 |
| Eyewear, yearly limit (best in its area) | $250 a year | $150 a year | ▼down $100 |
| 15 lines do not change | |||
| Monthly premium | $0 | $0 | no change |
| Part B premium reduction, monthly (best in its area) | none | none | no change |
| Primary care visit (best in its area) | $0 copay | $0 copay | no change |
| Emergency room (best in its area) | $130 copay | $130 copay | no change |
| Medical deductible, in network (best in its area) | none | none | no change |
| Comprehensive dental, yearly limit (best in its area) | not offered | not offered | no change |
| Hearing aids, yearly limit for both ears (best in its area) | not offered | not offered | no change |
| Over-the-counter items, yearly (best in its area) | not offered | not offered | no change |
| Counties served | 10 | 10 | no change |
| Drug tier 1, preferred generic | $5 | $5 | no change |
| Drug tier 2, generic | $12 | $12 | no change |
| Drug tier 3, preferred brand | 20% of the cost | 20% of the cost | no change |
| Drug tier 4, non-preferred drug | 25% of the cost | 25% of the cost | no change |
| Drug tier 5, specialty tier | 25% of the cost | 25% of the cost | no change |
| Drug tier 6, vaccines | $0 | $0 | no change |
Source: CMS plan crosswalk from 2026 to 2027 (Oct. 1, 2026); CMS Medicare Advantage and Part D landscape files for 2027 (Sept. 22, 2026, revised Sept. 30) and 2026 (Sept. 2, 2026 revision); CMS plan benefit package files, 2027 and 2026. Your plan's Annual Notice of Change is the letter that confirms your 2027 plan; confirm on Medicare Plan Finder.
What can members do, and by when?
If your notice says you move to a new plan
- If you do nothing
- You are moved into Tufts Medicare Preferred HMO Smart Saver Rx on January 1, 2027.
- October 15 to December 7, 2026
- Open enrollment: choose another Medicare Advantage plan, or Original Medicare with a drug plan, instead.
If your notice says your plan is ending
- Your coverage
- Ends December 31, 2026.
- October 15 to December 7, 2026
- Open enrollment: join another Medicare Advantage plan, or Original Medicare with a drug plan. Coverage starts January 1, 2027.
- December 8, 2026 to the end of February 2027
- A special enrollment period because the plan is leaving: you can still join a plan, but coverage starts the first day of the month after you join, so choose by December 31 to have no gap.
- If you do nothing
- You are enrolled in Original Medicare when the plan ends, without a drug plan unless you join one; with Extra Help or full Medicaid, Medicare enrolls you in one.
- If you have Medicaid or Extra Help
- You can switch to a different drug plan, or leave a Medicare Advantage plan for Original Medicare with a drug plan, once a calendar month; the change starts the first day of the next month.
Source: Medicare.gov, “Special enrollment periods” and “Joining a plan” (read Oct. 7, 2026).
Where did its members live?
Where its members lived in September 2026; each county and state page lists the 2027 plans sold there.
| County | Members, Sept. 2026 | For 2027 |
|---|---|---|
| Middlesex, MA | 15,945 | moves into H2256-047 |
| Essex, MA | 7,034 | moves into H2256-047 |
| Norfolk, MA | 5,333 | moves into H2256-047 |
| Worcester, MA | 4,824 | moves into H2256-047 |
| Barnstable, MA | 4,806 | moves into H2256-047 |
| Plymouth, MA | 4,090 | moves into H2256-047 |
| Suffolk, MA | 3,666 | moves into H2256-047 |
| Bristol, MA | 3,091 | moves into H2256-047 |
| Hampden, MA | 750 | moves into H2256-047 |
| Hampshire, MA | 317 | moves into H2256-047 |
Source: CMS monthly enrollment by plan and by county, September 2026 (CMS hides counts under 11).
What else should you check?
- 2027 plans in Middlesex, MAThe plans you can join instead
- Tufts Health Plan plans for 2027Plans the same company still offers
- Every plan not offered in 2027764 Medicare Advantage and drug plans