HMO · Special Needs Plan · Contract H5314 · 2026
Tufts Health Public Plans, Inc.
Tufts Health Public Plans, Inc. is a HMO Medicare Advantage plan from Tufts Health Plan, available in 1 state. Here is its CMS quality rating, drug coverage, and benefits.
- N/R
- Overall CMS rating
- $14.70
- Premium/mo
- 1
- States available
Tufts Health Public Plans, Inc. plan score
A single 0-100 verdict combining Tufts Health Public Plans, Inc.'s nationwide standing on 2 of 4 CMS-filed measures: quality, affordability, cost protection, and supplemental-benefit richness, each from its own CMS source file. A missing filing drops out and redistributes its weight rather than deflating the score.
48/100
Percentile-weighted across 2 of 4 measures
- CMS quality (star rating)
- N/A not on file
- Affordability (premium)
- B 14.7 $/mo
76th percentile nationwide
- Cost protection (deductible)
- F 615 $/yr
0th percentile nationwide
- Benefit richness (supplemental coverage)
- N/A not on file
Benchmarked live against every plan or plan-county row reporting each measure in the current CMS extract (CY2026 Star Ratings, Landscape file, and Plan Benefit Package). Not a CMS-endorsed score; PlainMedicare's own weighting (quality 40%, affordability 25%, cost protection 15%, benefit richness 20%).
What the CMS Data Shows About Tufts Health Public Plans, Inc.
Tufts Health Public Plans, Inc. operates under CMS contract H5314, issued by Tufts Health Plan (parent organization Point32Health, Inc.). The contract is classified as a HMO product, which governs how enrollees access care: HMOs require in-network providers and referrals for most specialist care, trading network flexibility for lower cost-sharing. This contract is also flagged in CMS data as a Special Needs Plan (SNP), meaning enrollment is restricted to beneficiaries meeting specific eligibility criteria, chronic condition, dual Medicare-Medicaid status, or institutional residence. Service area spans 1 state (MA) and 10 counties, a geography set at the CMS service-area definition level.
The overall CMS Star Rating for this contract is not yet published by CMS. Individual measure-level data is not published for this contract. Ratings at 4+ stars trigger federal Quality Bonus Payments that insurers typically reinvest in supplemental benefits.
On costs, this contract lists a monthly plan premium of $14.70 (Part C + D combined) and an annual Part D drug deductible of $615.00, from the CMS CY2026 Landscape file; every enrollee also pays the standard Part B premium. Supplemental-benefit detail is not available in the public file for this contract. Before enrolling, verify that your preferred providers participate in the plan's network for your specific county, review the current Summary of Benefits, and confirm that your prescriptions appear on the plan formulary. All figures shown come from CMS public-use files for the 2026 contract year; this page is informational only and is not personalized Medicare counseling advice.
Supplemental Benefits
No supplemental benefit data available.
County Availability
Medicare Advantage Guides
Official Medicare resources
Frequently Asked Questions
What is the star rating for Tufts Health Public Plans, Inc.?
Tufts Health Public Plans, Inc. (Contract H5314) by Tufts Health Plan has an overall CMS star rating of Not yet rated out of 5. Star ratings are based on quality measures including preventive care, chronic disease management, and member satisfaction.
How much does Tufts Health Public Plans, Inc. cost per month?
Tufts Health Public Plans, Inc. has a monthly plan premium (Part C + D combined) of $14.70, with an annual Part D drug deductible of $615. Every enrollee also pays the standard Part B premium (about $202.90/month in 2026). Premiums are from the CMS CY2026 Landscape file and can vary by county; confirm current costs on Medicare.gov.
What type of plan is Tufts Health Public Plans, Inc.?
Tufts Health Public Plans, Inc. is a HMO Medicare Advantage plan offered by Tufts Health Plan. This is also a Special Needs Plan (SNP) designed for beneficiaries with specific diseases, characteristics, or care needs. HMO plans generally require you to use in-network providers and get referrals for specialists.
Where is Tufts Health Public Plans, Inc. available?
Tufts Health Public Plans, Inc. is available in 1 state (MA) across 10 counties. Coverage area can vary, check with the insurer or Medicare.gov for exact availability in your ZIP code.
Data Source
Data from CMS Medicare Advantage 2026 Star Ratings and Plan Finder datasets. Contract ID: H5314. Last updated: 2026 plan year.
Nationwide Medicare Advantage plans with similar county footprint or CMS star rating
Data-derived peers across the CMS Landscape file: nearest county inventory and nearest overall CMS star rating at the contract level. Not parent-org containment or same-state overlap.
Similar county footprint
- Wellcare Health Insurance Company OF America 10 counties
- Health NET OF California, Inc. 10 counties
- Solis Health Plans, Inc. 10 counties
- Hopkins Health Advantage, Inc. 10 counties
- Care Improvement Plus South Central Insurance Co. 10 counties
- Commonwealth Care Alliance, Inc. 10 counties
Related
Before you enroll in Tufts Health Public Plans, Inc.
Star rating and network fit matter more than the premium alone.
- This contract's premium is $14.70/mo (Part C + D) - compare it against other plans before enrolling. Browse all plans
- Check that your doctors and drugs are in-network before you enroll, and confirm the plan on Medicare.gov. Medicare Plan Compare
- See how Medicare Advantage plans compare to Original Medicare before you decide. MA vs Original Medicare
Figures are from CMS CY2026 public files for this contract; benefits and premiums can vary by the specific plan you enroll in and your county.
PlainMedicare is rendered directly from CMS Medicare Advantage and Part D public files, no number is typed in by an editor. See our editorial standards & corrections policy, the methodology behind these numbers, or report a correction. Data current as of 2026-09-01.
CMS lists 131,985 Medicare Advantage and Part D plan records in the current public files. PlainMedicare refreshes this registry with each annual release.