Tufts HMO Plan

This is a comprehensive plan in which you choose a primary care provider (or PCP) who will coordinate your medical care within the HMO's network and provide referrals as needed. There are no benefits for health care outside of the New England network except for emergency and urgent care.

During personal travel outside of the New England network, you may need to pay for emergency or urgent care, and then apply for reimbursement from the plan.

For information about health care while traveling for business outside of the New England network, contact us at benefits@berklee.edu.

In-Network (Using Tufts Healthcare Providers) 
There is no coverage outside of the network except for urgent care or emergencies.

Preventive CareCovered in full
Annual PhysicalCovered in full
Office Visit$25 per visit
Routine Vision Exam$25 per visit, 1 visit every 12 months
Emergency Room$150 per visit (waived if admitted)
Day Surgery$250 per admission
Inpatient Hospital$500 per admission
Out-of-Pocket MaximumIndividual $2,500, Family $5,000
Prescription Drugs

Tier 1

Low Cost Generic

Tier 2

High Cost Generic

Tier 3

Preferred Brand

Tier 4

Non-Preferred Brand

Retail (30-day supply)$5$20$30$50  
Mail Order (90-day supply)$10$40$60$150  
Specialty DrugsSpecial pricing may apply. 

Full HMO Cost Summary 2023

Tip: Consider enrolling in a health care FSA to pay for copays and other services not covered by the plan.