Open Enrollment


November 5-21, 2014

This is the only time of the year when you may change health and/or dental insurance plans or enroll in a plan for the first time.*

This is the only opportunity to enroll in the Medical and/or Dependent Care Flexible Reimbursement Accounts for 2015.*

No applications or changes will be accepted after Friday, November 21, 2014. Coverage becomes effective January 1, 2015.

Find out more about your benefits at the Annual Benefits Fair on Nov. 5.

*Unless you have a qualifying change in status or other permissible event during the plan year.

2015 HEALTH PLAN CHANGES/ ENHANCEMENTS


Tufts Value HMO/EPO

Download a pdf of the changes and enhancements.

Covered Services
Current Plan
2015 Plan

Prescription Drug Copayment
(up to a 30 day supply)

$15 copay, Tier I

$30 copay, Tier II

$45 copay, Tier III

$15 copay, Tier I

$30 copay, Tier II

$50 copay, Tier III

Mail Order Rx Drugs
(up to a 90 day supply)

$30 copay, Tier I

$60 copay, Tier II

$135 copay, Tier III

$30 copay, Tier I

$60 copay, Tier II

$150 copay, Tier III

High Tech Imaging Copayment
CT/PET Scans, MRI

$75 copay

$75 copay (cap of 2 copayments per year regardless of diagnosis)

Durable Medical Equipment Copayment

30% copay

20% copay

Chiropractic Care Coverage

None

$25 copay, up to 20 visits per calendar year

Out-of-Pocket Maximum
(Individual/Family)

$1,000/$2,000

$2,500/ $5,000



Tufts Premium HMO/EPO

Download a pdf of the changes and enhancements.

Covered Services
Current Plan
2015 Plan

Prescription Drug Copayment

(up to a 30 day supply)

$10 copay, Tier I

$20 copay, Tier II

$35 copay, Tier III

$15 copay, Tier I

$30 copay, Tier II

$50 copay, Tier III

Mail Order Rx Drugs

(up to a 90 day supply)

$20 copay, Tier I

$40 copay, Tier II

$105 copay, Tier III

$30 copay, Tier I

$60 copay, Tier II

$150 copay, Tier III

High Tech Imaging Copayment

CT/PET Scans, MRI

$75 copay

$75 copay

(cap of 2 copayments per year regardless of diagnosis)

Durable Medical Equipment Copayment

30% copay

20% copay

Chiropractic Care Coverage

None

$20 copay up to 20 visits per calendar year

Out-of-Pocket Maximum

(Individual/Family)

$1,000 / $2,000

$1,250/$2,500



Tufts PPO Plan

Download a pdf of the changes and enhancements.

Covered Services
Current Plan In-Network
Current Plan Out-of- Network
2015 Plan In-Network
2015 Plan Out-of-Network

Prescription Drug Copayment

(up to a 30 day supply)

$10 copay, Tier I

$25 copay, Tier II

$40 copay, Tier III

20% coinsurance

20% coinsurance

20% coinsurance

$15 copay, Tier I

$30 copay, Tier II

$50 copay, Tier III

Mail Order Rx Drugs

(up to a 90 day supply)

$20 copay, Tier I

$50 copay, Tier II

$120 copay, Tier III

20% coinsurance

20% coinsurance

20% coinsurance

$30 copay, Tier I

$60 copay, Tier II

$150 copay, Tier III

Out-Of-Network Reimbursable at In- Network Level

High Tech Imaging Copayment

CT/PET Scans, MRI

$75 copay

20% coinsurance

$75 copay

(cap of 2 copayments per year regardless of diagnosis)

20% coinsurance

Day Surgery Copayment

Coverage in full

20% coinsurance

$100 copay per surgery

20% coinsurance

Inpatient Hospitalization Copayment

Coverage in full

20% coinsurance

$250 copay per admission

20% coinsurance

Durable Medical Equipment Copayment

30% copay

20% copay

Chiropractic Care Coverage

$25 copay up to 12 visits per calendar year

20% coinsurance, up to 12 visits per calendar year

$25 copay up to 20 visits per calendar year

20% coinsurance, up to 20 visits per calendar year

Out-of-Pocket Maximum

(Individual/Family)

$1,000 / $3,000

$1,000 / $3,000

$2,500 / $5,000

$2,500 / $5,000


Download the 2015 Health Plan Comparison Chart

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Tufts Health Plan

Summary of Benefits of Coverage

Learn more about the specific of the medical plans offered through Brandeis University by clicking on the following links of the Summary of Benefits and Coverage for each Tufts Health Plan offering.  Find out what each plan’s covered services and co-payments.  

Tufts Health Plan: EPO Value

Tufts Health Plan: EPO Premium

Tufts Health Plan: PPO