Effective January 1, 2024 through December 31, 2024
50% Cost 100% Cost
Harvard Pilgrim HMO $464.34 $928.68
Harvard Pilgrim PPO $525.50 $1,051.00
Medical Benefits for the Retiree at Age 65
As an eligible “grandfathered” employee, when you retire at age 65 or older, you may choose
coverage in either Tufts Medicare Preferred Supplement PDP Plus plan or the Tufts Medicare
Preferred HMO plan. You must be enrolled in Parts A and B of Medicare for the coverage to be
in effect, but you should not be enrolled in Part D (see page 2).
Under the “grandfathering” formula (described on Page 2), an eligible employee’s “points” were
determined as of January 1, 2006. In March 2005 employees were sent individualized letters
indicating their personal “points.” The “points” were derived by adding the employee’s age to the
years of eligible service as of January 1, 2006. The total “points” determine the percent of the post-
65 medical premium to be paid by the retiree according to the sliding scale listed below. The
percent will apply to the cost of the Tufts Medicare Preferred Supplement PDP Plus plan or the
Tufts Medicare Preferred HMO plan. (Note: This policy is always subject to change in the future.)
If you were full-time and actively employed prior to January 2006, you can call the Benefits Office
at 2-3329 to obtain the “points” that were assigned to you at that time. Please be aware, however,
that the points were calculated based on raw data from the HR/Payroll system. The dates used were
assumed to reflect full-time years of employment. At retirement, if it is found that there was a
miscalculation (e.g., if some of the years used in the calculation were part-time years), a new
corrected calculation will take precedence. Please call the Benefits Office prior to retirement, if
some of your service was part-time, to verify your correct number of “points.”
The “grandfathering” formula will apply to employees with 55 or more “points,” and their
contribution will range from 10% to 45%. [Note: The percent determined as of 1/01/06 will apply
regardless of when the employee actually retires.]
Tufts Health Plan’s Premiums
No. of Points as of Percent Paid Supplement HMO
January 1, 2006 By Retiree Premiums____
90 + 10% $50.60 $46.50
85 – 89 15% 75.90 69.75
80 – 84 20% 101.20 93.00
75 – 79 25% 126.50 116.25
70 – 74 30% 151.80 139.50
65 – 69 35% 177.10 162.75
60 – 64 40% 202.40 186.00
55 – 59 45% 227.70 209.25
Spouses pay 50% 253.00 232.50
100% (effective 1/1/2024) $506.00 $465.00