With Tufts Health Together, our MassHealth plan, you get all the benefits of MassHealth, including: Visits to doctors and specialists. Prescription drugs for kids ($1 to $3.65* copayment for ages 21 and over)Over-the-counter drugs for kids with a doctor's prescription ($1 to $3.65* copayment for ages 21 and over)
Tufts Health Direct coverage includes office visits and screenings, wellness visits for infants and children, hospital care, treatment for mental health and substance use, and prescription drug coverage. You can see detailed information about covered benefits in our medical and behavioral health benefit summary grids.
A nonprofit organization founded in 1979, Tufts Health Plan is nationally recognized for its commitment to providing innovative, high-quality health care coverage. The plan offers members and employers an array of health management programs, which support evidence-based approaches to health and wellness.
Accepted InsurancesAllways Health Partners My Care Family (MassHealth) Boston Medical Center HealthNet Plan. Cigna Local Plus. Fallon Direct Care.
MassHealth Standard is the most complete coverage offered by MassHealth. It pays for a wide range of health care benefits, including long-term-care services.
Is my checkup covered? Many Tufts MassHealth members have dental benefits. Some dental benefits are paid directly by MassHealth and some are paid by Tufts Health Plan. Learn more in the Covered Services List.
In Massachusetts, Medicaid and the Children's Health Insurance Program (CHIP) are combined into one program called MassHealth. MassHealth members may be able to get doctors visits, prescription drugs, hospital stays, and many other important services.
Tufts Health Together with BIDCOAvailable Monday - Friday, 8 a.m. to 5 p.m. Tufts Health Plan and BIDCO work together to provide the best care possible to all members. We offer person-centered and culturally sensitive services to improve members' health. We promote healthy lifestyles and behavioral changes.
Tufts Health Plan today announced it is rated 5 out of 5 – the highest rating possible – by the National Committee for Quality Assurance (NCQA) on its annual 2019-2020 rating of private health insurance plans. *
Tufts Health Plan employees rated their Work-life balance 0.9 higher than Boston Medical Center HealthNet Plan employees rated theirs. Tufts Health Plan employees rated their Senior Management 0.9 higher than Boston Medical Center HealthNet Plan employees rated theirs.
Tufts Health Plan (Commercial Plans, not via Mass Health or Navigator) is a common health insurance in Massachusetts, and individuals who have Tufts Health Plan (Commercial Plans, not via Mass Health or Navigator) may wish to find therapists who are in-network with their health insurance.
Boston Medical Center (BMC) HealthNet Plan is a managed care organization founded by Boston Medical Center in 1997. Offering MassHealth (Medicaid) and ConnectorCare health insurance coverage, BMC HealthNet Plan serves more than 250,000 members statewide.
In certain situations, MassHealth may pay for emergency treatment for a medical condition when a MassHealth member is out of state. If you are not enrolled in a health plan through MassHealth, but instead get premium assistance, your private health insurance may also pay for emergency care you get out of state.
Top 10 MassHealth Provider Specialties:
- Dentist (26 providers)
- Internist (4 providers)
- Counselor (3 providers)
- Chiropractor (2 providers)
- Nurse Practitioner (NP) (2 providers)
- Obstetrician / Gynecologist (OBGYN) (2 providers)
- Plastic, Reconstructive, and Cosmetic Surgeon (2 providers)
- Psychiatrist (2 providers)
WithTufts Health Unify, our Medicare-Medicaid One Care plan for people ages 21 – 64, we provide enrollees with access to One Care's comprehensive care delivery system.
Effective for dates of service on or after January 1, 2021, Tufts Health Direct will not require referrals for specialty care. Tufts Health RITogether does not require referrals for specialty care. However, PCPs are responsible for referring members to an in-network specialist, when appropriate.
Tufts Health Plan offers Preferred Provider Organization (PPO) coverage, which does not require you to select a primary care physician or obtain referrals. Both in-network and out-of-network coverage is offered.
MassHealth sometimes pays the premiums for other groups of people who have private insurance or Medicare. If MassHealth does this, you have what is called fee-for-service coverage. Most people who receive Commonhealth will have a MassHealth card, but also are not part of MassHealth's managed care program (PCC or HMO).
The plan covers one annual eye exam and provides significant discounts on frames, lenses, contact lenses, LASIK and PRK vision correction procedures, and lens accessories.
To start, HMO stands for Health Maintenance Organization, and the coverage restricts patients to a particular group of physicians called a network. PPO is short for Preferred Provider Organization and allows patients to choose any physician they wish, either inside or outside of their network.
CIC stands for Comprehensive Insurance Coverage. Our two indemnity plans, Basic and Medicare Extension, have the CIC option. When you have CIC, more services are covered at 100% (compared to 80% without CIC). However, the same services are covered whether you have CIC or not.
