Tufts Health Plan works closely with five health care providers to offer accountable care organization plans (ACOs). These providers are Atrius Health, Beth Israel Deaconess Care Organization (BIDCO), Boston Children’s ACO, and Cambridge Health Alliance (CHA). We also offer a managed care organization plan (MCO).
Why Tufts Health Plan for Medicare?
Our Tufts Health Plan Medicare Preferred HMO plans are Medicare Advantage plans (Medicare Part C) that offer medical and prescription drug coverage (Medicare Part D) beyond Original Medicare (Medicare Parts A & B). Tufts Health Plan Senior Care Options (HMO-SNP) Available to people ages 65 plus who have or are eligible for Medicare and MassHealth Standard …
What are Tufts Health direct plans?
Tufts Health Plan Senior Care Options (HMO-SNP) plan is available to individuals who are at least 65 years old and have both Medicare and MassHealth Standard (Medicaid), or just MassHealth Standard coverage. Members receive health care coverage under a single plan that coordinates and integrates all the services covered by MassHealth Standard and Medicare.
What providers are available to Tufts Health Plan CareLink members?
Tufts Health Plan offers Tufts Health Unify for people ages 21-64 who qualify for both Medicare and Medicaid through the OneCare program. In addition, we offer a Senior Care Options plan for individuals who are at least 65 years old and have both Medicare and MassHealth Standard (Medicaid) or just MassHealth Standard (Medicaid).
How do I know if I am a Tufts Health Plan member?
Tufts Health Plan does not have negotiated contracts or rates with out-of-network providers, so the provider decides how much you will pay for receiving health care services. If your plan includes out-of-network benefits and you decide to see an out-of-network provider, you will typically need to pay more out of pocket.
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· Tufts Health Plan Senior Care Options (HMO-SNP) More benefits than Original Medicare and MassHealth Standard at $0 for those who qualify. See if you qualify and what our Senior Care Options plan can offer you.
What is the difference between Tufts Medicare complement and Tufts Medicare Preferred?
Members enrolled in the Tufts Health Plan Medicare Complement Plan may utilize any provider that accepts Medicare. Tufts Health Plan Medicare Preferred is an HMO plan with a Medicare contract. Enrollment in Tufts Health Plan Medicare Preferred depends on contract renewal.
Is Tufts Health Plan only in Massachusetts?
With headquarters in Massachusetts, Tufts Health Plan also serves members in Connecticut and Rhode Island.
What kind of insurance is Tufts?
Health insuranceTufts Health Plan was a Massachusetts-based non-profit health insurance company under Tufts Associated Health Plans, Inc. with headquarters in Watertown, Massachusetts....Tufts Health Plan.IndustryMedical industryProductsHealth insuranceNumber of employees2,400Websitetuftshealthplan.com5 more rows
Who owns Tufts Health Plan?
Point32Health Plan Holdings, Inc.Tufts Health Plan / Parent organization
Is Tufts Health Plan Nationwide?
Did you know? Our national coverage extends from coast to coast, providing members with better, seamless nationwide access to Tufts Health Plan and Cigna PPO* network providers.
Is Tufts a good Health Plan?
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.
Is Tufts Health Plan HMO or PPO?
Tufts Health Plan currently offers two Advantage plans: Advantage HMO and Advantage PPO. The Advantage plans require members to pay an upfront deductible for most authorized services, which differentiate these plans from the standard HMO and PPO options.
Does Tufts have a Medicare plan?
With a Medicare plan from Tufts Health Plan, you'll continue to get the excellent care, service, and value you've come to expect. That's why 97% of our Medicare plan members stay with us year after year.
Does Tufts have a PPO plan?
The PPO plan provides a higher level of benefits (in-network) if you use health care providers in Tufts Health Plan's network, and a lower level of benefits if you use non-network providers. You do not need to name a primary care provider (PCP) or receive referrals for specialist visits.
Is Cigna part of Tufts?
Cigna has a strategic alliance with Tufts Health Plan to offer CareLink®, an Open Access Plan (OAP). Your patients who have ID cards that display the CareLink logo are able to access care through the Tufts Health Plan network of providers in Massachusetts and Rhode Island.
What is Tufts famous for?
Founded in 1852, Tufts University is recognized among the premier universities in the United States, known for its rigorous and innovative research and educational programs. Tufts enjoys a global reputation for academic excellence and for the preparation of students as leaders in a wide range of professions.
Did Tufts Health Plan Merger with Harvard Pilgrim?
Tufts Health Plan and Harvard Pilgrim are now one organization. We are excited and optimistic about our future, and we believe our new organization will bring more value to you and the communities we serve.
What is Tufts PPO plan?
The PPO plan provides a higher level of benefits (in-network) if you use health care providers in Tufts Health Plan's network, and a lower level of benefits if you use non-network providers. You do not need to name a primary care provider (PCP) or receive referrals for specialist visits.
Can you buy private health insurance in Massachusetts?
In Massachusetts, you can choose from a wide variety of plans through private providers to suit your health insurance needs. Those looking for an ACA health plan can also use the state-run exchange, Massachusetts Health Connector.
Is Cigna part of Tufts?
Cigna has a strategic alliance with Tufts Health Plan to offer CareLink®, an Open Access Plan (OAP). Your patients who have ID cards that display the CareLink logo are able to access care through the Tufts Health Plan network of providers in Massachusetts and Rhode Island.
How do I get free health insurance in Massachusetts?
If you qualify for Medicaid through MassHealth, you'll be able to get free or low-cost coverage and may not need to worry about premiums or copays, depending on your level of income. All Health Connector plans cover 10 “essential” benefits, including: Emergency services and hospitalization.
Does Medicare Supplement cover coinsurance?
Medicare Supplement plans [LINK] fill in the gaps that Original Medicare doesn ’t cover. This may include deductibles or coinsurance. Our Medicare Supplement plans also offer additional benefits that Original Medicare does not offer, such as fitness and nutrition reimbursement.
What is an HMO plan?
With our HMO (Health Maintenance Organization) [LINK] plans, you are covered for doctors’ office visits, hospital stays, emergency room visits, preventive screenings, and many more medical services. Depending on the plan you’ve chosen, you may also have coverage for prescription drugs.
What is referrals central to your care?
Resource: Referrals are Central to Your Care [LINK] You are covered anywhere in the world for emergency and urgently needed care. Resource: Worldwide Travel Coverage [LINK] You are covered for preventive services such as annual physical, routine hearing and vision exams, and more.
Is Tufts Health Plan a Medicare or Medicaid?
Tufts Health Plan is one of the few health plans in Massachusetts to participate in the commercial, Medicare and Medicaid/subsidized markets, offering coverage across the life span regardless of age or circumstance. With headquarters in Massachusetts, Tufts ...
What is Tufts Health Plan?
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.
Does Tufts Health have Medicaid?
Tufts Health Plan offers health insurance plans for individuals through brokers and the Connector in Massachusetts. In addition, we are contracted with the Massachusetts Connector to offer subsidized a Qualified Health Plan called Tufts Health Direct. Medicaid Plans. Tufts Health Plan serves the Medicaid population in Massachusetts ...
Where is Tufts Health Plan located?
With headquarters in Massachusetts, Tufts Health Plan also serves members in Connecticut and Rhode Island. Tufts Health Plan is a leader in advancing public policy discussions on several issues: prevention and wellness, affordability, and removing obstacles to accessibility. Read Our Fact Sheet.
Does Tufts Health Plan have out of network providers?
Tufts Health Plan does not have negotiated contracts or rates with out-of-network providers, so the provider decides how much you will pay for receiving health care services. If your plan includes out-of-network benefits and you decide to see an out-of-network provider, you will typically need to pay more out of pocket.
Is Tufts Health Direct a low cost plan?
You may be eligible for a lower-cost ConnectorCare plan, such as Tufts Health Direct, if you: Are a Massachusetts resident. Are a U.S. citizen/national, a qualified immigrant, or a lawfully present immigrant. Earn up to 300% of the federal poverty level ($35,016 yearly for an individual)
Does Tufts Health Plan cover ambulance services?
If you have an emergency medical condition, Tufts Health Plan covers treatment and ambulance services. Always seek care in an emergency. The following will help you decide what to do in case of emergency: Seek care immediately at the nearest medical facility. PCP approval is not required before receiving emergency care.
How to apply for Tufts Health Direct?
During Open Enrollment, you can apply for Tufts Health Direct—our individual and small-group plan—online, by mail, by fax, or by phone. Once your enrollment form is approved and processed, your coverage will begin on the first day of the month of your requested effective date.
What is a ConnectorCare plan?
Or, you may be eligible for a lower-cost Health Connector plan called a ConnectorCare plan, which offers lower monthly premiums, and lower out-of-pocket costs when you receive covered services. Federal premium tax credits.
What is an annual deductible?
Annual Deductible. Your annual deductible is an amount you may need to pay each benefit year before your health plan pays for covered services. You may need to pay part or all of your medical bill (s) until you reach your total annual deductible. Coinsurance.
What is coinsurance in healthcare?
Coinsurance. Co-insurance is a percentage of the cost of a service, which you may pay for covered services or prescriptions. For example, if you have 20% co-insurance for a $100 covered medical service, you will owe $20 at the time of the service. Copayment.
HMO Plans
Our Tufts Health Plan Medicare Preferred HMO plans are Medicare Advantage plans (also known as Medicare Part C) that offer comprehensive medical coverage beyond Original Medicare (Medicare Parts A & B).
Senior Care Options Plan
Tufts Health Plan Senior Care Options is available to individuals who are at least 65 years old and have Medicare and MassHealth Standard (Medicaid) or just MassHealth Standard (Medicaid).
Supplement Plans
Our Tufts Medicare Preferred Supplement plans - also known as "Medigap" plans - cover "gaps" in Original Medicare coverage such as deductibles and coinsurance, so you have more predictable costs and greater peace of mind. You can keep the same doctors and you are still in the Medicare program.
Group Plans (Employer Coverage)
Tufts Health Plan Medicare Preferred Group Plans are offered through your employer in the form of HMO Medicare Advantage Plans, Supplemental Plans and Prescription Drug Plans. To find out if your employer is offering Tufts Health Plan Medicare Preferred Group Plans contact us at 1-800-890-6600.
Tufts Health Unify
Tufts Health Unify, our Medicare-Medicaid One Care plan for people ages 21 – 64, gives you access to a network of providers, a dedicated care manager, a personalized care plan, and much more.
When will Tufts Health Plan receive funding?
$900,000 will support recovery and rebuilding in communities across the region. June 29, 2020.
Is Tufts Health Plan a good place to work?
Tufts Health Plan has been recognized as a Best Place to Work by Disability:IN and the American Association of People with Disabilities (AAPD) July 15, 2020. Read More.
Is Tufts a good place to work?
Tufts Health Plan Named a Best Place to Work for Disability Inclusion. Tufts Health Plan has been recognized as a Best Place to Work by Disability: IN and the American Association of People with Disabilities (AAPD) July 15, 2020. Read More.
Is Tufts Health Plan a civic 50 company?
Tufts Health Plan Recognized as one of the 50 Most Community-Minded Companies in the United States. Tufts Health Plan has been named a 2020 honoree of The Civic 50, by Points of Light. June 10, 2020. Read More.
How many stars does Tufts Health have?
Tufts Health Plan Medicare Plans Earn 5 Stars – the Highest Rating - from the Centers for Medicare and Medicaid Services. Part D Prescription Drug plan also earns 5 Stars; the only plan in Massachusetts to receive this rating. October 13, 2020. Read More.
When is Tufts Health Plan accreditation?
Evaluates the quality of health care that health plans provide to their members. August 18, 2020.
What is the Tufts hair challenge?
Employees challenged to raise $65,000 to support awareness, education and research for disease that impacts more than 5 million Americans. October 30, 2020. Read More.
Employer, Individual or Family Plans
These are plans that you get through your employer, or that you have purchased as an individual or for your family either directly from Tufts Health Plan or through the Massachusetts Health Connector or HSA. They may have names like HMO, PPO, EPO, Advantage, Advantage Saver, Premier, or Your Choice, among others.
Medicare Plans
You must meet certain criteria to enroll in a medicare plan. If you have a medicare plan, you may have enrolled through tuftsmedicarepreferred.org. These plans include Medicare Advantage plans, Senior Care Options, and Supplement plans.
Tufts Health Direct
Tufts Health Direct is our focused-network plan for individuals, families, and small groups. Members of Tufts Health Direct can access affordable ConnectorCare plans and other financial help programs. Tufts Health Direct is available for purchase on the Massachusetts Health Connector and HSA Insurance.
Tufts Health RITogether
Tufts Health RITogether is our Medicaid plan in Rhode Island. It covers Rhode Island residents who are eligible for RIte Care, Rhody Health Partners, and Medicaid Expansion.
Tufts Health Together
Tufts Health Together is our MassHealth plan. Tufts Health Plan works closely with five health care providers to offer accountable care organization plans (ACOs). These providers are Atrius Health, Beth Israel Deaconess Care Organization (BIDCO), Boston Children’s ACO, and Cambridge Health Alliance (CHA).
Tufts Health Unify
Tufts Health Unify is our Medicare-Medicaid One Care plan for people ages 21 to 64.
How do I find my plan name?
You can find your plan name on your member ID card. The plan name may be located in the upper right corner or under the Tufts Health Plan logo.
