Is Tufts Health Plan the same as MassHealth?

Our MassHealth plan Our Tufts Health Together plan provides high-quality MassHealth coverage for individuals and is free or low cost to low-income families enrolled in the state's Medicaid plan.

Is Tufts Health together part of MassHealth?

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)

What is the new name for Tufts Health?

Effective Jan. 1, 2024, Tufts Health Unify is changing its name to Tufts Health One Care. By aligning the name with the Massachusetts One Care Program, you'll find it easier to determine which population this plan serves.

What type of insurance is Tufts Health Plan?

Tufts Health One Care is our Medicare-Medicaid One Care plan for people ages 21 to 64.

What happened to Tufts Health Plan?

It completed a merger with Harvard Pilgrim Health Care on January 1, 2021, making the then unnamed company the second-largest health insurer in Massachusetts.

Choose a MassHealth Plan

Is Tufts Health Plan good?

Scoring 88 out of 100, Tufts Health Plan Direct emerges as the top health insurance provider in Massachusetts. It stands out for its affordable rates, low maximum out-of-pocket costs and extraordinary claims processing.

Is Tufts Health together Medicaid or Medicare?

Our Tufts Health Together plan provides high-quality MassHealth coverage for individuals and is free or low cost to low-income families enrolled in the state's Medicaid plan.

Is Tufts Health Plan considered 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).

Is Tufts Health Plan a PPO or HMO?

At Tufts Health Plan, we have a team of Medicare Experts available to answer all your Medicare questions and help you find the plan that's right for you. Tufts Health Plan offers several HMO plans and an Access PPO plan.

Does Tufts insurance cover dental?

As a Tufts Health Plan member, you have access to dental coverage that provides the services you need to stay healthy. Whether your plan includes dental coverage, or you add the Tufts Health Plan Medicare Preferred Dental Option, these resources will help if you have any questions about your coverage.

Who did Tufts Health Plan merge with?

Tufts Health Plan and Harvard Pilgrim Health Care are now part of one combined organization.

Is MassHealth only for Massachusetts?

You must be a resident of Massachusetts to get MassHealth or other health care benefits that are funded by the Commonwealth.

How do I contact Tufts MassHealth?

We're here to help. Call us at 877-322-2443, Monday through Friday, from 8:30 a.m. to 5 p.m. Already a Tufts Health Direct member? Call us at 877-322-2443, Monday through Friday, from 8:30 a.m. to 5 p.m.

What are the different types of MassHealth plans?

Learn about MassHealth coverage types. Described below are the six MassHealth coverage types offered to eligible individuals, families, and people with disabilities: Standard, CommonHealth, CarePlus, Family Assistance, Premium Assistance, and Limited.

Does Tufts Health Plan cover surgery?

Medically necessary services may include Inpatient Medical Care, Outpatient Surgery, Laboratory Services, Imaging (x- ray/diagnostic), Office Visits (Specialist), Medical Drugs and/or Prescription Drugs.

Where does Tufts Health Plan cover?

Our full network includes more than 51,000 health care professionals and 110 hospitals across all of Massachusetts, Rhode Island and New Hampshire. The network also extends into parts of Maine, Vermont, New York and Connecticut.

Is MassHealth better than Medicare?

Both Medicare and Medicaid cover basic health services, including physician and hospital care, laboratory tests and X-rays, and prescription medications. MassHealth coverage includes dental, vision and transportation to medical appointments – none of which are covered by Medicare.

Who is the number 1 health insurance in the US?

1. UnitedHealth Group. UnitedHealthcare, part of UnitedHealth Group, is the largest health insurance company based on revenue. UnitedHealthcare offers a variety of products from individual health insurance to employer plans for some of the biggest corporations.

What hospitals are affiliated with Tufts?

We have four other major academic partners: Lahey Hospital and Medical Center, Maine Medical Center, Newton Wellesley Hospital, South Shore Hospital, and many other highly-rated teaching partners (listed below).

Does Tufts Health Plan cover vision?

Tufts Health Plan offers coverage for routine eye exams and other vision services through the EyeMed Vision Care network. Important: Providers within the EyeMed network are able to meet your routine eye care and certain medical optometry needs.

Do I need a referral for Tufts Health together?

Referrals are not required for Tufts Health Direct, Tufts Health RITogether, Tufts Health Together MCO or Tufts Health One Care members. Authorization for certain services, drugs, devices and equipment is based on Tufts Health Public Plans medical necessity guidelines (MNGs) or InterQual® criteria.