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 Medicaid or Medicare?

Tufts Health Plan serves the Medicaid population in Massachusetts and Rhode Island through our Tufts Health Together and Tufts Health RITogether plans.

What type of plan is Tufts Unify?

A Medicare-Medicaid One Care plan for people ages 21-64. Tufts Health One Care simplifies your care by providing your MassHealth and Medicare benefits through one health plan.

What kind of insurance is Tufts?

Tufts Health Plan is one of the nation's most highly rated nonprofit health insurance companies, known for delivering high-quality health care and an outstanding member experience. We offer a broad range of health care plans and coverage options to individuals and employer groups in the region and nationally.

Is MassHealth Medicaid or Medicare?

The Senior Care Options (SCO) program in Massachusetts is a comprehensive, integrated and coordinated managed care plan that includes all services covered by Medicare and MassHealth (Medicaid) and currently enrolls low-income seniors ages 65 and older.

Tufts Health Unify is now Tufts Health One Care

What is the difference between Medicaid and MassHealth?

Medicaid, or MassHealth. So I'll start by saying that MassHealth and Medicaid are the same thing. In Massachusetts, we call our Medicaid program MassHealth, because we wanted our own name for it. Some other states also have their own names, while others just call it Medicaid.

Can you have Medicaid and MassHealth at the same time?

For example, an individual who is over age 65, as well as low-income, may be eligible for both Medicare and Medicaid. A person with a disability also could be covered by both. In fact, Massachusetts counts about 312,000 residents, or 1 in 5 MassHealth members, who are currently enrolled in both programs.

Is Tufts together a Medicaid 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 Plan the same as 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)

Is Tufts insurance Medicare?

Tufts Health Plan Medicare Advantage

Access to thousands of doctors, specialists, and hospitals all with more benefits and financial security than Original Medicare alone.

Can you have both Medicare and Medicaid in Massachusetts?

Medicare benefits are coupled with Medicaid (MassHealth) benefits in at least three specific health care programs in Massachusetts. One of these is the Program for All-inclusive Care for the Elderly, or “PACE,” which is discussed on our Home Care Benefits page.

Is Tufts Health together a PPO or HMO?

Tufts Health Plan offers several HMO plans and an Access PPO plan. Just call 1-800-890-6600 (TTY: 711). You can also compare plans on our website.

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.

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 Tufts a good health insurance?

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 Unify a Medicare Advantage plan?

2024 Medicare Advantage Plan Benefit Details for the Tufts Health Unify (Medicare-Medicaid Plan) Medicare Contact Information: Please go to Medicare.gov or call 1-800-MEDICARE (1-800-633-4227) to get information on all of your options.

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.

Who did Tufts Health Plan merge with?

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

Is Tufts Health Plan part of UnitedHealthcare?

As you may know, Tufts Health Freedom Plan was sold to UnitedHealthcare effective Jan. 1, 2021, and was renamed UnitedHealthcare Freedom Health Plan. Tufts Health Freedom Plan provided administrative support during a transition period that ended on June 30, 2022.

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.

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.

Does MassHealth check your income?

To determine whether applicants qualify for MassHealth coverage, MassHealth considers the earned and unearned income of all family members in a household: A family's total income, both earned and unearned, cannot exceed a designated percentage of the FPL.

Do I need Medicare if I have MassHealth?

* If you're eligible for both Medicare and MassHealth, Medicare provides most of your prescription drug coverage through a Medicare prescription drug plan. This means you must choose and enroll in a Medicare prescription drug plan.