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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.
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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.
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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).
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Does Tufts cover out of country?

Simply register your university-related international trip in the Tufts Travel Registry and your information is automatically sent to On Call International. Your coverage will begin on the first day of your trip and end on the last day of your trip, or when you return to the U.S. or your home country.
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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)
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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.
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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.
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Does my insurance cover me when I'm out of the country?

Generally, most domestic health insurance policies are not accepted abroad, so there is a benefit to purchasing travel medical insurance as a supplement to your health insurance coverage. The travel medical coverage is only valid while you're traveling.
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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.
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Does insurance cover you out of the country?

U.S.-based health insurance companies generally can't directly pay medical providers in other countries, which means you will need to pay for your medical care upfront and with your own money. When you return home to the U.S., you can file a claim with your insurance company to get reimbursed.
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What is Tufts medical known for?

Tufts Medical Center

Offering patient-centered care in New England for over 200 years, with more than 100 specialties including a top heart transplant center and level 1 trauma center.
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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.
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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.
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Who did Tufts Health Plan merge with?

Tufts Health Plan and Harvard Pilgrim Health Care are now part of one combined organization.
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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.
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Is Tufts Medicare Preferred a good plan?

The 2024 4.5-Star rating puts Tufts Health Plan Medicare Advantage (HMO) plans among the top 20 percent of plans nationally. For more information on plan ratings, go to www.medicare.gov. Every year, Medicare evaluates plans based on a 5-Star rating system.
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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).
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Does my US health insurance cover me in Europe?

U.S. health insurance plans typically do not cover regular and routine medical care required overseas. This means your health insurance won't pay for care if you need to visit a doctor for a prescription medicine, or if you need treatment for a condition that is not considered an emergency.
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What happens if you have a medical emergency abroad?

The nearest US embassy or consulate can help travelers locate medical services and notify your friends, family, or employer of an emergency. They are available for emergencies 24 hours a day, 7 days a week, overseas and in Washington, DC (888-407-4747 or 202-501-4444).
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Do I need additional medical insurance when traveling abroad?

The U.S. government does not provide insurance for U.S. citizens overseas. We do not pay medical bills or unexpected cost. We highly recommend that you purchase insurance before you travel.
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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.
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Does Tufts insurance cover therapy?

Does Tufts Health Plan pay for therapy? Yes, insurance through Tufts Health Plan does pay for mental health and substance use treatment. Coverage varies from plan to plan, so to find out the cost to you for therapy, refer to the specific benefits and coverage details outlined in your plan documents.
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Why is Tufts so expensive?

The primary reason that Tufts relies so heavily on tuition is that we are underendowed compared to our peers. In other words, we have a much lower ratio of endowment to number of full-time students than many of our peer institutions, including the University of Pennsylvania, Northwestern and Brown.
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