For More Information
See Frequently Asked Questions on medical and dental coverage.
- How My Tufts Health Plan Works
- Tufts Health Plan Enrollment Form
- Medicaid and the Children's Health Insurance Program (CHIP)
- Find a Doctor
- Keeping You Healthy
An HMO plan is a health care plan in which a network of health care providers delivers managed care at a center or as part of a network. Participants are required to choose a primary-care physician (PCP) from the plan's network of doctors. The PCP provides or authorizes most of your care, except in cases of emergency and certain other situations as outlined in your member handbook. You choose a PCP for yourself and for each covered family member to coordinate the care you receive. For more specialized care, your PCP will select and refer you to a Tufts Health Plan network specialist, usually one who practices with your doctor’s provider group.
The Tufts Preferred Provider Organization (PPO) allows participants to manage their own health care without having to select a primary-care physician. The PPO offers two kinds of care under one plan. If you choose a provider within the Tufts network for covered services, you pay only for the office visit copayment. If you choose a provider outside the Tufts network, you pay a deductible for covered services, after which you will be responsible for paying the coinsurance for covered services up to the out-of-pocket maximum.2013 Health Insurance Responsibility Disclosure form (HIRD) (PDF). This form requests information about an individual's alternative medical coverage and requires acknowledgement of the law to carry medical coverage and the penalties for noncompliance.
For more information: www.mahealthconnector.org
- 2013 Nonexempt Staff Rates (PDF)
- 2013 Exempt Staff/Faculty/PostDoc Rates (PDF)
- 2013 Same-Sex Domestic Partner Nonexempt Rates (PDF)
- 2013 Same-Sex Domestic Partner Exempt/Faculty/PostDoc Rates (PDF)
Tufts HMO Value Plan
- Tufts HMO Value Evidence of Coverage (PDF)
Tufts HMO Premium Plan
- Tufts HMO Premium Summary of Benefit Coverage (PDF)
- Tufts HMO Premium Evidence of Coverage (PDF)
Tufts PPO Documents
- Tufts PPO Summary of Benefit Coverage (PDF)
- Tufts PPO Evidence of Coverage (PDF)