Tufts Medicare Preferred (specialty care only).Lifespan Premier Choice (HMO and PPO tiered products for RI employer groups).While we accept the majority of their plans, we do not accept Tufts Medicare Preferred for Primary Care services. Note: While we work very closely with Tufts Health Plan and most other major insurers, we are not affiliated with Tufts Health Plan in any way. See Humana Military- Tricare Region East.My Care Family - (Lawrence Family Health Center, Lowell General Hospital, Neighborhood Health Plan).All Commercial Plans (Massachusetts Connector Products).NCE Health Plans (The National Congress of Employers) For specific Medicare plans accepted, refer under each Insurance Payer’s Plans Accepted.Community Care Collaborative (C3)- (includes 15 federally qualified health centers across Mass.).Maine Medicaid (when referred directly from MaineCare).PPO (for out-of-network benefits for specialty care only).Stride Medicare Advantage (specialty care only).Fallon 365 Care- Southboro Medical Group.Commercial- subsidized plans for individuals and families.One Care Plan (specialty care only for ages 18-64).Medex) - (patient has Medicare as primary) QHP Silver (Connect Care) (specialty care only) * will no longer be accepted effective. Verify details of benefit plan for patients with out-of-state BCBS HMO/POS to determine if Tufts MC and PO are in network. BCBSMA has a reciprocal relationship with other states' BCBS PPO Plans.Medex) - ( if patient has Medicare as primary) Again, it is very important that you ask your health insurance provider or employer what care and services they will cover and what they expect you to pay for directly. Some services may not be covered by your insurance plan. The level of coverage you receive is determined by your health insurance provider. Some health insurance companies may use other companies to cover certain services such as mental health or transplant-related services. The pharmacy, Emergency Department and the dining options within Tufts MC will still accept cash. This new policy applies to outpatient clinics only at Tufts MC. We apologize for any inconvenience and thank you for your understanding. This change allows us to ensure proper documentation of your payment. We accept all forms of credit cards, debit cards and personal checks. Please Note: Starting November 1, 2018, we can no longer accept cash as a form of payment for deductibles, co-payments or co-insurance at Tufts Medical Center outpatient clinics. Please contact your insurance company regarding coverage for the physician component of emergency services at Tufts Medical Center. It is also important to check with your insurance plan to see if you need additional referrals and/or authorizations before getting care at Tufts MC.Įmergency department physicians may not be in-network with all the payors or plans listed below. The information below can be used as a reference but you should check with your plan to see what level of coverage you will receive for any care provided by Tufts Medical Center. Many insurance plans have different levels of costs for their members depending on where they receive care. If your health insurance company or plan is not listed, please contact your health insurance provider to better understand your benefit plan and provider network available to you. The best way to reach your insurer is typically the member services number on your insurance card.īelow, we’ve listed the health insurance plans and products that are accepted at Tufts Medical Center. For this reason, it is very important that you understand the unique components of your plan and ask your health plan or employer what care and services they will cover and what they expect you to pay for directly. There are many different types of health insurance and each insurance company may offer multiple different plans to hundreds of employers and their employees.
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