Company Profile

At Tufts Health Plan, we strive to set the standard for outstanding quality health care, service, and value.

Company Profile

A nonprofit organization founded in 1979, Tufts Health Plan is nationally recognized for its commitment to providing innovative, high-quality health care coverage. The plan offers members and employers an array of health management programs, which support evidence-based approaches to health and wellness.
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Tufts Health Plan is one of the few health plans in Massachusetts to participate in the commercial, Medicare and Medicaid/subsidized markets, offering coverage across the life span regardless of age or circumstance.

With headquarters in Massachusetts, Tufts Health Plan also serves members in New Hampshire and Rhode Island.

Tufts Health Plan is a leader in advancing public policy discussions on several issues: prevention and wellness, affordability, and removing obstacles to accessibility.

Mission

To improve the health and wellness of the diverse communities we serve

Vision

Every life improved through access to high-quality, affordable health care

Our Offerings

From traditional HMO and PPO plans to national, tiered and limited network plans, Tufts Health Plan provides quality health care coverage across the spectrum of an individual’s needs.

Employer-Sponsored Plans

Tufts Health Plan offers health insurance plans for employers of all sizes in Massachusetts, New Hampshire* and Rhode Island. Our national CareLink product, in collaboration with Cigna, provides coverage for multi-state employers.

*Products are offered by our affiliate, Tufts Health Freedom Plan. 

Individual Plans

Tufts Health Plan offers health insurance plans for individuals through brokers and the Connector in Massachusetts.

In addition, we are contracted with the Massachusetts Connector to offer subsidized a Qualified Health Plan called Tufts Health Direct

Medicaid Plans

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

Medicare Plans

Tufts Health Plan offers Medicare Advantage, Medicare Supplement and Prescriptions Drug plans for Medicare beneficiaries and retirees.

Dually-Eligible Plans

Tufts Health Plan offers Tufts Health Unify for people ages 21-64 who qualify for both Medicare and Medicaid through the OneCare program.

In addition, we offer a Senior Care Options plan for individuals who are at least 65 years old and have both Medicare and MassHealth Standard (Medicaid) or just MassHealth Standard (Medicaid).

Quality Performance

  • In 2016 and 2017, our Private HMO and PPO Plans received the Highest Rating Possible - ‘5’ out of ‘5’ - from the National Committee for Quality Assurance (NCQA).*
  • Our Medicaid plan achieved a 4.5 rating by NCQA, placing it amongst the top health plans nationally.** Only 10 Medicaid plans received a 4.5 rating, out of the nearly 300 evaluated.
  • Tufts Health Plan Medicare Preferred HMO and Senior Care Options plans earned a 5 out of 5 star rating from the Centers for Medicare and Medicaid Services in 2016, 2017 and 2018.
  • Tufts Health Plan has earned the Wellness & Health Promotion Accreditation by NCQA, making it the only plan in the Northeast, and among only 20 organizations across the country, with such a distinction.
  • These products have achieved the highest possible accreditation status from NCQA for consumer protection, quality improvement and clinical effectiveness.

* NCQA’s Private Health Insurance Plan Rankings 2016-2017
**NCQA’s Medicaid Health Insurance Plan Rankings 2016-2017

Corporate Citizenship

At Tufts Health Plan, corporate citizenship is integrated into all aspects of our business. It is how we conduct our work and engage in community for a greater influence in our society and the environment. It underpins our operations and includes how we treat our employees and how we live our company’s values.

Our community investments include both our corporate and foundation giving. Founded in 2008, the Tufts Health Plan Foundation supports the mission of the health plan: to improve the health and wellness of the diverse communities we serve. The foundation funds approximately $4 million annually in community investments to Massachusetts and Rhode Island nonprofits that improve healthy living with an emphasis on healthy aging.

Our philanthropy also includes the limitless generosity of our employees as demonstrated in their giving of time, treasures and talents to community. Each year, our employees donate thousands of dollars of goods through annual drives, such as holiday giving, food and clothing drives, and volunteer their time to support the communities where we live and work. The Tufts Health Plan Foundation matches both dollars raised and hours served.

Each year since 2006, the U.S. Environmental Protection Agency has awarded Tufts Health Plan the ENERGY STAR label for superior energy performance at its Watertown headquarters. Tufts Health Plan was the first health care organization in New England to earn the ENERGY STAR label. Tufts Health Plan also has earned the Best Workplace for Commuters designation from the EPA.

Tufts Health Plan is ranked No. 12 among participating large Massachusetts employers in The Boston Globe Top Places To Work and was the highest-ranked health insurance organization in the survey. Tufts Health Plan earned a Best Employers for Workers Over 50 award from AARP and the Society for Human Resources Management.

Quick Facts

Chief Executive Officer

Thomas Croswell

Founded

1979 by Morton Madoff, M.D., dean (emeritus) of Tufts University School of Medicine

Operational Date

1981

Network

109 hospitals and more than 51,000 health care providers

Membership

 1,145,000 (May 15, 2018)

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