View hours

English

Holiday hours

Multifactor authentication

Scheduled maintenance  

Download on the App Store

Get it on Google Play

Get the app

We use cookies

COVID-19 resource center

For brokers

For employers

For providers

For members

2024 Health Equity Final Report - Tufts Health One Care

Resources & tools

Legal, security & privacy practices

Do not call policy

Terms of use

HIPAA

Nondiscrimination

Machine-readable files

Regulatory notices

Legal & privacy

About us

In the news

Careers at Point32Health

Point32Health Foundation

Contact us

Company

Footer

Login

Broker

Employer

Member

Provider

Plans & benefits											

Member resources

All plans

Plans & benefits

Getting care

Tools & resources

Employer Individual or Family Plans

Medicare plans

Benefits & costs

Pharmacy

Information & tools

Forms & documents

Tufts Health Direct

Your care

Your health

Becoming a member

Tufts Health One Care

Tufts Health Together

Covered services

Tufts Health RITogether

Programs & reporting

Broker news

Broker information

News & information

Wellness programs

Employer news

Employer information

Many of these resources have recently moved to our provider website on point32health.org.

Policies & coverage

We want to make it easy for you to work with us, so we’ve brought the training information for Point32Health’s legacy brands — Tufts Health Plan and Harvard Pilgrim Health Care — together in one spot.

Training

We’ve brought provider news information for Point32Health’s legacy brands — Tufts Health Plan and Harvard Pilgrim Health Care — together in one spot. Visit our news resources on point32health.org/provider

News

Online tools

Below are overviews of Tufts Health Plan’s offerings, which include benefit information, authorization requirements, overviews of specific plans and coverage information.

Our plans

Credentialing & contracting

Quality of care

Network & plans

Main navigation

Documents

Administrative

Continuation of Coverage

Health Care Reform (ACA)

Manuals

Employer & broker forms

Applications

Enrollment

Enrollment materials

Guidelines

Online & electronic

Plans & programs

Brochures & flyers

Health & wellness

Essential resources for brokers

2024 tax form information

Broker Forms & Documents

2019 FSA Contribution Increase

2019 Medical Loss Ratio Employer Broker FAQ

2019 Medical Loss Ratio Member FAQ

2020 Annual Benefit Changes

2020 IRS Limits for HSAs and HDHPs

2020 Medical Loss Ratio Employer Broker FAQ

2020 Medical Loss Ratio Member FAQ

2022 Broker Commission Schedule MA Combined

2022 Broker Commission Schedule RI

Small Employer Group and Individual Benefit Documents

2023 Small Group EOCs

4-16-20 Webinar Whitepaper

5-25-21 Presentation

5-25-21 Q2 SG Plan Comparison

6-3-21 RI Presentation

Benefit Enrollment and Maintenance Transaction

834 5010 Standard Companion Guide

A summary of highlights of new regulations

ACA - Employer Shared Responsibility Provision

Includes a summary of ACA fees, who pays, what the fee is used for, fee amount, and when payment begins

ACA Fees—Information for Employer Groups

Use this form to account for all employees and their dependents

Account Census Form

2023 Summary of Benefits + Coverage - Rhode Island

Advantage HMO 1000

Advantage HMO 1500

Advantage HMO 2000

Advantage HMO 2000 (80%)

Advantage HMO 3000

Advantage HMO 4000 (70%)

Advantage HMO 500

Advantage HMO 5000

Advantage HMO 6000

Advantage HMO Saver 2500

Advantage HMO Saver 3000

Advantage HMO Saver 6000

Advantage PPO 1000

Advantage PPO 1500

Advantage PPO 2000

Advantage PPO 2000 (80%)

Advantage PPO 3000

Advantage PPO 4000 (70%)

Advantage PPO 500

Advantage PPO 5000

Advantage PPO 6000

Advantage PPO Saver 2500

Advantage PPO Saver 3000

Advantage PPO Saver 6000

Standard Broker of Record (BOR) Change Form

Broker of Record Change Form

Broker Portal Authorization Form

BrokerLink Change Access Administrator Form

BrokerLink User Guide

Use this form to designate a new Senior Access Administrator for your Tufts Health Plan website account

Change Senior Access Administrator Form

COB Prescription Co-Pay Reimbursement Form - USFHP

Coordinated Care Model Brochure

Daily Endorphin Brochure

Deductible Carryover - Calendar Year

Deductible Carryover - Plan Year

Disabled Dependent Evaluation Form

This notice is sent to notify an employee that their continuation coverage has terminated or will terminate

Early Termination Notice

EDI Enrollment + Reconciliation Guide

Electronic Funds Transfer (EFT) FAQ

Electronic Funds Transfer (EFT) Flyer

Frequently asked questions with answers about Massachusetts Continuation of Coverage

Employer Group Overview of MA Continuation of Coverage

This form must be completed by an employer group to identify a third-party representative/vendor that is permitted to receive information on their behalf.

Employer Group Vendor Designation Form

Authorization/request for electronic access to information submitted to Tufts Health Plan

Employer Web Authorization Form

Federal MLR FAQs

Includes informative flyer, postcard, and table tent

Flu Kit for Members

Includes Announcement, Reminder, and Final Reminder for on-site flu shots

Flu Shot Email Campaign

To be completed by brokers and employers that are new to Tufts Health Plan

Form W-9 (IRS)

Happify FAQ

HEALTHpact Advantage

HEALTHpact Basic

Description of requirements for your employees to qualify for Advantage Level HEALTHPact benefits.

HEALTHPact Employer Instruction Guide

Instructions on how to comply with HIPAA requirements to receive PHI in order to perform certain functions on behalf of your employer group clients

HIPAA Instructions for Brokers and Employer Group Vendors

Initial Deposit Authorized Clearing House (ACH) Authorization Form

Large Group Census Template

Use this list of items to enroll your group in Tufts Health Plan

Large Group Enrollment Checklist

Lifespan Premier Choice HMO 1000

Lifespan Premier Choice HMO 2000

Lifespan Premier Choice HMO Copay (55%)

Lifespan Premier Choice PPO 1000

Lifespan Premier Choice PPO 2000

This form provides Tufts Health Plan with documentation that you will not pair an HRA with this plan

Lifespan without HRA Attestation

MA Broker Agency Application

MA Broker Compensation Brochure

This notice contains important information about your employee's right to continue your health care coverage under the group health plan

MA Continuation of Coverage Election Form

This notice contains important information about your employee's right to Massachusetts Continuation of Coverage

Forms & documents

Essential resources for brokers

Filter Forms

Filter Forms