If you are a Tufts Health Together (MassHealth), Tufts Health RITogether (Rhode Island Medicaid), Tufts Health Unify (Medicare-Medicaid plan), or Tufts Health Plan Senior Care Options (65+ Medicare-Medicaid plan) member: You may need to renew your coverage this year. Learn more.
A notice to our members regarding a security incident. Read here.
The COVID-19 public health emergency ends on May 11, 2023. Effective May 12, 2023, over-the-counter, at-home COVID-19 tests will no longer be covered under the pharmacy or medical benefit. In addition, Tufts Health Plan will cover COVID-19-related services, when medically necessary and in accordance with applicable law and plan documents, for commercial members as follows:
Please note: Member cost sharing includes copayments, deductibles and coinsurance. Only POS and PPO plans have out-of-network benefits. Also, COVID-19 coverage outlined above may vary if you’re enrolled in a self-insured group health plan. Please contact your employer for coverage details.
There are several resources available through federal and state programs for free COVID-19 testing.
Unless otherwise noted, all policies are effective beginning with dates of service on or after March 6, 2020. These policies have been put in place in connection with the COVID-19 pandemic and are not intended to be permanent changes. For any policy without an end date listed or for which it states "until further notice," we will aim to provide at least four week notice in advance of any termination of the policy. We encourage our members to call the number on their ID cards with any questions related to their health benefits.
The following pharmacy policies are in effect until August 7, 2021:
The FDA has authorized the following two oral antiviral medications under emergency use authorization (EUA) for the treatment of certain cases of COVID-19. When prescribed and dispensed under the requirements of the EUA, one course of therapy can be provided at no charge to the member. Prescriber and pharmacy access is currently extremely limited; speak to your health care provider if you test positive for COVID-19 and believe you qualify for treatment.
If you have questions regarding your health plan coverage, please call the Member Services phone number on the back of your member ID card.