Virtual Care & Behavioral Health

Know your health care options during the pandemic

Behavioral health care options during COVID-19

• Effective for dates of service on or after January 1, 2021, plans returned to their standard benefit levels and any applicable member copays or other cost share will be applied to all non-COVID telehealth services. The one exception is for primary care and behavioral health telemedicine services for members of commercial Rhode Island-issued plans, for which cost share will continue to be waived until further notice.
• For members with access to Teladoc® there is no change to the policy and telehealth visits through Teladoc will continue to have no cost share. This includes non-COVID-19 related general medicine, behavioral health and dermatology.¹ Learn more about Telehealth provided by Teladoc.

Virtual health care options during COVID-19

Telehealth

• Effective for dates of service on or after January 1, 2021, plans returned to their standard benefit levels and any applicable member copays or other cost share will be applied to all non-COVID telehealth services.  The one exception is for primary care and behavioral health telemedicine services for members of commercial Rhode Island-issued plans, for which cost share will continue to be waived until further notice.
• Member cost share will continue to be waived for COVID-related, in-network, medically necessary services. A COVID-19 diagnosis must be submitted with the claim for the waived cost share to continue to apply.
• For members with access to Teladoc® there is no change to the policy and telehealth visits through Teladoc will continue to have no cost share. This includes non-COVID-19 related general medicine, behavioral health and dermatology.¹ Learn more about Telehealth provided by Teladoc.

24-hour nurse lines

Depending on your health plan benefits, Tufts Health Plan offers access to a 24/7 Nurse Line where members can speak to a registered nurse to receive medical advice on appropriate care.

• Tufts Health Plan Commercial members should call 866.201.7919.
• Tufts Health Direct, Together and Unify members should call 888.697.6546.

You can also call your provider with questions.
If it’s an emergency, call 911.

1. For all Fully Insured members and members of Self-Insured groups that did not opt out; cost share may apply to some Self-Insured groups.