Your member handbook and Covered Services List (CSL) 

Your handbook or CSL has details about what your plan covers, your rights and other important information. Go to TuftsHealthTogether.com/UMassMemorialHealth to view or download the handbook or CSL. You also can find our Provider Directory, forms you may need and more. 

To get a printed copy of your Member Handbook or Covered Services List, call us at 888-257-1985 (TTY: 711). We can also give you a copy in other formats, such as large print or braille, or in the language you prefer. 

Your member ID cards 

We will send you a member ID card in the mail. You’ll get it about 10 days after your plan starts. Each eligible member of your family will get a member ID card. If any information on your card(s) is wrong, please call member services at 888-257-1985 (TTY: 711) and let us know. 

Bring your Tufts Health Together member ID card and your MassHealth card when you visit your providers or pick up drugs at the pharmacy. 

See which drugs are covered 

Your plan covers prescription drugs when your provider orders them. Some brand-name drugs need prior approval (authorization). Or they may not be covered. For a full list of drugs your plan covers, visit TuftsHealthTogether.com/UMassMemorialHealth. Or call us at 888-257-1985 (TTY: 711).

UMass Memorial Health medical teams work together to develop a relationship with you, coordinate your care and keep you healthy. To do this, your primary care provider (PCP) and your care team: 

• Handle your regular checkups 
• Provide care when you are sick 
• Help coordinate your specialty medical care 
• Look after your overall health 

If you’re due for your regular check-up, please schedule your appointment as soon as you can, even if you feel healthy. Checkups are covered in full. 

Your PCP is the provider you contact first. Your PCP is on your side, helping you when you are sick and supporting you to stay healthy. Call your PCP when you need care during normal business hours. 

To find a PCP in our network, use our search tool at TuftsHealthTogether.com/UMassMemorialHealth. In addition to your PCP, you have access to obstetric and gynecologic care, and more at UMass Memorial Health. If you need to see a specialist, your PCP will give you a referral and tell you who to call. 

Feel ill or have a health concern? We can help, anytime. 

We offer many convenient ways to address your health needs and help you avoid unnecessary trips to the hospital. 

Weekdays 

Call your PCP’s office to schedule a same-day appointment with your doctor or a member of your primary care team. 

Call our 24/7 NurseLine any time at 888-MY-RN-LINE (888-697-6546) if you: 

• Need help deciding whether or not you should go to the emergency room 
• Want to know more about your health issue and/or treatment options 
• Want to know more about drugs or treatments 

This service does not take the place of your PCP or other providers. 

Emergency care 

Call 911 or go to the nearest emergency room right away if you need emergency care for: 

• Chest pain 
• Uncontrolled bleeding 
• A mental health or substance use crisis 

This is not a full list of when you should seek emergency care. 

Get care in your own language

Our Provider Directory shows if a provider speaks languages other than English. Check the Provider Directory at TuftsHealthTogether.com/UMassMemorialHealth. 

If you need an interpreter for a medical, behavioral health or dental visit, we can help. Please call member services at 888-257-1985 (TTY: 711), Monday through Friday, from 8 a.m. to 5 p.m.

Good Measures 

Manage your weight and create a healthy diet through our Good Measures* program. You can work with a dietitian and create a personal plan. To learn more, go to TuftsHealthTogether.Goodmeasures.com or call 844-398-9510. 

* Tufts Health Plan has a minority ownership interest in Good Measures. 

Care management 

Care management is our way of making sure you get the support you need. No matter what. Our care managers can help you: 

• Manage symptoms and feel your best with chronic conditions 
• Deal with long-term medical needs like cancer or caring for a sick newborn 
• Get behavioral health care for things like depression or substance use issues 
• Get help when you need food, housing and other resources that support your health 

To get personal help from our team, call 888-257-1985 (TTY: 711). Ask for care management.

Behavioral health

Behavioral Health Service Navigation is a foundation of Tufts Health Plan’s whole-person care approach. Our highly trained and dedicated teams are ready to guide you from the very first phone call, to help ensure a compassionate and streamlined experience for you and your covered family members.

For more information, call Member Services at 888-257-1985 (TTY: 711).

Eligible Tufts Health Together with UMass Memorial Health members can get these great EXTRAS discounts and perks

• Children, teens and adults can get a $25 department store gift card or a $10 department store gift card for having a yearly checkup 
• Members with diabetes can get a $25 supermarket gift card for getting five routine annual screenings 
• Members can get up to $30 back on gym fees or fitness activities 
• Eligible members can get a $25 department store gift card to use toward a child’s car seat or booster seat 
• Eligible members can get a $25 department store gift card for making an asthma action plan 
• Members can get a $25 supermarket gift card after your second visit to a Women, Infants and Children (WIC) office during your pregnancy 
• New moms who visit the doctor after delivery can get a $25 supermarket gift card 

Get rewards for getting your children immunized 

Childhood immunizations 

Get your child the recommended childhood immunizations and screenings by age 2, and we’ll send your child a $25 supermarket gift card. 

Adolescent immunizations 

Get your child the recommended adolescent immunizations and screenings by age 13, and we’ll send your child a $10 department store or gift card. To get EXTRAS or to learn more, go to TuftsHealthPlan.com/TogetherEXTRAS.

Member services 

You can reach our member services team at 888-257-1985 (TTY: 711), Monday through Friday, from 8 a.m. to 5 p.m., excluding holidays. Our team can help you: 

• Understand your benefits and coverage
• Find a provider or urgent care clinic
• Get new a member ID card if you lose yours

… and more 

We have bilingual staff. We also have translation services if your first language is not English. 

Website 

Our website is another great way to learn about your plan. Visit TuftsHealthTogether.com/UMassMemorialHealth to view your plan details. You also can: 

• Find a provider or pharmacy 
• Search for a drug on the Preferred Drug List 
• Get benefit details 
• View or download a Member Handbook or Covered Services List 

Member portal 

Our member portal is an easy way to find the information you need any time! You can search for a provider or choose a PCP (primary care provider). You can also view your new member ID card and more. Sign up at TuftsHealthPlan.com/MemberLogin.