Get the care you need when you need it

With Tufts Health RITogether, it’s easy to find the help and the health care providers you need.

Care during office hours 

Your primary care provider (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 provider search tool at TuftsHealthPlan.com/RIproviders. If you need to see a specialist, your PCP will give you a referral and tell you who to call. 

Let us know who your PCP is within 30 days of when your plan starts. We’ll send you a $10 CVS gift card! 

You don’t have to pay for annual wellness visits. See your PCP for an annual wellness visit right away, even if you feel healthy. 

Care after hours 

Call your PCP’s office if you need care after hours. You can get help from a health care provider who is on call. 

Talk to a nurse any time 

Call our 24/7 NurseLine any time at 800-285-3580 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. 

Urgent care 

Call your PCP or behavioral health provider 24/7. 

Emergency care 

Call 911 or go to the nearest emergency department 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 TuftsHealthPlan.com/RImember

If you need an interpreter when you see providers, we can help. Please call member services at 866-738-4116 (TTY: 711). We’re here Monday through Friday, from 8 a.m. to 6 p.m. Call at least 72 hours before your visit. If you need an American Sign Language interpreter, please call at least two weeks prior to your visit.

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Get care from a nurse, doctor or other provider

Find out how to get routine, urgent and emergency care.

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Enjoy great EXTRAS

Get gift cards just for taking care of your health.

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See how we can help you improve your health

We’ve got you covered whether you need women’s and family health support, nutrition and fitness coaching or help dealing with certain health concerns.

We respect your privacy

View our Notice of Privacy Practices (“the Notice”) to learn how we protect your privacy. The Notice tells you how we use and/or disclose your protected health information. For more information or a paper copy of the Notice, call the Member Services number on the back of your member ID card.

Helpful contact information

Call us at 866-738-4116 (TTY: 711) Monday through Friday, from 8 a.m. to 6 p.m. to ask about your benefits, and your rights and responsibilities. You can ask for a printed copy of your Member Handbook in other formats, such as large print or braille. We can give you material in different languages. 

We have bilingual staff and free translation services in more than 200 languages.

The Rhode Island All-Payer Claims Database

All health plans in Rhode Island, including Tufts Health Plan, send claims information to the Rhode Island All-Payer Claims Database (APCD). The APCD as part of the State’s work on health care reform. Policy makers use APCD reports to make better health care decisions.

Your claims data will be included in the APCD. We send this data securely, and it is anonymous. That means that people’s names are not sent.

We hope that you will choose to be a part of the APCD to help improve health care in Rhode Island. However, you can choose not to take part. Adults can opt out themselves. Parents/guardians of members under the age of 18 can opt out on their dependent’s behalf.

To opt out of the APCD, go to riapcd-optout.com. Please choose Tufts Health RITogether as your primary health plan. Or you can call 855-747-3224 to opt out. If you have any questions, email [email protected].