Check your covered services and health plan benefits
Find out what medical, behavioral health, dental and vision benefits are covered by your plan.
Getting care
Guidance for when you need care
Care during regular office hours
Call your primary care provider (PCP), your behavioral health specialist or your Cityblock care team to schedule an appointment during business hours.
Care after hours or urgent care
Call your PCP’s or behavioral health provider’s office or your Cityblock care team for advice if you need care after hours or in an urgent situation that is not an emergency. Cityblock offers in-home urgent care services so you can get the care you need without leaving home or spending hours waiting in the emergency room.
Or you can visit a MinuteClinic walk-in clinic found in some CVS stores. Visit minuteclinic.com to find a site near you.
Talk to an on-call care coordinator*
Call the Cityblock Health on-call care coordinator anytime at 1-833-904-2273 (TTY: 711) if you:
- Need help deciding whether or not you need an in-home urgent care visit or should go to the emergency room
- Want advice about treatment options
- Have questions about drugs or procedures
* This service does not replace your PCP or other providers.
Emergency care
Call 911 right away if you need emergency care* for:
- Chest pain
- Uncontrolled bleeding
- A drug overdose
- A mental health or substance use crisis
* These examples are not a complete list of when you should seek emergency care.
Get care in your own language
Our Provider and Pharmacy Directory shows if a provider speaks languages other than English. Check the Provider and Pharmacy Directory at TuftsHealthOneCare.org.
If you need an interpreter for a medical, behavioral health or dental visit, we can help. Please call member services at 1-855-393-3154 (TTY: 711), seven days a week, from 8 a.m. to 8 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.
Get care from a doctor, other health care provider or your personal care team
Find out how to access routine, urgent and emergency care.
Get a ride to your appointments
Find out how to get free transportation to medical appointments.
Need help?
Call us at 1-855-393-3154 (TTY: 711), seven days a week, from 8 a.m. to 8 p.m. We have bilingual staff available and can provide translation services if your preferred language is not English. Translation services are free.
We respect the privacy and confidentiality of your protected health information
View our Notice of Privacy Practices (“the Notice”) for details on how we protect your privacy. The Notice informs you how we use and/or disclose your PHI. 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
For information on your plan coverage, benefits, and your rights and responsibilities, or to ask for a printed copy of your Member Handbook in alternative formats, such as large print or braille, please call us at 1-855-393-3154 (TTY: 711).
We can give you material in other formats and different languages. We have bilingual staff available and free translation services in more than 200 languages.
Disclaimers
Tufts Health One Care is a health plan that contracts with both Medicare and MassHealth to provide benefits of both programs to enrollees. It is for people with both Medicare and MassHealth ages 21 through 64 at the time of enrollment.
This is not a complete list. The benefit information is a brief summary, not a complete description of benefits. For more information contact the plan or read the Member Handbook.
ATTENTION: If you speak a language other than English, language assistance services, free of charge, are available to you. Call 1-855-393-3154 (TTY: 711), seven days a week, from 8 a.m. to 8 p.m. The call is free.
Si habla español, tiene disponible los servicios de asistencia de idioma gratis. Llame al 1-855-393-3154 (TTY: 711), siete días de la semana, de 8 a.m. a 8 p.m. La llamada es gratuita.
You can get this document for free in other formats, such as large print, formats that work with screen reader technology, braille, or audio. Call 1-855-393-3154 (TTY: 711), seven days a week, from 8 a.m. to 8 p.m. The call is free.
The List of Covered Drugs and/or pharmacy and provider networks may change throughout the year. We will send you a notice before we make a change that affects you.
Benefits may change on January 1 of each year.