About your plan

By joining Tufts Health RITogether, you’ve made a great move toward a healthy life. Here are some resources that will help you get the most out of your plan.

Your member handbook

Your handbook has details about what your plan covers, your rights and much more. Go to tuftshealthplan.com/RImember to view or download the handbook. You also can find our Provider Directory, forms you may need and more. To get a printed copy of your Member Handbook, call us at 866-738-4116 (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 member of your family will get a member ID card. If any information on your card(s) is wrong, please call member services at 866-738-4116 (TTY: 711) and let us know.

You will also get an RI Medicaid (anchor) card for each member of your family who is enrolled in Medicaid. It will come in the mail from the State of Rhode Island.

Bring your Tufts Health RITogether member ID card and your anchor 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. Your plan may not cover all drugs, and some brand-name drugs need prior approval (prior authorization). For a full list of drugs your plan covers, visit tuftshealthplan.com/RImember. Or call us at 866-738-4116 (TTY: 711).

Sign up for CurrentCare®

CurrentCare helps make sure your providers have all the information they need to provide you with faster, better, safer care. It gives each of your trusted providers quick access to key details from the other providers you see. To sign up or learn more, go to CurrentCareRI.org. or call 888-858-4815. There is no cost to join.

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!

With Tufts Health RITogether, you don’t have to pay for checkups. Schedule a visit for a checkup with your PCP 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 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 tuftshealthplan.com/RImember.

If you need an interpreter for a medical, behavioral health or dental visit, we can help. Please call member services at 866-738-4116 (TTY: 711), 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.

We surround you with care

We want to help you improve your health and feel good. Your plan offers programs to help with your diet, disease symptoms and more.

Good Measures

Manage your weight and create a healthy diet with the help of a dietitian through our Good Measures* program. To learn more, go visit Good Measures 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 conditions like asthma and diabetes.
• 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 the Tufts Health Plan team, call 866-738-4116 (TTY: 711). Ask for Care Management.

Doula services

We know having a baby can be stressful. We offer a doula program to give you extra support.

A doula is a non-medical provider. A doula can visit you at home to help you get ready for labor and delivery, learn how to take care of your newborn and more! A doula does not take the place of your provider.

Get rewards for taking care of your health

EXTRAS discounts and perks

Eligible Tufts Health RITogether members can get these great EXTRAS discounts and perks:

• Children, teens and adults can get a department store gift card (such as Target) for having a yearly checkup.
• Adult members (18 and older) can get a fitness tracker for having a yearly checkup.
• Members with diabetes can get a $25 supermarket gift card for completing five routine annual screenings with your provider (an eye exam, two blood sugar (HbA1c) tests, a protein test and a blood cholesterol test).
• Members can get up to $50 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.

To get EXTRAS, go to tuftshealthplan.com/ritogetherextras and fill out an EXTRAS form. Note: EXTRAS may change. Some restrictions may apply. We can stop giving EXTRAS at any time.

We’re here for you!

We want to make it as easy as possible for you to get the information and services you need.

Member services

You can reach our member services team at 866-738-4116 (TTY: 711), Monday through Friday, from 8 a.m. to 6 p.m., excluding holidays. Our team can help you:

• Understand your benefits and medical bills.
• 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 tuftshealthplan.com/RImember 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

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.