A Choice of Networks
Something for Everyone
Every employer's needs and priorities are unique. The type of provider network that best fits your workforce is no different. That's why we've developed a variety of solutions. That's why we offer a choice of network designs.
Our full network includes more than 51,000 health care professionals and 110 hospitals across all of Massachusetts, Rhode Island and New Hampshire. The network also extends into parts of Maine, Vermont, New York and Connecticut.
A tiered network plan offers access to our full network of providers, which are grouped into "tiers" based on the value of the care they provide, which is a function of both cost and quality. Providers that offer high quality care at the lowest cost are placed in Tier 1, the "preferred" tier. Members are then incentivized to visit providers in Tier 1 through reduced out-of-pocket costs. Higher cost providers are placed in subsequent tiers and have higher out-of-pocket costs.
Select Network (For MA employers)
Our Select Network is considered one of the largest limited networks in Massachusetts, comprising more than 55 premier hospitals and 21,000 providers. Clients who choose our Select Network can save up to 12% compared to the same plan design with our full network.
Limited networks have grown in popularity as employer groups increasingly seek out lower-cost alternatives.
We offer two national network solutions through our relationship with Cigna: CareLink and the Cigna Out-of-Area PPO network.
The CareLink network includes both the Tufts Health Plan network and the Cigna Open Access Plus network for in-network and out-of-network benefits. The CareLink network has a total of more than 977,000 practitioners and 6,300 facilities.
The Cigna Out-of-Area PPO provides access to Cigna’s national PPO network for in-network benefits. This network includes more than 800,000 practitioners and 6,000 facilities.
Contact your account representative or ask your broker for more information about our national network solutions.