Lifespan Premier Choice PPO
How Lifespan Premier Choice PPO Works
Tufts Health Plan has teamed up with Lifepan, Rhode Island’s first and premier health system, to give you a comprehensive and integrated health plan that provides top quality care for Rhode Island residents.
Not all plans work the same way. This website will explain how the Lifespan Premier Choice PPO plan, a tiered plan, works. Please read this carefully to better understand how to navigate your plan.
You can also visit mytuftshealthplan.com, our secure member website, to create an account, learn about your specific plan benefits, and manage your plan. And be sure to read your Benefit Document, available at mytuftshealthplan.com, to see a complete list of your specific plan’s covered and non-covered benefits.
Two tiers. Premier quality.
Lifespan Premier Choice opens up possibilities for you with two levels of in-network care. You pay different levels of copayments, coinsurance and/or deductible for covered services delivered by Tier 1 and Tier 2 providers. On the Lifespan Premier Choice PPO plan, you also have the option to see providers outside of the Tufts Health Plan network. If you choose to use out-of-network benefits, you will have the highest cost share.
Lifespan Premier Choice offers high-value benefits and access to premier quality care through the Lifespan health system, made up of more than 1,800 doctors and providers, on Tier 1. You have access to the entire Tufts Health Plan network on Tier 2, but have higher costs. So, you are covered to see any provider, but staying within the Lifespan health system provides you top quality at a lower cost.
It gets better.
When received within the Tufts Health Plan network, maternity and newborn services are covered at the Tier 1 level, regardless of which hospital you choose. This includes routine and non-routine pregnancy and deliveries, diagnostic imaging, and inpatient newborn services.
For plans that include behavioral health services and treatments, these services are also covered at the Tier 1 level when you receive authorization, and you can access any facility in or outside of the Tufts Health Plan network. We have comprehensive programs and a network of professionals ready to help behavioral health issues such as autism, substance use disorders, psychological and/ or neurological issues.