Connecting You to Whole-Person Care
A new integrated approach to behavioral health
Tufts Health Plan members can access a comprehensive network of medical and behavioral health care providers, along with innovative programs and services, to improve physical and mental well-being in whether in-person or virtual settings.1
Behavioral Health Service Navigation Program
Behavioral Health Service Navigation is a cornerstone of Tufts Health Plan’s whole-person care approach. Our highly trained and dedicated teams are ready to guide you from the very first phone call, to help ensure a compassionate and streamlined experience for you and your covered family members. Our specially trained Behavioral Health Service Navigators provide personalized support and can help you:
- Navigate the complex health care system through enhanced, personalized interactions.
- Locate behavioral health network providers with availability, specialty, and cultural competency that supports your preferences.
- Schedule timely appointments for your new or ongoing health needs.
- Connect to exclusive resources, support tools and other services.
Need assistance? Call Member Services at the number on your member ID card.
Care management programs
Our licensed, integrated care managers have extensive experience and will work with you and our network of providers to help you manage medical and behavioral health conditions, create an aftercare plan and connect you with a variety of resources to help ensure optimal health.
Care Coordination offers assistance in finding services for members with co-existing medical and/or behavioral health conditions.
Complex Care aims to achieve optimal health and functioning through a comprehensive assessment and tailored care plan based on the member/guardian’s priorities for both adults and children with complex and immediate needs.
Addiction Recovery offers information on personalized recovery plans and treatment programs for members who are taking steps towards recovery from substance use and have recently received inpatient treatment for substance use.
Transition to Home offers resources for aftercare plans to assist members who have recently been hospitalized and need help transitioning back home.
Emergency Department (ED) Readmission Diversion offers support and assistance for members who have recently visited the emergency room due to medical or behavioral health symptoms.
Supportive Care is designed to assist both adults and children in achieving their health goals. This program is available to members who do not require complex care and may have recently received other treatment, such as in the emergency room. Our care managers provide extended support for those who need additional assistance for a longer period of time. They also work in tandem with our behavioral health team to provide whole-person care for members who have medical and behavioral health needs.
Post Facility Discharge is designed to support members who have recently been discharged from an acute level of care for their behavioral health needs. Our care managers work to ensure follow-up needs are met and identify any risks for readmission, providing a smooth transition back to the community.
Peer Support provides members with access to community resources and support from a peer specialist who has personal experience with mental health issues. We also offer a peer support program for members in our Addiction Recovery program.
Behavioral health programs and services
Tufts Health Plan offers innovative behavioral health programs and services for children, adolescents and adults. These programs are designed to provide personalized and effective care, with a focus on improving access to care and overall health outcomes.
Virtual therapy services
Available seven days a week to support your mental health well-being, medication management and more.
AbleTo Need help managing stress, changing unhealthy habits, improving your mood, or managing your time? You have access to mental health support from AbleTo.2 These programs aim to seamlessly combine on-demand self-care tools and personalized virtual therapy sessions, helping to ensure access to a range of options from enhancing mental resilience with self-care techniques to connecting with AbleTo licensed therapists for structured guidance.
Visit ableto.com/tuftshealthplan to get started.
Teladoc3 licensed providers can support you and your dependents for concerns such as anxiety, depression, seasonal affective disorder, medication management or PTSD by video or phone visits. Appointments are confirmed in less than 72 hours.
Set up your account at tuftshealthplan.com/Teladoc.
Valera Health4 services provide virtual therapy and psychiatry services for adults, children aged 6+ and adolescents in Massachusetts. From mild depression to severe schizophrenia, their expert clinicians have a collaborative approach, focused on your needs and overall well-being.
Schedule a consultation with a Valera Health connector at Valerahealth.com/THP.
Quick and easy access to specialty providers for adults and children
Cortica4 is a physician-led autism services provider in Massachusetts that offers advanced neurological therapies for children with autism spectrum disorder and other developmental differences. They provide a whole-child integrated care model which aims to significantly reduce wait times for diagnostic assessments, medical care, applied behavior analysis, occupational therapy, speech therapy, social skills coaching and counseling — all under one roof.
Families interested in receiving services can visit corticacare.com/tufts-health-plan to schedule an appointment or call 888-885-5068.
Northeast Health Services4 is a network of outpatient mental health clinics that focuses on delivering timely access to high-quality psychiatry and therapy services for adults, children and adolescents in Massachusetts. The network offers a hybrid of in-person and telehealth services to best serve your needs. Schedule an appointment at nehs.transformationsnetwork.com.
Substance Use Treatment
Our comprehensive approach to substance use disorder covers outpatient services and immersive inpatient treatments, ensuring support every step of the way for adolescent and adult members who are grappling with alcohol use disorder, opioid addiction and other mental health challenges.
Spectrum Health Systems4 is a nonprofit organization dedicated to improving the lives of individuals affected by substance use, opioid addiction and/or mental health disorders. They offer a range of evidence-based treatment options, including inpatient detoxification, residential treatment, medication for substance use disorders, outpatient counseling and peer recovery support.
For more information, visit spectrumhealthsystems.org
Better Life Partners5 delivers integrated health care, with an integration of primary and behavioral health care, members can truly focus on all aspects of recovery from medical and emotional well-being to substance use disorder. The close relationships with local community organizations add an extra layer of support for members. Members have access to a comprehensive support team of medical experts and specialized clinicians offering key benefits including:
- Rapid withdrawal relief: Access to medication assisted therapy quickly
- Flexible therapy: Choice of group or individual sessions
- Expert counseling: Weekly and as-needed sessions with trained counselors
- All-in-one health: Virtual and in-person primary care options
- Easy communication: Reachable via phone, email or text message
- Community resources: Connection to local services tailored to unique needs
- Progress tracking: Regular, structured evaluations
For more information, visit betterlifepartners.com
Our Addiction Recovery Care Management Team offers information and support on personalized recovery plans and treatment programs for members who are taking steps towards recovery from substance use and have recently received inpatient treatment for substance use.