Pediatric Care

Does your child need complex pediatric care?


How can our Pediatric Care Program help you?

We know your child’s health means the world to you. We can help with an expert team of pediatric care managers, who focus on specific conditions such as asthma, diabetes, autism, oncology, premature birth, complex conditions, ADHD, and emotional disorders.

  • You will receive telephonic coaching from a Nurse Care Manager to discuss your child’s condition at your convenience
  • We will help you understand:
    • signs and symptoms of complications and when to call the doctor
    • medication uses and side effects
    • dietary restrictions
  • You will receive disease-specific educational materials related to your child, available in multiple languages
  • Help in preparing for MD visits
  • We will discuss mutually established health care goals for you and your child to achieve
  • Navigating plan benefits and the health care system

If your child has recently been discharged from a hospital or rehabilitation facility, our Nurse Care Manager can also assist with the following:

  • Understanding the discharge paperwork and instructions
  • Understanding equipment — and formula for infants
  • Helping provide connections with community resources and school programs

What do your benefits cover (Medications? Durable medical equipment? Lab work? Inpatient/outpatient care?)

If you have questions about your benefit coverage, please check your Evidence of Coverage Document (EOC) on mytuftshealthplan.com or call our member services number on the back of your ID Card.

Have a medical concern and not sure what to do?

You have options to access the care you need when you need it:

  • Contact your Pediatrician
  • Reach out to one of our compassionate ane experienced Nurse Care Managers (specializing in pediatric conditions) during business hours at 888.766.9818 ext. 53532
  • For emotional support, call 800.208.9565 during business hours to speak with one of our expert Behavioral Health Care Managers.
  • Register for telehealth, powered by Teladoc® to access U.S. board certified doctors and therapists by web, phone, or mobile app – 24/7/365 at teladoc.com/tuftshealthplan1
  • Call our Nurse24 line to speak with a registered nurse 24/7/365 at 866.201.7919
young woman speaking with doctor

Behavioral Health

We can help you understand your behavioral health benefits and get access to care

If you or a family member suffer from behavioral health issues that could be impacting your physical health, our Behavioral Health Care Managers can provide support.
 

Learn More


Health portal pediatric care videos

  1. Please check your Evidence of Coverage (EOC) on mytuftshealthplan.com for coverage since your employer may be a self-insured Commercial group who needs to opt-in to this program. Telehealth is not available for members with Tufts Health Direct, Tufts Health RITogether, Tufts Health Together, Tufts Health Unify, or Medicare plans.