Explore Our Plans

Employer, individual and family plans1

We understand that you have unique needs. At Tufts Health Plan, you get a better experience, period. Most of our plans have a fourth-quarter deductible carryover to help you save money when you need services at the start of a new benefit year.2 Or, when emergency room care is needed, all of our plans provide peace of mind so you know you won’t receive surprise medical bills from us after the fact. And, if you have a chronic condition, we have compassionate nurse care managers who can assist you in navigating the health care system so you can get better and be healthier—and happier.

HMO plans

With an HMO plan, high-quality health care is coordinated through a primary care physician (PCP). An HMO requires some cost-sharing on your part, mainly in the form of a copay.

HMO Plan Details

PPO plans

A PPO plan allows you to receive care from any doctor without the need for a referral from a PCP. This gives you the flexibility to see any provider you choose. 

PPO Plan Details

Advantage HMO and PPO

Advantage plans feature lower monthly costs than traditional HMO and PPO plans in exchange for cost-sharing through a deductible, coinsurance, and co-payments.

Advantage HMO Plan Details

Advantage PPO Plan Details

Advantage Saver HMO and PPO

Advantage Saver plans are qualified High-Deductible Health Plans that may be paired with a Health Savings Account (HSA). Saver plans include the lowest monthly payment of any of our plans.

Advantage HMO Saver Plan Details

Advantage PPO Saver Plan Details

Tiered Plans

With a tiered plan, you get access to our full provider network - and the opportunity to lower your costs. A tiered network groups providers into “tiers” based on the value of care they provide, encompassing both cost and quality.

Your Choice

Every doctor and every hospital in the Your Choice network has been carefully evaluated based on many criteria, and meets our standards for quality of care. Depending on your plan, you will get care from providers in a 2-Tier system or a 3-Tier system.

Your Choice Plan Details

Lifespan Premier Choice³

Lifespan Premier Choice plans help you choose the most efficient providers offering the highest-quality care. In this way, tiered networks support you in being an active, informed health care decision maker.

Lifespan Premier Choice HMO Plan Details 

Lifespan Premier Choice PPO Plan Details

CareLink

Our Carelink plan is a solution for employees working at large Massachusetts- and Rhode Island-based employers that live outside the Tufts Health Plan service area (Massachusetts, Rhode Island, and New Hampshire). You can enroll in this national network plan regardless of where you live.

CareLink Plan Details

CareLink Advantage PPO Saver Plan Details

Cigna Out-of-Area PPO

Our Cigna Out-of-Area PPO is a national solution for employees working at small and large Massachusetts- and Rhode Island-based employers. Unlike CareLink, you can only enroll in this plan if you live outside the Tufts Health Plan service area.

  1. Not all plans are listed. Your plan details may differ – refer to your benefit document for the most recent/accurate details about your plan.
  2. Fourth-quarter deductible carryover applies to non-Saver plans; it does not apply to HSA-compatible Advantage Saver plans
  3. Available to employees of Rhode Island-based employers.