Visiting the Doctor

Lifespan Hospitals

Lifespan hospitals offer the lowest out-of-pocket costs on this plan. Lifespan hospitals are Tier 1 and offer a robust selection of more than 1,800 PCPs and specialists. All other hospitals in the Tufts Health Plan network are Tier 2.

See the Lifespan Premier Choice Hospital List

To find a hospital that’s right for you, please refer to the following list. Remember, every provider and hospital MUST meet Tufts Health Plan’s standard of quality. The difference in tiers has to do primarily with cost.

Lifespan Premier Choice Tier 1 Hospitals
Emma Pendleton Bradley Hospital
Miriam Hospital
Newport Hospital
Rhode Island Hospital
Lifespan Premier Choice Tier 2 Hospitals
Anna Jaques Hospital
Athol Hospital
Baystate Mary Lane Hospital
Baystate Medical Center
Baystate Wing Memorial Hospital
Baystate Franklin Medical Center
Berkshire Medical Center
Beth Israel Deaconess Medical Center - Plymouth
Beth Israel Deaconess Medical Center - Boston
Beth Israel Deaconess Medical Center - Needham
Beth Israel Deaconess Medical Center - Milton
Boston Children's Hospital
Boston Medical Center
Brigham & Women’s Faulkner Hospital
Brigham and Women’s Hospital
Brockton Hospital
Butler Hospital
Cambridge Health Alliance
Cape Cod Hospital
Carney Hospital
Catholic Medical Center
Charlton Memorial Hospital
Clinton Hospital
Concord Hospital
Cooley Dickinson Hospital
Dana-Farber Cancer Institute
Elliot Hospital
Emerson Hospital
Exeter Hospital
Fairview Hospital
Falmouth Hospital
Franklin Regional Hospital
Good Samaritan Medical Center
Hallmark Lawrence Memorial Hospital
Hallmark Melrose Wakefield Hospital
Harrington Hospital
HealthAlliance Hospital
Heywood Hospital
Holy Family Hospital
Holyoke Medical Center
Kent County Hospital
Lahey Clinic Hospital
Lakes Region General Hospital
Landmark Medical Center
Lawrence General Hospital
Lowell General Hospital
Marlborough Hospital
Martha’s Vineyard Hospital
Mary Hitchcock Memorial Hospital
Massachusetts Eye and Ear Infirmary
Massachusetts General Hospital
Memorial Hospital of Rhode Island
Mercy Medical Center
Holy Family Hospital at Merrimack Valley Hospital
Metrowest Medical Center
Milford Regional Medical Center
Morton Hospital and Medical Center
Mount Auburn Hospital
Nantucket Cottage Hospital
Nashoba Valley Medical Center
New England Baptist Hospital
Newton-Wellesley Hospital
Noble Hospital
North Shore Medical Center - Salem Hospital
North Shore Medical Center - Union Hospital
Northeast Hospital Corp. - Addison Gilbert Hospital
Northeast Hospital Corp. - Beverly Hospital
Norwood Hospital
Parkland Medical Center
Portsmouth Regional Hospital
Roger Williams Medical Center
South County Hospital
South Shore Hospital
Southern N.H. Regional Medical Center
Southwestern Vermont Medical Center
St. Anne’s Hospital
St. Elizabeth’s Medical Center
St. Joseph Hospital (Nashua)
St. Joseph Hospital (Providence)
St. Luke’s Hospital
St. Vincent Hospital
Sturdy Memorial Hospital
The Westerly Hospital
Tobey Hospital
Tufts Medical Center
UMass Memorial Medical Center
Wentworth-Douglass General Hospital
Winchester Hospital
Women and Infants Hospital

Need help finding a doctor or other provider?

If you need a physician, we can help you find one. Or if you already have one, that’s fine, too. Take a look at our provider directory and either choose a physician, or find your current doctor. If you’re looking for the most cost-effective doctor with the least out-of-pocket costs, choose a Lifespan doctor. Remember, every provider meets our high standards of quality.

View the Lifespan Premier Choice Provider Directory

Choosing Your Tier
Top quality access to Lifespan doctors, hospitals, and facilities are all in Tier 1. However, if the doctor or hospital you really want is in the wider Tufts Health Plan network, you have the freedom to choose him or her but you’ll pay higher out of pocket costs.

Choosing a Primary Care Provider

To navigate through the tiers, you are required to select a Primary Care Provider (PCP) from our network. Your Primary Care Provider can be a primary care physician, a nurse practitioner or a physician assistant, but you cannot choose a specialist as your primary doctor.

You can designate your PCP when you set up your secure online account at mytuftshealthplan.com.

Can You Mix and Match Tiers?

Yes. So let’s say your PCP is part of Lifespan and you need knee surgery. Your doctor will most likely refer you to a Lifespan specialist and hospital. But let’s say you’re interested in a Tufts Health Plan network specialist (Tier 2). If so, you can choose that doctor, but your out-of-pocket costs will be higher.

Another scenario might be that you have a long relationship with your family doctor, but they are not part of Lifespan. You prefer to continue seeing that doctor, knowing your out-of-pocket costs will be higher. But your spouse doesn’t really mind seeing another doctor, and decides that they want to stay within the Lifespan system. In this scenario, it’s perfectly okay to mix and match, and give everyone their choice.

In a serious emergency situation, though, you don’t have to think about this. You just call 9-1-1 if the situation warrants it, or drive to the nearest emergency room if that’s appropriate. Under the Lifespan Premier Choice HMO plan, the emergency room copay is always equal to the Tier 1 emergency room copay for both the doctor and the hospital.

Remember, if you have any questions at all, we’re here for you.

About Referrals

Generally speaking, when you need to visit a specialist, your PCP must refer you to one. There are exceptions, however. For example, you can choose your own OB/Gyn, and don’t need a referral. For detailed guidelines on which types of specialists your plan allows you to see without a referral, read your Benefit Document or access your secure member account atmytuftshealthplan.com.

Every doctor and every hospital in the Lifespan Premier Choice HMO network has been carefully evaluated based on many criteria. As part of our National Committee for Quality Assurance (NCQA) accreditation and our own quality standards, we are committed to contracting only with highperforming hospitals. Rest assured, every provider and hospital in the Lifespan Premier Choice HMO network meets our standard for quality of care.

plans card