2019 Tufts Health Direct Benefits + Costs
What benefits are covered?
Preventive care is covered in full and at no cost.
Nonpreventive care services are covered, but depending on the plan type, members will have to pay certain costs out-of-pocket. View the benefits and cost-sharing summary for your plan level to learn what you pay for services.
For a full list of covered benefits, see the covered services section of the Member Handbook:
- Member Handbook for members effective January 1, 2019 - June 30, 2019
- Member Handbook for members effective July 1, 2019, and after
What does it cost to get covered services?
After getting certain covered services, members may owe costs like co-payments, deductibles and/or co-insurance. These costs apply to medical, behavioral health and pharmacy services.
Unless you have Direct Bronze 3500 with Co-insurance or Direct Silver 2500 with Co-insurance, your covered services are subject to both deductible and co-insurance charges, in that order.
To learn more about the different types of costs, read our cost-sharing made clear page.