Flu shots

The number of seasonal flu cases is high and keeps rising. Flu shots are covered in full for Tufts Health Plan members; there’s no extra cost.

 

El número de casos de gripe estacional es elevado y sigue en aumento. Los miembros de Tufts Health Plan tienen cobertura total para las vacunas contra la gripe; no hay ningún costo adicional.  

Benefits + costs by plan level

When you get services, you may have to pay out-of-pocket costs.

View the Schedule of Benefits for your plan level. These summaries give you information about the costs you have to pay for covered services.

Please note: For certain services, your provider needs to ask us for a prior authorization before sending you to get those services. Your provider knows when and how to ask us for prior authorization if it is required.

2025 Schedule of Benefits:

Direct ConnectorCare AIAN
​Direct ConnectorCare I
Direct ConnectorCare II
Direct ConnectorCare III
Direct Catastrophic
Direct Bronze 2850
Direct Silver 2000
Direct Silver 2000 HSA
Direct Silver 2000 II
Direct Gold 1000
Direct Gold 1600
Direct Platinum

For a list of covered benefits, see the covered services section of the Member Handbook 2024 | 2025

 

Additional information

Small group rate increase

Consumer narrative justification document