Your primary care provider (PCP)
As a Tufts Health Plan member, you need to choose a PCP. Your PCP is the provider you call first, unless it’s an emergency. As the medical professional who coordinates your care, your PCP gets to know you and your health needs so you get the best possible care at all times.
If you need to choose or change your PCP
- Search for a provider using our online provider search tool. You can search by name, location, gender and more.
- If you need help choosing a PCP or would like more information about a specific provider, please call us toll-free at 1-855-393-3154 (TTY: 711), seven days a week, from 8 a.m. to 8 p.m. (Please note: our hours shift to Monday through Friday, from April 1 through September 30). We’re happy to help.
You can also change your PCP through your member portal (link opens outside Tufts Health Plan’s website), our self-service tool. With your member portal, you can do things like keep track of your medical history as well as:
- Check to see if your provider needs to get prior authorization (permission) for you to get a service
- Check the status of a claim or an authorization
- Review your medical history, including prescription medications, procedures, allergies, vaccinations, flu shots and much more
Don’t have an account? Sign up today! (link opens outside Tufts Health Plan's website) Or download the free Tufts Health Plan app to access your member portal on your mobile device. The app is available at the Apple App Store or Google Play.
Disclaimers
Tufts Health One Care is a Dual Special Needs Plan (D-SNP) health plan that contracts with both Medicare and MassHealth (Medicaid) to provide benefits of both programs to enrollees. Enrollment in the plan depends on the plan’s contract renewal with Medicare.
This is not a complete list. The benefit information is a brief summary, not a complete description of benefits. For more information contact the plan or read the Member Handbook (2026).
If you speak Spanish, language assistance services, free of charge, are available to you. Call 1-855-393-3154 (TTY: 711), seven days a week, from 8 a.m. to 8 p.m. (Please note: Our hours shift to Monday through Friday, from April 1 through September 30). The call is free.
Si habla español, tiene disponible los servicios de asistencia de idioma gratis. Llame al 1-855-393-3154 (TTY: 711), siete días de la semana, de 8 a.m. a 8 p.m. (Ten en cuenta lo siguiente: Del 1 de abril al 30 de septiembre, nuestro horario pasa a ser de lunes a viernes). La llamada es gratuita.
You can get this document for free in other formats, such as large print, formats that work with screen reader technology, braille, or audio. Call 1-855-393-3154 (TTY: 711), seven days a week, from 8 a.m. to 8 p.m. (Please note: Our hours shift to Monday through Friday, from April 1 through September 30). The call is free.
The List of Covered Drugs and/or pharmacy and provider networks may change from time to time throughout the year. We will send you a notice before we make a change that affects you.
Benefits may change on January 1 of each year.
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