Fraud and Abuse

Help reduce health care fraud and abuse. Here are a few examples of fraud and abuse:

"Fraud is when a person knowingly makes or permits another person to make a false statement in order to get services or items or receive a payment s/he does not have a right to receive. Examples of Fraud include Members submitting false or misleading information on a membership application form, making a false request for reimbursement, failing to notify Tufts Health Plan of changes (such as residency) that affect the Member's eligibility or lending their Tufts Health Together Member ID Card to another person so s/he can get Health Care or pharmacy Service."

To report potential health care fraud and abuse, or if you have questions, please call us at 888-257-1985, Monday through Friday, 8 a.m. to 5 p.m., or email fraudandabuse@tufts-health.com. We don’t need your name or member information. You can also call our confidential hotline anytime at 877-824-7123 or send an anonymous letter to us at:

Tufts Health Plan
Attn: Fraud and Abuse
P.O. Box 9194
Watertown, MA 02471-9194