Helping Tufts Health Together (MassHealth) Members Prepare for Coronavirus
We want to help you get ready for the potential spread of COVID-19 (coronavirus).
For that reason, we are making coverage changes to our Tufts Health Together plans. We want to make it as safe and easy as possible for you to access your health care.
Coverage Changes, as of March 16, 2020
Effective immediately and until further notice:
- Tufts Health Together plan members are fully covered to receive testing and treatment for coronavirus from any health care provider within our provider network and with out-of-network providers if a member has trouble accessing such services in-network.
- Please note: Members do not need a referral or prior authorization to get testing or treatment related to coronavirus in-network or out-of-network.
- Tufts Health Together members are fully covered to receive telehealth services from network providers. Telehealth is the term for checking in or receiving health care from a provider by phone or another technology virtually. Contact your provider to see if this option is available.
These changes apply to our managed care organization (MCO) and accountable care organization (ACO) MassHealth plans.
If you have questions about your coverage, call the Member Services number on your member ID card.
We permit members a one-time early refill of their prescriptions prior to the expiration date so that they will have a supply of their maintenance medications should they need it.
We will waive the refill limitation for maintenance medications to permit refills of up to a 90-day supply. Early refills will not be permitted for controlled substance drugs.
If a member has multiple maintenance medications, each drug can be refilled early just once.
When and How to Get Care
Here are some steps you can take based on your situation:
- If you have questions about coronavirus or any health issue, call our free 24/7 NurseLine at 888.697.6546 to speak to a registered nurse.
- If you have mild, flu-like symptoms, call your health care provider. Call before going to a health care facility. Going to a facility may expose you to illness.
- Your provider may offer check-ins by phone or video chat. Contact your provider to see if this option is available. Virtual check-ins related to coronavirus are covered in full.
- Virtual check-ins and telehealth enable members to make inquiries regarding symptoms or treatment for the coronavirus in order to reduce the need for members to go to medical offices where the risk of coming in contact with the coronavirus may be higher.
- If you believe you have coronavirus or another flu-like illness, stay home. Follow the CDC’s guidance for separating yourself from others. Your close contacts should stay home too. But if your symptoms get worse, call your health care provider before you visit them or go to urgent care. Follow any rules that a health care facility has in place.
- In an emergency, call 911. Or go to an emergency room right away.
For more information, visit the CDC and the Massachusetts Department of Health websites.