Behavioral health benefits
If you or a covered family member is suffering from a behavioral health (BH) (mental health or substance use disorder) condition, we'll help you get the right care. Your plan covers outpatient counseling, and inpatient mental health and substance use disorder services.
You can find a complete list of these services on our Covered Services List (PDF).
Here's how to get the care you need:
1. Stay in-network
You need to see a Tufts HealthTogether in-network provider for counseling services. You do not need a referral from your primary care provider (PCP). But your PCP may be able to help you find a professional who offers services near you.
2. Choose a provider
Visit our provider search tool to see a list of in-network providers in your area. If your PCP gives you the name of a specific provider, make sure he or she is a Tufts Health Together in-network provider.
You can also call our member services team at 888-257-1985 (TTY: 711). We can get you a list of providers and their phone numbers based on your needs.
3. Make an appointment
Call a provider and make an appointment. You may need to call a few providers to find one who has openings that fit your schedule. Your provider is responsible for notifying Tufts Health Plan of your appointments.
Additional outpatient behavioral health services include:
Children's Behavioral Health Initiative (CBHI) services
1. Talk to your PCP or your outpatient therapist
Start with your current providers if you believe you need inpatient treatment. You’ll need to have an evaluation by a BH specialist who can confirm that inpatient care is the best level of care for you.
2. Call us
Call member services at 888-257-1985 (TTY: 711), Monday through Friday, from 8 am to 5 pm. if you need help getting an evaluation or finding an in-network facility that provides the services you need.
Emergency care
1. You can contact an Emergency Service Provider (ESP): ESPs provide behavioral health crisis assessment, intervention, and stabilization services, 24 hours per day/7 days per week/365 days per year. Call 1-877-382-1609, anytime, day or night, and enter your zip code. Have a pen or pencil and piece of paper handy. Once you enter your zip code, you will get the phone number of the closest Emergency Services Program/Mobile Crisis Intervention that serves you.
OR visit https://www.masspartnership.com/provider/ESP.aspx
- In the Select Services field, click on the drop down and select ESP/MCI (Emergency Services Program/Mobile Crisis Intervention
- Fill in the remaining search details, then hit Search
For more information see the statewide directory:
https://www.masspartnership.com/pdf/MBHPESPDirectory.pdf
2. Go to the nearest emergency room (ER) for an evaluation. The ER team will then contact us to determine the next steps based on your clinical needs and your coverage.