If you are a Tufts Health Together (MassHealth), Tufts Health RITogether (Rhode Island Medicaid), Tufts Health Unify (Medicare-Medicaid plan), or Tufts Health Plan Senior Care Options (65+ Medicare-Medicaid plan) member: You may need to renew your coverage this year. Learn more.
A notice to our members regarding a security incident. Read here.
Tufts Health Direct is our focused-network plan for individuals and small groups that offers several plan levels, each with comprehensive health benefits and EXTRAS, and each with its own cost-sharing structure.
Working with us to care for your Tufts Health Direct patients is essentially the same as for your other Tufts Health Public Plans patients. It’s easy to access and submit forms, file claims, and get paid. You can verify a Tufts Health Direct patient’s enrollment status and get other patient information through Tufts Health Plan's secure Provider portal, our online self-service tool; NEHEN or NEHENnet; or our Interactive Voice Response system at 888-257-1985.
Our Tufts Health Direct members get:
See answers to frequently asked questions for Tufts Health Direct. For information about benefits, prior authorization requirements, co-payments, co-insurance, deductibles, and annual maximum out-of-pocket amounts, please see our medical and behavioral health benefit summary grids.
See the following materials for more information about Tufts Health Direct:
Additional Information for Tufts Health Public Plans Providers
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