Tufts Health Direct
Our focused-network plan for individuals and small groups
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.
Member benefits
Our Tufts Health Direct members get:
- Doctors’ office visits and checkups
- Prescriptions
- Hospital stays, X-rays, and lab tests
- Vision services
- Family planning services
- Infertility services
- Fitness benefits
Additional resources
- Frequently asked questions for Tufts Health Direct
- Tufts Health Public Plans Provider Manual
- Policies, including Payment, Medical Necessity Guidelines, Pharmacy guidelines and more
- Provider Resource Guide