Tufts Health Plan

Category: Health insurance agency

Address: 705 Mt Auburn St, Watertown, MA 02472, USA

Phone: +16179729400

Opening hours

Sunday: Closed

Monday: 8AM–5PM

Tuesday: 8AM–5PM

Wednesday: 8AM–5PM

Thursday: 8AM–5PM

Friday: 8AM–5PM

Saturday: Closed

Reviews

Irene Wachsler

Aug 30, 2022

Need to get a blankin referral every time I need to see a doctor or receive services outside of my primary care physician network. They don’t cover some of the medications that were prescribed to me. And my hospital stay was extended 3 days because Tufts administration was questioning my doctors decision- even though the doctors were actually seeing me and Tufts administrators were reading a piece of paper (plus they weren’t doctors.)

Ophir Degany

Jul 15, 2022

In my job I have to work with a lot of insurance companies. None are as poorly run as Tufts, especially their credentialing department. It honestly should be criminal for an insurance company to be this inept. I have chased them down for answers regarding getting our clinicians pannelled with them so we can accept Tufts at our practice and they take over 6 months to respond and when they do, their answers are useless. Never in any context, at any job or in my personal life, have I dealt with a more poorly run company. If this is how their back office works, I would not trust their ability to provide competent services to their customers. If you can avoid it, DO NOT GET INSURANCE THROUGH TUFTS!

John Ballentine

May 16, 2022

The worst doctors around I would stay far away from this place. I do not like to be negative or pick out things so I will not speak on how terrible this office is. Just that you should do anything possible to find a different doctors office.

Carolina den Hartog

Apr 25, 2022

Good luck getting medication covered. I hear they outsourced their prior authorization services to third party contractors and it shows. It takes about 5 business days of "processing" for you to then find out their team of "clinicians" rejected the claim for no good reason. Hopefully you have a good doctor that doesn't mind wasting hours of their day dealing with them. Also they definitely doctor search results to make it impossible to find information about how terrible their services are. Avoid at all cost.

Thanks! Your review is awaiting moderation.

Questions & Answers

my doctor advised me to get the shingrix vaccine. please advise if tufts medicare preferred supplement plan covers the cost of this vaccine. or would medicare cover it?

GEORGE Hurst | Sep 19, 2019
Ms. Sherine | Sep 18, 2021

Shringx vaccine is preventative it would be fully covered.

Read More

I lost my health plan card. Can I get another one online?

Karen Komar | Sep 18, 2020
brian stafford | Sep 18, 2020

You may get another one online if you have registered for a secure online member account. Go to the public website at https://www.tuftshealthplan.com

Read More

How do I find a dentist in your network?

Janis Albert | Sep 18, 2020
Scott Rogers | Sep 18, 2020

Call the number on the back of your card and they will be able to let you know if you are in-network or out-of-network. Also you may want to make sure that dental benefits are included with your plan. In addition please ask about all co-pays and or deductibles.

What hospitals are approved.

BethFemino | Sep 19, 2018
jodi holda | Sep 19, 2018

Be very careful and do your homework with this plan. We are in Western MA, and the options are limited, as are the choice of doctors. The only hospital covered by this plan in our direct area is Mercy Medical in Springfield, and they almost killed my father last summer. We filed a grievance with Tufts regarding this and were pretty much ignored.

What is the copayment for CPT 70450?

Yolanda Field | Sep 18, 2021
Andrew Sawchuk | Sep 18, 2021

A bunch. Depends on your plan

If someone currently covered on an Aetna health plan, is undergoing a six week course of TMS and her insurance switches to Tufts in the middle of the six weeks would it be possible for tufts to cover the remaining weeks of this treatment?

Eileen Murray | Sep 18, 2021
Tony Cruz | Sep 18, 2021

I would recommend you contact Tufts and inquire as to whether they will cover your treatment

Is my acupuncturist appointment covered?

Jaye Girouard | Sep 18, 2021
Ms. Sherine | Sep 18, 2021

Best to contact Health Plan ....but typically a portion is covered if acupuncturist accepts your coverage.

Is a mammogram covered to the date or once in a calendar year?

John Ellis | Sep 18, 2020
Scott Rogers | Sep 18, 2020

Calendar year.

How do I get reimbursed for gym membership?

Linda Britt | Sep 18, 2020
Bookgirl80 “Bg80” | Sep 18, 2020

Customer service should be be able to mail you the form or it might be online

are hearing aids or implants covered

roberta parks | Sep 18, 2020
Kevin Sweeney | Sep 18, 2020

It depends on the policy. You would need to contact customer service for specific information as different plans would have different benefits, such as deductibles, copays, coinsurance, maximums. It depends on the specific plans for the specific benefits. The information is listed in each group plan under the EOC-evidence of coverage,

Are there any other doctors in my area accepting new patients? 02645

Robert Gould | Sep 18, 2020
Haidar Al-Rubie'y | Sep 18, 2020

Please call Tufts Health plan

Wilol Tufts cover me while i'm out of the country?

Suzanne Kowal | Sep 18, 2020
Scott Rogers | Sep 18, 2020

Only in an emergency room. You're better off calling the customer service line to get full details.

When you are a gym member how to claim your 150 refund

Olga Ortega | Sep 19, 2019
Francis Bumann | Sep 18, 2020

I made application in November, but no reimbursement and January is now over. You seem to get paid monthly....and I must wait!!!!!

Read More

Are flue shots covered at CVS

Marie McLaughlin | Sep 19, 2019
Caoilainn | Sep 19, 2019

Yes they are

Does a plan cover detox for alcohol

Tom Perkins | Sep 19, 2019
Kilamajaro | Sep 19, 2019

Depends on the plan, but most BH centers covered by Tufts do

Read More

Are hearing aids covered?

Mary Nokes | Sep 19, 2019
Pavlik Mintz | Sep 19, 2019

Call the number on your insurance card and ask. Not all plans have the same coverage

Read More

Is Tufts health plan excepted at St Elizabeth hospital in Brighton Ma.

Mary LaMarche | Sep 19, 2019
Pavlik Mintz | Sep 19, 2019

I think your best bet is to call the hospital and let them know which specific plan you belong to. You could also ask what the coverage is for the service you need.

I need a second opinion for my wife , who has digestive health problems.The digestive health entity in Chelmsford Ma was not able to solve my wife's problem.

Frederick OBrien | Sep 19, 2019
James Stockwell | Sep 19, 2019

Mt auburn hospital very good

What is the cost of laser surgery for glaucoma?

Betsy Germanotta | Sep 19, 2018
RM Cervone | Sep 19, 2018

Call the Customer Service number on the back of your card.

Is topamax covered in this plan

Cheryle Higgins | Sep 19, 2018
RM Cervone | Sep 19, 2018

Call the customer service number.

hI At what age can you join TMP. Thank you Dr Jouhourian

zaven jouhourian | Sep 19, 2018
Mahkie L (Kurlyq) | Sep 19, 2018

You can purchase your own health plan at 18.

Read More

How do I get an reimbursement for weight watchers

Maureen OConnor | Sep 19, 2018
Elvis Gonzalez | Sep 19, 2018

Go online and print it off tufts website and send it back to them with copy of recipe

When is next open enrollment, I have no insurance

Patricia DiPaolo | Sep 19, 2018
Patricia DiPaolo | Sep 19, 2018

When is next open enrollment

Thanks! Your answer is awaiting moderation.

Thanks! Your question is awaiting moderation.

Related Places