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Insurances Accepted

There are many different types of health insurance and each insurance company may offer multiple different plans to hundreds of employers and their employees.  For this reason, it is very important that you understand the unique components of your plan and ask your health plan or employer what care and services they will cover and what they expect you to pay for directly. The best way to reach your insurer is typically the member services number on your insurance card.

Below, we’ve listed the health insurance plans and products that are accepted at Tufts Medical Center. If your health insurance company or plan is not listed, please contact your health insurance provider to better understand your benefit plan and provider network available to you.

Many insurance plans have different levels of costs for their members depending on where they receive care. The information below can be used as a reference but you should check with your plan to see what level of coverage you will receive for any care provided by Tufts Medical Center. It is also important to check with your insurance plan to see if you need additional referrals and/or authorizations before getting care at Tufts MC.

The level of coverage you receive is determined by your health insurance provider. Some health insurance companies may use other companies to cover certain services such as mental health or transplant-related services.  Some services may not be covered by your insurance plan. Again, it is very important that you ask your health insurance provider or employer what care and services they will cover and what they expect you to pay for directly. 

*As of January 1, 2017, Tufts Medical Center and Floating Hospital for Children will no longer be able to accept Tufts Direct, a public health insurance plan. Learn more >

Insurance Payer

Plans Accepted

Aetna

  • All Commercial Plans
  • Medicare Supplemental (i.e. Medex) -- (if patient has Medicare as primary)

Blue Cross Blue Shield of Massachusetts

  • All Massachusetts Plans
  • Medicare Advantage

Blue Cross Blue Shield -- Out of State

Note: Tufts Medical Center is NOT participating in Connector Network (Silver, Bronze and Gold) of BCBS of RI.

  • PPO
  • BCBSMA has a reciprocal relationship with other states' BCBS PPO Plans.  Verify details of benefit plan for patients with out-of-state BCBS HMO/POS to determine if Tufts MC and PO are in network.

BMC HealthNet

  • MassHealth
  • ConnectorCare/QHP Silver
  • Senior Care Option (SCO)

Cigna

  • All Commercial Plans
  • Medicare Supplemental   (i.e. Medex) -- (patient has Medicare as primary)

Commonwealth Care Alliance

  • One Care Plan (specialty care only)

Fallon Health

  • Flex Care
  • Select
  • Direct
  • Preferred Care PPO
  • MassHealth/CarePlus (specialty care only)

First Health/Coventry

     See Aetna

Harvard Pilgrim Health Plan

  • HMO
  • POS
  • PPO
  • Medicare Supplemental
  • National Plans

Health New England
  •  PPO plan accepted for out-of-network benefits for specialty care only.

MaineCare

  • Medicaid

Medicare

  • For specific Medicare plans accepted, refer under each Insurance Payer’s Plans Accepted.

Minuteman Health

  • All MA and NH Plans

MultiPlan, Inc./PHCS

  • PPO

Neighborhood Health Plan - MA

  • All except if you have a Harvard Vanguard primary care physician

New Hampshire Healthy Families (NHHF)

  • NH Medicaid Product

Senior Whole Health

  • Senior Whole Health

Tricare

  • Prime

Tufts Health Plan

Note:  While we work very closely with Tufts Health Plan and most other major insurers, we are not affiliated with Tufts Health Plan in any way. While we accept the majority of their plans, we do not accept Tufts Medicare Preferred for Primary Care services. 

  • Most Commercial Plans
  • Medicare  Supplemental
  • Tufts Medicare Preferred (specialty care only)
  • Senior Care Option (SCO)

Tufts Public Plans

Note: Effective 1/1/17, Tufts Health Direct will not be accepted by Tufts Medical Center.

  • Tufts Health Together 
  • Tufts Health Unify 

Unicare

  • GIC

United Healthcare

  • Choice Plus
  • Evercare Senior Care Option
  • Passport Plan
  • PPO
  • Medicare Supplemental

Veterans Health Administration (VHA) 
  •  Veterans Choice Program


  • Choice Plus
  • Evercare Senior Care Option
  • Passport Plan
  • PPO
  • Medicare Supplemental
  • Choice Plus
  • Evercare Senior Care Option
  • Passport Plan
  • PPO
  • Medicare Supplemental