Please note this is only a summary of your benefits. Your employer may offer benefits that are different. If you are unsure, please check your benefits document, or call a Tufts Health Plan Customer Relations Coordinator. When you're pregnant, you receive care from an obstetrical care provider. Your care may be provided by an obstetrician, a family practitioner, a certified nurse midwife or another Tufts Health Plan obstetrical care provider.
Gynecology refers to the care and treatment of the female reproductive system.
You may go to any Tufts Health Plan network GYN provider or family planning provider for your annual routine exam, once a calendar year. For follow-up care, HMO and EPO members need a referral from their Primary Care Physician. POS members also need a referral for coverage at the authorized level of benefits. Residents of New Hampshire do not need a referral for maternity care or for follow-up care for conditions identified at your routine gynecological or maternity visits. If you are a member through the HMO, EPO, or if you are a POS member and wish to receive care at the authorized level of benefits, you should call your Primary Care Physician if you think you are pregnant.