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.
For EPO members, 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, EPO members need a referral from their Primary Care Physician. 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 an HMO or POS member in Massachusetts you are not required to obtain a referral or prior authorization from your primary care physician for maternity care provided by an obstetrician, certified nurse midwife or family practitioner participating in the Tufts Health Plan networ. If you are a member through the EPO option, you should call your Primary Care Physician if you think you are pregnant.