Mission Statement Tufts Health Plan sets the standard for outstanding quality health care, service, and value. Tufts Health Plan is the corporate brand name that refers to a group of companies offering a full range of managed care services. The member pays a small copayment for office visits, and need only show his or her Tufts Health Plan ID card to obtain services. Tufts Health Plan covers all of the physician s services and authorized care, and the member pays only a small copayment for office visits and emergency services. If the member chooses to receive care from a PCP outside the network or goes directly to a specialist, the member must meet a yearly deductible, and then he or she is covered for a percentage of the usual and customary medical costs.
Members pay only a copayment for services.
The PPO is available to employers on a fully insured or self-insured basis. By receiving care within the network, the member receives comprehensive coverage at the in-network level of benefits, typically subject to a small copayment. This is a Medicare plus-choice product. To join Secure Horizons, a person must be enrolled in Medicare Parts A and B. Secure Horizons members receive comprehensive benefits beyond those offered by Medicare, such as prescription drug coverage, annual physicals, and virtually no paperwork. Secure Horizons is offered through employer groups and on an individual basis.