Frequently Asked Questions

What is CareLink?
CareLink is a health plan program offered by Tufts Health Plan and CIGNA HealthCare. CareLink provides comprehensive, nationwide health care coverage. Its members have access to Tufts Health Plan-participating providers in Massachusetts and Rhode Island and to CIGNA HealthCare Open Access Plus-participating providers in all other states.

Do I have to choose a Primary Care Provider?
You are not required to choose a Primary Care Provider. However, we believe a Primary Care Provider is a valuable resource for you and a key personal health advocate.

Can I keep my current doctor?
Depending on your coverage, you may be required to choose a provider in the CareLink network to receive covered health care services. Because the CareLink network of participating providers is extensive, it’s likely your doctor is already in our network.

How do I determine if my doctor is in the CareLink network?
Click here to search the CareLink network, or call toll free 1-866-352-9114 to speak with a member specialist. You can also check the CareLink Provider Directory in your company’s Human Resources Department.

Can I see a provider who is out-of-network?
If your plan includes out-of-network coverage, you are free to choose providers who do not participate in the CareLink network. If you receive covered health care services from providers who do not participate in the CareLink network, you will be covered at the out-of-network level of benefits, which means you will pay deductibles and coinsurance and will have higher out-of-pocket costs.

Do I need a referral to see a specialist?
CareLink members do not need referrals to receive covered services from participating specialists.

Will CareLink cover me for emergency care?
CareLink members have 24-hour emergency coverage no matter where they are—at home or traveling anywhere in the world. In an emergency, always seek care at the nearest medical facility. Call 911 for emergency medical assistance, if needed. If 911 services are unavailable in the area, call local emergency medical services or the police for help.