No One Does More to Keep You Healthy

Read our Member Brochure

We are a Local Health Plan with a National Reputation for Excellence.
Choosing a health plan is an important, personal decision—you want the best for yourself and your family. Tufts Health Plan was founded in 1979 as a not-for-profit HMO. Since then, Tufts Health Plan has expanded, offering a full array of health care coverage options that provide high-quality coverage and service.

A National Leader in Quality

• Tufts Health Plan strives to deliver the highest quality products and service. We're proud that The National Committee for Quality Assurance (NCQA) has again awarded our Health Maintenance Organization (HMO), Point of Service (POS), and Exclusive Provider Organization (EPO) plans its highest status of Excellent Accreditation. NCQA's "Excellent" Accreditation status is reserved for the best health plans in the nation; it is only awarded to those plans that meet or exceed NCQA's rigorous requirements for consumer protection and quality improvement and deliver excellent clinical care.
  • In addition, our PPO (Preferred Provider Organization) plan received Full Accreditation, the highest accreditation available to PPO plans.
  • Tufts Health Plan also received NCQA's new Quality Plus Distinctions in Care Management and Health Improvement (HMO/POS/EPO), and Member Connections (HMO/POS/EPO/PPO).


• Ranked #2 in America's Best Health Plans by U.S. News & World Report and NCQA

Extensive Provider Network

• You can choose from our extensive network of approximately 22,000 health care providers, (excluding Select Network plans).


• Use our Doctor Search tool to find a doctor based on criteria that are important to you, including location, education, board certification, group quality ratings, and more.


• You can also find practice groups that have received a Tufts Health Plan Blue Ribbon designation - which recognizes high performance on selected quality and cost-efficiency measures.

Online Tools
Managing your health care coverage is easier than ever. Register now to take advantage of all of the online functionality available to you.

• View a full description of your benefits, including coverage, copayments, deductible accumulations, and more.


• View claims, authorizations, referrals, and personal drug history.


• Track prescription claims and expenses, and set up mail delivery for maintenance medications on the Web.


• Use cool tools like body fat, body mass, and calorie burn calculators.

Worldwide Coverage for Urgent Care and Emergencies
Tufts Health Plan members also have the comfort of knowing that no matter where they are—at home or traveling anywhere in the world—they have 24-hour emergency coverage.

State-of-the-Art Health Programs and Initiatives
“I have a plan that helps me learn about my condition and how to better manage my health.”

Our health programs and initiatives include support for members at all stages of health—from relatively healthy members to those with serious illnesses—all designed to enhance health and improve quality of life.

Member Discounts
“I have a plan that helps me lead a healthy lifestyle and feel better every day.”

We give members a wide range of discounts on "healthy" products, treatments and services—including massage therapy, Weight Watchers®, and even health and wellness products. And, Tufts Health Plan members receive a fitness program with a lot of value: local network and national gym membership discounts of 20% – 60%.

Decision Support Tools
“I have a plan that provides online tools to help inform me about treatment options and hospitals that are right for me.”

The Healthwise® Knowledgebase is a valuable online resource available to you when making decisions about your health and health care. You can research health questions about medical conditions, symptoms, medications, tests, and more. Every topic is based on up-to-date medical research.

The WebMD Hospital Advisor^SM tool allows you to compare hospitals throughout the country by using a variety of criteria, including length of stay and complication rates.