Plans & benefits
We understand that each one of your clients has unique needs, whether they’re a small local business, a mid-sized firm or a large national employer. That’s why we provide a full range of flexible plan designs and broad network options to choose from. Working with your clients, you can select the right solution to meet their particular health benefit goals and budget.
At Tufts Health Plan, we offer a better experience for your clients’ employees. For instance, most plans have fourth-quarter deductible carryover that helps members save money when they need services at the start of a new benefit year.* Or, when emergency room care is needed, all of our plans provide peace of mind so members know they won’t receive surprise medical bills from us after the fact. And, if members have a chronic condition, we have compassionate nurse care managers who can assist them in navigating the health care system so they can get better and be healthier—and happier.
Flexible plan designs
HMO plans
Ideal for clients who want to keep costs low by keeping care in-network.
PPO plans
For clients who want to give employees the flexibility to see any provider they choose.
Advantage HMO and PPO
These plans feature lower premiums in exchange for cost-sharing through a deductible, coinsurance and co-payments.
Advantage Saver HMO and PPO
These qualified High-Deductible Health Plans may be paired with a Health Savings Account through one of our preferred institutions.
Tiered Plans
For clients who want to give employees access to our full network, while also giving them a choice to lower costs based on the providers they choose. Help your clients understand why tiered networks are smarter, not smaller.
*Fourth-quarter deductible carryover applies to non-Saver plans; it does not apply to HSA-compatible Advantage Saver plans.