Getting Care

We’re on a mission to help our members stay healthy

Understanding and choosing quality health care

Our provider networks include some of the best doctors and leading hospitals in the world. Research shows that people who take part in decisions about their own health care are more likely to get better faster.

Behavioral health + substance abuse disorer

We provide a wide range of behavioral health and substance abuse information, tools, and support to help you take full advantage of your behavioral health benefits, including:

  • Outpatient behavioral health and substance abuse benefits
  • Emergency and inpatient access to mental health & substance abuse services
  • Applied Behavioral Analysis (ABA) Services for Autism Spectrum Disorders

More About Behavioral Health

Care management

Our nurse care managers are on-call to help members who have chronic illnesses and short-term health conditions like high-risk pregnancy. Depending on the condition, our nurse care managers can work with you on specific ways to improve your health, and directing you to online resources, social services, pharmacy services, and others.

Complex care management

The Tufts Health Priority Care program is designed for members with complex medical needs, such as cancer and multiple sclerosis. The program is intended to support the care prescribed by your doctor, and is available at no cost to members.

More About Care Management

Preventive care + immunization

Use the information in this section to talk with your doctor or nurse about what’s best for you and your family. Answer a few questions to see what the experts recommend to keep both adults and children healthy.

More About Preventive Care