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Home > Resources > Healthy Living > Managing Your Care > Give a Loved One Permission to Talk to Us

Give a Loved One Permission to Talk to Us

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Did you know if your spouse or family member calls us we can’t answer questions about your coverage? HIPAA (Health Insurance Portability and Accountability Act) is a federal law that prevents your health plan from sharing information about your coverage with anyone, including your spouse or family members. But you can give someone the ability to contact us on your behalf.

There are two ways you can grant a loved one permission to talk to Tufts Health Plan about your benefits:  

Call us

Just give us a call and identify the person you want to be able to call on your behalf. This is known as a “HIPAA authorization.” It’s important to select someone you trust who can discuss your benefits in case of an emergency. This type of authorization doesn’t expire but it does have limitations. It only allows someone to call and discuss your coverage not make changes or decisions about your plan. To allow someone to make decisions about your plan, you would need to fill out an Appointment of Personal Representative form which is detailed below.  

Fill out the Appointment of Personal Representative Form

Filling out a Tufts Health Plan Appointment of Personal Representative form gives someone permission to call Tufts Health Plan on your behalf AND gives that person the ability to make decisions related to your coverage. Once we have this form on file, the person you identify can call us and discuss your pharmacy and benefit information. This form also allows the person you select to make decisions about your plan such as changing your primary care physician (PCP) or filing an appeal. The authorization is good for one year unless you specify an earlier expiration date. We contact members who have forms that are about to expire after a year. 

You can also fill out the Center for Medicare and Medicaid Services Authoration of Representative form and follow the instructions on the form for submittal.

If you have any questions, call Customer Relations

1-800-701-9000 (TTY: 711) 7 days a week, 8 a.m. – 8 p.m. (From April 1 - September 30, representatives are available Monday - Friday, 8 a.m. – 8 p.m.) After hours and on holidays, please leave a message and a representative will return your call the next business day.
 

Did you know if your spouse or family member calls us we can’t answer questions about your coverage? HIPAA (Health Insurance Portability and Accountability Act) is a federal law that prevents your health plan from sharing information about your coverage with anyone, including your spouse or family members. But you can give someone the ability to contact us on your behalf. There are two ways to do this:  

Call us

Just give us a call and identify the person you want to be able to call on your behalf. This is known as a “HIPAA authorization.” It’s important to select someone you trust who can discuss your benefits in case of an emergency. This type of authorization doesn’t expire but it does have limitations. It only allows someone to call and discuss your coverage not make changes or decisions about your plan. To allow someone to make decisions about your plan, you would need to fill out an Appointment of Personal Representative form which is detailed below.  

Fill out the Appointment of Personal Representative Form

Filling out an Appointment of Personal Representative form gives someone permission to call on your behalf AND gives that person the ability to make decisions related to your coverage. Once we have this form on file, the person you identify can call us and discuss your pharmacy and benefit information. This form also allows the person you select to make decisions about your plan such as changing your Primary Care Physician (PCP) or filing an appeal. The authorization is good for one year unless you specify an earlier expiration date. We contact members who have forms that are about to expire after a year. You can find the form here.

If you have any questions, call Customer Relations

1-800-701-9000 (TTY 1-800-208-9562) Monday – Friday, 8:00 a.m. – 8:00 p.m. (From October 1 – February 14, representatives are available 7 days a week, 8:00 a.m. – 8:00 p.m.) After hours and on holidays, please leave a message and a representative will return your call the next business day.

- See more at: http://www.tuftsmedicarepreferred.org/members/using-your-plan/tips-getting-most-out-your-plan/you-can-give-us-permission-talk-your-loved#sthash.S2gkpp9b.HpwRLyq1.dpuf

Did you know if your spouse or family member calls us we can’t answer questions about your coverage? HIPAA (Health Insurance Portability and Accountability Act) is a federal law that prevents your health plan from sharing information about your coverage with anyone, including your spouse or family members. But you can give someone the ability to contact us on your behalf. There are two ways to do this:  

Call us

Just give us a call and identify the person you want to be able to call on your behalf. This is known as a “HIPAA authorization.” It’s important to select someone you trust who can discuss your benefits in case of an emergency. This type of authorization doesn’t expire but it does have limitations. It only allows someone to call and discuss your coverage not make changes or decisions about your plan. To allow someone to make decisions about your plan, you would need to fill out an Appointment of Personal Representative form which is detailed below.  

Fill out the Appointment of Personal Representative Form

Filling out an Appointment of Personal Representative form gives someone permission to call on your behalf AND gives that person the ability to make decisions related to your coverage. Once we have this form on file, the person you identify can call us and discuss your pharmacy and benefit information. This form also allows the person you select to make decisions about your plan such as changing your Primary Care Physician (PCP) or filing an appeal. The authorization is good for one year unless you specify an earlier expiration date. We contact members who have forms that are about to expire after a year. You can find the form here.

If you have any questions, call Customer Relations

1-800-701-9000 (TTY 1-800-208-9562) Monday – Friday, 8:00 a.m. – 8:00 p.m. (From October 1 – February 14, representatives are available 7 days a week, 8:00 a.m. – 8:00 p.m.) After hours and on holidays, please leave a message and a representative will return your call the next business day.

- See more at: http://www.tuftsmedicarepreferred.org/members/using-your-plan/tips-getting-most-out-your-plan/you-can-give-us-permission-talk-your-loved#sthash.S2gkpp9b.HpwRLyq1.dpuf

How Our Plans Can Help

Annual Wellness Exam

Tufts Health Plan Medicare Preferred plans cover an Annual Wellness Exam each plan year. This is a more comprehensive doctor’s office visit designed to develop or update a personalized plan to prevent disease or disability based on your current health risk factors.

 

Wellness Allowance

Tufts Health Plan Medicare Preferred plans offer a $150 reimbursement for fees related to a health club membership, fitness classes (such as aerobics, Pilates, Tai Chi, or yoga), nutritional counseling sessions and other wellness programs like memory fitness activities and acupuncture.
 

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