Members

For all products, when prior authorization is required, Tufts Health Plan uses written criteria based on sound clinical evidence to evaluate the medical appropriateness of health care services. These criteria are objective and based on current clinical and medical evidence and applied with consideration of individual needs and characteristics (e.g., age, comorbidities, prior treatment and complications), and the availability of services within the local delivery system.

Go to Medical Review Criteria

Access forms for Tufts Medicare Advantage HMO, Medicare Supplement, Senior Care Options (HMO-SNP), and the Tufts Medicare Preferred Prescription Drug Plan (PDP).  
 

Go to Forms

All of your plan documents in one convenient place, including your Summary of Benefits, Evidence of Coverage (EOC), Provider Directories, and more. 
 

Go to Plan Documents

Search for primary care doctors, dentists, EyeMed Vision Care providers, network pharmacies, and more within your network. 
 

Search for Doctors

Search for a Dentist

When you register for your secure online account, you'll be able to pay your monthly premium, view your claims history and referrals, and more online.
 

Register Now

Access search tools to find out if your drugs are covered and which tier they fall under on your plan type.
 

Go to Drug Search Tools 

Learn about healthy living discounts and benefits, and Tufts Medicare Preferred Extras -- all designed to offer you savings and help you lead a healthy lifestyle.
 

Learn About Your Healthy Living Discounts and Benefits  

Learn About Tufts Medicare Preferred Extras