Tufts Health Plan Member Resources
If you have any questions about using your plan, give us a call toll free 7 Days a Week (Mon. – Fri. from Apr. 1 – Sept. 30),
8 a.m. to 8 p.m. HMO Members: 1-800-701-9000 (TTY: 711)/PPO Members: 1-866-623-0172 (TTY: 711)
Log in to your secure online account to check your claims, referrals and more:
Welcome New Members!
Just joined? We're excited you're here! To help you get started, we put together these 12 helpful tips.
Don’t have an online member account? Creating one is easy and only takes a few minutes. Sign up for you secure, online member account to access claims, referrals and more using the link below!
Member Basics
Already a Member, but looking for easier ways to connect to your plan information using MyWire? Maybe you're looking for an overview of using your HMO or PPO plan. Use the tools below to sign up and get started.
Inflation Reduction
The Inflation Reduction Act (IRA) is a federal law passed by Congress in 2022 to help improve Medicare. The IRA requires all Medicare Advantage plans (not just Tufts Health Plan) to make changes to Medicare drug benefits across multiple years. Click the link below to learn more.
Plan Resources & Materials
Use the tools below to access plan documents, forms, and member ID card information.
Vision Benefit Portal
The EyeMed vision benefit Member Web is your one-stop-spot to quickly and easily manage your vision benefit. The new and improved EyeMed Member Web includes features and resources that ensure you get even more from your vision benefit experience. Use the link below to login to your EyeMed account for all of your eye-related needs!
Provider Search
Use the tools below to find a provider for your needs in your area including doctors, dentists, and optometrists. You can also use the "Dental Benefits" tool to review what your dental plan covers.
Rx & Pharmacy Search
Search for a covered drug, look up a nearby pharmacy, or research how best to use your drug coverage using the tools below.
Prior Authorization Medical Review Criteria
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.
Coronavirus Updates
Use the link below for at-home testing information and general Coronavirus FAQ's.
Additional Resources
Using Your Plan Article Library
Review updated information on your plans, savings, exclusive member discounts, and more using our article library.
Care Management
Learn how Tufts Health Plan Care Managers can help members, and their caregivers, navigate the health care system.
Frequently Asked Questions
Get your questions answered by visiting our Frequently Asked Questions page.
If you have any questions, we’re here to help
We’re here to answer any questions you have about using your plan!
Call Us Toll Free
7 Days a Week
8 a.m. to 8 p.m.
HMO Members: 1-800-701-9000 (TTY: 711)
PPO Members: 1-866-623-0172 (TTY: 711)