Tufts Health Plan Offers Comprehensive Addiction Treatment Options

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Tufts Health Plan offers a range of addiction treatment options to help individuals overcome substance use disorders. These options include inpatient and outpatient programs, intensive outpatient programs, and partial hospitalization programs.

Tufts Health Plan's addiction treatment programs are designed to be flexible and tailored to each individual's needs. Members can access a network of providers, including psychiatrists, psychologists, social workers, and addiction specialists.

From medication-assisted treatment to counseling and therapy, Tufts Health Plan's addiction treatment options are comprehensive and evidence-based. Members can also access support groups and peer support services to help them stay on track in their recovery journey.

Therapy Options

Tufts Health Plan offers a range of therapy options to suit your needs.

You can choose from in-network or out-of-network therapists, with varying copayment and coinsurance rates. In-network therapists typically have a lower copayment or coinsurance rate, making them the more cost-effective option.

Tufts Health Plan covers many different types of therapy, including Cognitive Behavioral Therapy (CBT), Dialectical Behavioral Therapy (DBT), and Eye Movement Desensitization and Reprocessing (EMDR). These evidence-based therapy modalities are proven to be effective in treating a range of mental health conditions.

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The types of therapy covered by Tufts Health Plan also include mindfulness practices, child-parent psychotherapy, and Acceptance and Commitment Therapy (ACT).

Here are some of the evidence-based therapy modalities covered by Tufts Health Plan:

  • Cognitive Behavioral Therapy (CBT)
  • Dialectical Behavioral Therapy (DBT)
  • Eye Movement Desensitization and Reprocessing (EMDR)
  • Mindfulness practices
  • Child-parent psychotherapy
  • Acceptance and Commitment Therapy (ACT)

You can also opt for online therapy, which is covered by Tufts Health Plan. This makes it easier to attend therapy sessions from the comfort of your own home.

Some Tufts Health Plan plans offer coverage for couples therapy, but this depends on the specific plan you have.

Therapy Process

The therapy process with Tufts Health Plan is relatively straightforward. You'll need to get preauthorization before your mental health coverage begins, but this is a common step for many health insurance plans.

Tufts Health Plan covers therapy services, which is a great relief for those who need it. The cost of therapy is covered, but the amount varies depending on your specific health insurance plan.

You'll want to check your plan's details to see exactly what's covered and what's not. Because Tufts Health Plan offers many different types of plans, coverage for outpatient mental health services can vary widely.

All Tufts Health Plan plans have some mental health benefits, so you can rest assured that you'll get some level of support.

Online Therapy

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Tufts Health Plan offers coverage for online therapy, making it a convenient and accessible option for many clients. This is especially helpful for those who have busy schedules or live far away from in-person therapy offices.

You can expect the same coverage for online therapy as you would for in-person therapy, including the same copayments and coinsurance rates. This means you can choose the format that works best for you without worrying about added costs.

Tufts Health Plan covers many different types of therapy, including online options, as long as the therapist is credentialed and uses evidence-based, clinically rigorous modalities. Some of the covered therapy types include Cognitive Behavioral Therapy (CBT), Dialectical Behavioral Therapy (DBT), and Mindfulness practices.

The following therapy modalities are covered by Tufts Health Plan:

  • Cognitive Behavioral Therapy (CBT)
  • Dialectical Behavioral Therapy (DBT)
  • Eye Movement Desensitization and Reprocessing (EMDR)
  • Mindfulness practices
  • Child-parent psychotherapy
  • Acceptance and Commitment Therapy (ACT)

Referrals and Insurance

If you have a Tufts Health Plan HMO, you'll need a referral from your primary care doctor before starting therapy. This is a straightforward process that shouldn't delay your access to mental health services.

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You can check your Tufts Health Plan insurance plan's benefits to see if you're covered for addiction treatment services. To do this, you can call Tufts at (888) 257-1985 or use their self-service tool at Tufts Health Member Connect.

If you have a PPO plan, you won't need to see your primary care physician before starting therapy. You can begin your therapy journey with a great therapist as soon as you're ready.

To check your insurance benefits, you can call Tufts at (888) 257-1985 or complete the form below to see if the rehab center you're considering is in-network with Tufts Health Insurance.

Here's a breakdown of the costs associated with therapy under Tufts Health Plan:

  • In-network therapists: $40 copayment per session
  • Out-of-network therapists: 40% coinsurance rate (you'll pay 40% of your therapist's session fee)
  • Tufts Health Plan plans vary by state and type, so your costs may differ.

What Conditions?

Tufts Health Plan covers a wide range of mental health conditions, including depression, anxiety, and alcohol abuse.

To receive coverage, clients must receive a diagnosis from their therapist, which guides treatment and insurance coverage.

Depression and anxiety are two of the most common mental health conditions covered by Tufts Health Plan.

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Alcohol abuse is another condition that is eligible for coverage, and clients can receive treatment for this condition through Tufts Health Plan.

Grief and loss, eating disorders, and learning disabilities are also covered conditions.

Here are some examples of mental health conditions that are covered by Tufts Health Plan:

  • Depression
  • Anxiety
  • Alcohol abuse
  • Grief and loss
  • Eating disorders
  • Learning disabilities

Check Your Insurance

To check if your Tufts Health Plan covers therapy, head over to your Summary and Benefits document, which can be found through your online Tufts Health Plan account or within the paperwork sent to you once you became a member.

You can also call the phone number on the back of your insurance card to speak with a customer service representative who can share with you the coverage available to you through your plan.

Your Summary and Benefits document will list the different rates of coverage, including copayment or coinsurance amounts, for each type of service available, including outpatient services under mental or behavioral health.

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If you're unsure about what your plan covers, don't hesitate to reach out to Tufts Health Plan for clarification.

Here's a quick rundown of what to expect when checking your coverage:

Keep in mind that these rates may vary depending on your specific plan and location.

To check your insurance benefits for addiction treatment, you can call Tufts at (888) 257-1985 (TTY: 711) or use Tufts' self-service tool at Tufts Health Member Connect.

American Addiction Centers can also verify your insurance coverage for you, making it easy to find a rehab facility that fits your needs and budget.

Frequently Asked Questions

Is Tufts Health Plan the same as MassHealth?

Tufts Health Plan is a partner of MassHealth, offering a plan called Tufts Health Together that includes all MassHealth benefits. This plan provides comprehensive coverage for medical, vision, and prescription needs.

Is Tufts Health Plan part of UnitedHealthcare?

As of January 4, 2020, Tufts Health Freedom Plan is now part of UnitedHealthcare, offering access to a larger network of providers. Members will receive a new health plan ID card with the UnitedHealthcare logo.

Is Tufts Medicare or Medicaid?

Tufts Health One Care is a Medicare-Medicaid hybrid plan, serving individuals ages 21 to 64. It combines benefits from both programs to provide comprehensive coverage.

Vanessa Schmidt

Lead Writer

Vanessa Schmidt is a seasoned writer with a passion for crafting informative and engaging content. With a keen eye for detail and a knack for research, she has established herself as a trusted voice in the world of personal finance. Her expertise has led to the creation of articles on a wide range of topics, including Wells Fargo credit card information, where she provides readers with valuable insights and practical advice.

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