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Tufts Healthcare Customer FAQ

Top Answers & How-to Guides

What is Tufts Healthcare's Phone Number?

The question we are asked most often is about how to talk to Tufts Healthcare customer service. Click here for contact information, email and chat options, getting a live person, wait times and more.
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Recent Tufts Healthcare Customer Questions

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Claims and Reimbursement

How do I submit a claim for reimbursement?

To submit a reimbursement claim with Tufts Healthcare, one must collect relevant documents like receipts and invoices, complete...

What steps do I take if there is a billing error?

To address a billing error with Tufts Healthcare, members should review the bill against the explanation of benefits, gather...

What is the appeals process for denied claims?

The appeals process for denied claims at Tufts Healthcare involves understanding the denial's reasons, submitting a written...

Medical Services and Coverage

What is the process for getting pre-authorization for a medical procedure?

To obtain pre-authorization for a medical procedure with Tufts Healthcare, the healthcare provider first determines if it is...

What are the coverage options for prescription medications?

Tufts Healthcare provides diverse coverage options for prescription medications, classifying them into tiers based on cost and...

Are preventive services covered at no cost?

Tufts Healthcare typically provides a variety of preventive services at no cost, following the Affordable Care Act guidelines....

Insurance Plan Details

What types of insurance plans does Tufts Healthcare offer?

Tufts Healthcare offers a variety of insurance options, including individual and family plans through the Health Insurance...

Are there any restrictions on out-of-network providers?

Tufts Healthcare places specific restrictions on out-of-network providers that can vary by plan type. Generally, members can...

Are there any limitations on coverage for pre-existing conditions?

Tufts Healthcare generally does not discriminate based on pre-existing conditions thanks to the Affordable Care Act, which...

Are there any specific coverage exclusions I should be aware of?

Tufts Healthcare has specific exclusions that vary by health plan type, often including services seen as not medically...

Telehealth Services

What are the different channels for accessing telehealth services?

Tufts Healthcare provides multiple channels for telehealth services, including an online portal for scheduling appointments and...

Does Tufts Healthcare offer telehealth services for all members?

Tufts Healthcare offers telehealth services to its members, providing the option to consult with healthcare professionals...

Wellness Programs

Does Tufts Healthcare offer any wellness programs or resources?

Tufts Healthcare provides a variety of wellness programs aimed at enhancing members' health, focusing on areas like fitness,...

How can I find a network provider for Tufts Healthcare?

To locate a network provider for Tufts Healthcare, individuals can use the online provider directory available on their...

What should I do if my doctor is not listed as a network provider?

If a doctor's not listed as a network provider with Tufts Healthcare, individuals should first confirm this status through...
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