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

Yes, there are restrictions on out-of-network providers with Tufts Healthcare. As an in-network provider-focused healthcare plan, Tufts Healthcare encourages its members to use the extensive network of doctors and facilities to receive quality care at lower costs. However, Tufts Healthcare does offer out-of-network benefits for certain plans, allowing members to seek care outside the network. It is important to note that out-of-network utilization may result in higher out-of-pocket costs and may require pre-authorization or meet specific criteria for coverage. Tufts Healthcare provides detailed information on out-of-network benefits, including coverage limitations, through their customer service and online resources, enabling members to navigate healthcare choices effectively.