TSS - Employees Who Live Outside of THP Service Area

Employees Who Live Outside of THP Service Area

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First Published  :Wed Nov 21 16:15:44 GMT 2018
Last Modified  :Tue Jul 07 16:34:25 GMT 2020
Last Published  :Tue Jul 07 16:34:25 GMT 2020
Summary : 


Primary Information

    Tufts Health Plan
    Benefits eligible employees who live outside of the Tufts Health Plan service area (MA, RI, NH) can enroll in either the Traditional Plan or the Value Plan  (out of Network). Details in the Out-of-Area coverage are on the Tufts Health Plan website (see Out Of Area Providers).
    The Tufts Health Plan network (in MA, RI, NH) consists of 110 hospitals and more than 51,000 providers. Cigna’s national PPO Network offers more than more than nearly 800,000 PCPs and specialists and 6,000 hospitals.
    When obtaining services in Massachusetts, Rhode Island, and New Hampshire, you must use a Tufts Health Plan network provider to receive the in-network level of benefits. When obtaining services in all other states, you must use a Cigna PPO network provider to receive the in-level network of benefits.  We recommend the employee call Tufts Health Plan to discuss provider options: 844-516-5790.
    To ensure the employee is enrolled in the “Out-of-Area” Group, the employee must:
    1. Confirm/Update their home address in eServe
    2. Complete a Life Event for "
    I or my dependent moved out of (or into) my health plan’s service area" in eServe
    Delta Dental
    Plan details on network coverage are outlined on the AccessTufts-Dental website (see Delta Dental Plan Summary). To locate participating providers visit Delta Dental website.
    EyeMed Vision Plan
    Plan details on network coverage and to locate participating providers visit the EyeMed Vision Care website.
    Details on all benefit plans can be found on AccessTufts-Benefits 2019.

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