Boston Area

Greater Boston Local 26 Health Plan (Plan 108)

Have you found a doctor in TUFTS?

Click on the following to learn more

ProvidersBenefitsPharmacyFormsClaimsDisability

Our Health Fund

33 Harrison Ave.,
Suite 500
Boston, MA 02111
(844) 267-HEALTH
(844) 267-4325

TTY Phone (Text Telephone):
(855) FUNDTTY
(855) 386-3889

Find a PCP in TUFTS

 

Make sure you have a PCP!  A primary care provider (PCP) can be a family physician, internist, pediatrician, physician assistant or nurse practitioner.

 

In order to have coverage under your plan, you must choose a PCP.

 

Click here to see Select Network providers. You can find a doctor located near your home or work who speaks your language and has office hours that are convenient for your schedule.

 

Once you choose a PCP, please let Tufts Health Plan know. You can do this in any of the following ways:

 

Providers

Don’t go out of network! It costs too much money!

Find a doctor
Call (800) 462-0224 or visit TUFTS

Find an eye doctor
Call (800) 999-5431 or visit Davis Vision

Find a dentist
Call (800) 323-1743 or visit Delta Dental of Illinois

Find mental health services
“Mental health services” is treatment for illnesses related to moods, feelings, emotions and behavior that focuses on recovery.  You can also get help for substance abuse and work life balance.

Call (800) 878-2004 or visit Modern Assistance Programs (MAP)

 

 

 

 

 

 

 

 

  

 

 

 

 

 

 

Benefits

Good health starts with knowing your benefits!

Download a copy of your “Benefits at a Glance.” It is an overview of your benefits, but some information may have changed.

Call us if you have questions: (844) 267-4325

You can also download a copy of your

“Summary of Benefits & Coverage” (SBC).

What is an “SBC?”  Under the Affordable Care Act (“Obamacare”), all insurance companies and group health plans, like UNITE HERE HEALTH, are asked to provide an easy-to-understand summary of benefits and coverage, or “SBC.”  Sometimes, it’s a good overview with lots of charts.

Boston SPD

All the details are in a 100-page reference book called an SPD (Summary Plan Description).   Sometimes, changes are made to the benefits listed in this very thick book.  These changes are listed in document called an SMM (Summary of Material Modification).

When you read your SPD, you can make sure there are no updates by checking the SMMs:

 

Call us with any questions: (844) 267-4325

Pharmacy

Call (866) 884 -4176 or visit TUFTS

Covered prescriptions filled at a Caremark network retail pharmacy
What you pay for a 90 Days Supply
Generic $4
Brand - Preferred $8
Brand - Non Preferred $12
 
Covered prescriptions ordered by mail from a Caremark mail order pharmacy
What you pay for a 90 Days Supply
Generic $4
Brand - Preferred $8
Brand - Non Preferred $12

 

Claims

Are you trying to find out if one of your doctor’s bills (claims) have been paid?  Check online. 

Create an account through TUFTS and check your claims.

 

    

Disability

Life and Accidental Death & Dismemberment (AD&D) insurance benefits are provided by Dearborn National. 

Call us with questions: (844) 267-4325

Short-Term Disability insurance benefits are provided by UNITE HERE HEALTH:
Call us with questions: (844) 267-4325

 

Forms

Here are some forms you may want to print and fill out before you visit us in the Fund office. You may also mail some of them.

Call us if you need help understanding these forms: (888) 437-3480