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ProvidersBenefitsPharmacyFormsClaimsDisabilityContact Us
Our Health Fund
Office temporarily closed to visitors.
145 Tremont St
6th Floor
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 primary care provider (PCP)! Your 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:
- Come to a Local 26 Open Enrollment meeting
- Log into your secure online account
- Call Member Services at the number 800-462-0224
- Find a PCP: (800) 462-0224
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
“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.
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).
After each SPD is published, certain changes may have been made to your benefits. These changes are reflected in a Summary of Material Modifications (SMM) that are mailed to each member. View these SMMs on our library page. (Click your plan button under "Boston Region".)
Call us with any questions: (844) 267-4325
Pharmacy
New! Prescription HOTLINE: (844) 813-3860
Hospitality Rx now manages your pharmacy benefits! Please view their website for more details.
Copays
For claims prior to October 1, 2017, call (866) 884 -4176 or visit TUFTS.
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
Short-term disability wallet guide
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: (844) 267-4325.
- Authorization for release of protected health information
- Short-Term Disability
- Short-Term Disability
