Paying Your Bill

Pay Online: visit myTuftsMed.org

Pay By Phone: You can pay your bills over the phone by credit card. Call 617-636-3300

Pay By Mail: You can mail your payment to the address listed on your bill.

Make a payment for an outstanding account balance

  • Go to myTuftsMed.org > Billing > Billing Summary.
  • Click Pay Now for the account on which you want to make a payment.
  • Enter the amount to pay along with your credit card or bank account information. Click Continue.
  • Review your payment information and click Submit Payment.
  • If you can't pay your entire balance all at once, you can set up a payment plan to pay a smaller amount each month.
  • Sign up for paperless billing
  • Patients with an active myTuftsMed account will be enrolled in paperless billing by default.
  • If you wish to opt out of paperless billing, navigate to the Billing Summary page, and click “cancel paperless billing” at the bottom of the screen. 
     

Review and update your insurance information

To review the insurance information your clinic has on file, go to Insurance > Insurance Summary. Click View coverage details for the payer or plan to see more information about the coverage, such as your deductible and maximum out-of-pocket expenses.

To update your insurance information, make any of the following changes:

  • Request a change to an existing coverage.
  • Remove a coverage.
  • Add a new coverage. New coverages are submitted for verification when you log out of myTuftsMed

There are many different types of health insurance and each insurance company may offer multiple different plans to hundreds of employers and their employees.  For this reason, it is very important that you understand the unique components of your plan and ask your health plan or employer what care and services they will cover and what they expect you to pay for directly. The best way to reach your insurer is typically the member services number on your insurance card.

Below, we’ve listed the health insurance plans and products that are accepted at Tufts Medical Center. If your health insurance company or plan is not listed, please contact your health insurance provider to better understand your benefit plan and provider network available to you.

Many insurance plans have different levels of costs for their members depending on where they receive care. The information below can be used as a reference but you should check with your plan to see what level of coverage you will receive for any care provided by Tufts Medical Center. It is also important to check with your insurance plan to see if you need additional referrals and/or authorizations before getting care at Tufts MC.

Emergency department physicians may not be in-network with all the payors or plans listed below. Please contact your insurance company regarding coverage for the physician component of emergency services at Tufts Medical Center.

Co-payments

Please Note: Starting November 1, 2018, we can no longer accept cash as a form of payment for deductibles, co-payments or co-insurance at Tufts Medical Center outpatient clinics. We accept all forms of credit cards, debit cards and personal checks. This change allows us to ensure proper documentation of your payment. We apologize for any inconvenience and thank you for your understanding. 

This new policy applies to outpatient clinics only at Tufts MC. The pharmacy, Emergency Department and the dining options within Tufts MC will still accept cash. Learn more >

Insurance payers and plans

The level of coverage you receive is determined by your health insurance provider. Some health insurance companies may use other companies to cover certain services such as mental health or transplant-related services.  Some services may not be covered by your insurance plan. Again, it is very important that you ask your health insurance provider or employer what care and services they will cover and what they expect you to pay for directly. 

Insurance Payer

Plans Accepted

Aetna
  • All Commercial Plans
  • Medicare Advantage PPO
  • Medicare Supplemental (i.e. Medex) -- (if patient has Medicare as primary)
Anthem Blue Cross Blue Shield
  • HMO- only with referral/prior auth.
  • PPO

Blue Cross Blue Shield of Massachusetts
  • Most Massachusetts Plans
  • Medicare Advantage
Blue Cross Blue Shield of Rhode Island 
  • PPO (large employer groups)

    RI ConnectorCare:
  • Blue Solutions HAS
  • Basic Blue Direct
  • Vantage Group Direct

Blue Cross Blue Shield -- Out of State

 
  • PPO
  • BCBSMA has a reciprocal relationship with other states' BCBS PPO Plans. Verify details of benefit plan for patients with out-of-state BCBS HMO/POS to determine if Tufts MC and PO are in network.

BMC HealthNet
  • Medicaid MCO (specialty care only)
  • QHP Silver (Connect Care) (specialty care only)  *will no longer be accepted effective 1/1/2021
  • Senior Care Option (SCO)

    ACO Plans:
  • Community Alliance (Boston)
  • Mercy Alliance (Springfield)
  • Signature Alliance (Brockton)
  • SouthCoast Alliance

Cigna
  • All Commercial Plans
  • Medicare Supplemental   (i.e. Medex) -- (patient has Medicare as primary)

Commonwealth Care Alliance
  • One Care Plan (specialty care only for ages 18-64)
Community Health Options- ME and NH
  • Commercial- subsidized plans for individuals and families
 Coventry
  • PPO (See Aetna)

Fallon Health
  • Direct
  • Flex Care
  • Preferred Care PPO
  • Select
  • Senior Plans (specialty care only)

    ACO Plans:
  • Berkshire Fallon Health- Collaborative
  • Fallon 365 Care- Reliant Medical Group
  • Fallon 365 Care- Southboro Medical Group
  • Tufts Medicine Care Plan

First Health
  • PPO (see Aetna)

Harvard Pilgrim Health Care
  • HMO
  • POS
  • PPO
  • Medicare Supplemental
  • National Plans
  • Stride Medicare Advantage (specialty care only)
  • Maine's Choice HMO

Health New England
  • PPO (for out-of-network benefits for specialty care only)
 Health Plans, Inc.
  • HMO
  • PPO
  • EPO (administered through HPHC)
 Humana Military- Tricare East Region
  • Tricare Select

MaineCare
  • Maine Medicaid (when referred directly from MaineCare)
 MassHealth
  • CarePlus
  • Standard

    Primary Care ACO Plans:
  • Community Care Collaborative (C3)- (includes 15 federally qualified health centers across Mass.)
  • Partners Healthcare Choice
  • Steward Healthcare Choice

Medicare
  • For specific Medicare plans accepted, refer under each Insurance Payer’s Plans Accepted.

MultiPlan, Inc./PHCS
  • PPO
NCE Health Plans (The National Congress of Employers)
  • All Plans

Neighborhood Health Plan - MA
  • All Commercial Plans (Massachusetts Connector Products)

    ACO Plans:
  • My Care Family - (Lawrence Family Health Center, Lowell General Hospital, Neighborhood Health Plan)

New Hampshire Healthy Families (NHHF)
  • NH Medicaid Product
Oxford Health Plans
  • Choice Plus

Senior Whole Health
  • Senior Whole Health

Tricare
  • See Humana Military- Tricare Region East

Tufts Health Plan

Note:  While we work very closely with Tufts Health Plan and most other major insurers, we are not affiliated with Tufts Health Plan in any way. While we accept the majority of their plans, we do not accept Tufts Medicare Preferred for Primary Care services. 

 

  • CareLink Plan Design
  • Lifespan Premier Choice (HMO and PPO tiered products for RI employer groups)
  • Most Commercial Plans
  • Medicare Supplemental
  • Tufts Medicare Preferred (specialty care only)
  • Senior Care Option (SCO)
  • Unify (dual eligibility 18-64)

Tufts Health Public Plans
  • Tufts Direct
  • Tufts Together (for specialty care only)
  • Tufts Unify (dual eligibility 21-64 yrs old)

    ACO Plans:
  • Tufts Together with Atrius Health
  • Tufts Together with Beth Israel- Deaconess Care Organization
  • Tufts Together with Boston Children's Hospital ACO
  • Tufts Together with Cambridge Health Alliance

Unicare
  • GIC

United Healthcare
  • Choice Plus
  • Erickson Advantage POS
  • Erickson Advantage Champion/Guardian HMO-POS-SNP
  • Group Medicare Advantage PPO
  • Medicare Supplemental (Plan Core & Plan Supplement 1)
  • Passport Plan
  • PPO
  • UnitedHealthcare Senior Care Options (SCO)
 U.S. Family Health Plan Brighton Marine
  • Specialty Care only with approved referral prior to scheduling.

Veterans Health Administration (VHA) 
  •  Veterans Choice Program

 

  • Choice Plus
  • Evercare Senior Care Option
  • Passport Plan
  • PPO
  • Medicare Supplemental
  • Choice Plus
  • Evercare Senior Care Option
  • Passport Plan
  • PPO
  • Medicare Supplemental

Get Straightforward Facts about Your Insurance Benefits

Here are some questions you should ask your health plan to help you understand your financial responsibilities:

Is a referral from my Primary Care Physician (PCP) needed to see other providers/specialists?
Please note that some health plans require you to work with your primary care office to obtain an insurance referral before seeing a specialist or other physician.

If you haven’t coordinated with your PCP first, some health plans will refuse to pay and expect you to cover the entire bill.

Will I owe a copayment for my health care services?
A copayment is a fixed dollar amount defined in your insurance policy that is your responsibility to pay.

Some plans vary the amount you pay based on the type of service you receive or where you receive the care.

For example: you may be charged $20 to see a primary care physician when you are sick but you may be charged nothing for an annual physical or a well baby visit or $40 to see a specialist provider at the same medical center.

Do I have a deductible?
A deductible is the amount you owe out of pocket before your insurance company will pay certain health care expenses.

For example: A health plan may say that you have to pay $1,000 of your medical care bills out of your own pocket before they will cover any of the cost of your medical care.

Is there coinsurance associated with my plan?
Coinsurance is the percentage of the total bill for medical services that some insurance plans require the patient to pay even after the deductible is met.

For example: After you meet your $1,000 deductible, your insurance may cover 80% of your medical bills and expect you to pay for the remaining 20%.

Are Tufts Medical Center and their doctors’ part of my plan’s network?
Some health plans require a hospital to be part of their network in order to cover medical expenses.

Your plan may allow you to be seen outside of the plan’s network, but at a higher cost to you.

Please confirm with your health plan that Tufts Medical Center and its physicians are part of your plan’s network or that we can be seen as an out of network provider.

Billing at Tufts Medical Center + Tufts Medical Center

Following your care at Tufts Medical Center, we will send a claim to your health plan for services received.

Once the health plan has provided payment for its portion, you will receive a bill for any remaining balance the insurer tells us is your responsibility such as deductibles, copayments, coinsurance or non-covered services.

When a patient sees one of our physicians on the Boston campus, the charges will be separated into two bills: one from your physician and one from Tufts Medical Center.

The bill from your physician (Tufts Medical Center Physicians Organization) covers his/her professional services.

The bill from Tufts Medical Center for services on the Boston campus generally includes diagnostic testing and lab services as well as a facility fee covering supplies, staff and overhead for the office visit.

Academic medical center’s with physician offices on site charge this facility fee because they are required to meet additional regulatory requirements that a physician’s office outside of a hospital does not have to meet.

Many insurance companies cover the facility fee; however, your insurance may require you to pay some or all of this charge.

Should I speak with my insurance company to understand my benefits?
Yes, it is always a good idea to discuss the type of coverage you have and the way your insurance company covers the cost of the health care services you receive.

The best way to reach your insurer is typically the number on the back of your member card.

My personal information has changed (such as address, insurance provider, etc.).  How do I change this with the hospital?
Please contact us.  We’re here to help make important updates to your account.

617-636-0084
Monday to Friday
7:30 am to 5:00 pm

If I need financial assistance, what can I do?
Please call our Financial Coordinators.  We’re happy to discuss your options.

617-636-6013
Monday to Friday
7:30 am to midnight

What will I owe for a visit?
Depending on your health plan, you may owe a copayment, deductible or coinsurance. What you owe will depend on the types of services you receive and what is covered under your specific plan.

Your financial responsibility for being seen at one of Tufts Medical Center’s hospital-based practices may differ compared to a community practice.  In addition, some services performed in the exam room (scopes, biopsies, etc.) are considered surgical procedures by your health plan and may result in higher out of pocket costs.

We urge you to contact your health plan to understand what you will be responsible for paying for your healthcare services.

Registration at Tufts Medical Center

When you schedule your first appointment with us, we gather your insurance information, mailing address and other key contact information so we can contact you and also work with your insurance company to coordinate payment for your medical care.

If at any time after this you need to update your information, please contact us.

Tufts Medicine Pre-Registration Team Phone Number:  617.636.7866

Hours of Operation:
Monday – Friday 7am to 7pm
Saturday 9am to Noon

Requesting Financial Assistance through myTuftsMed Patient Portal

 

You can submit and request a financial assistance application through myTuftsMed in 5 steps:

  1. Once logged in to myTuftsMed search for the Financial Assistance in the Menu bar.
  2. You will be asked to enter basic information pertaining to income, household size, and any additional proof of income documents to upload.
  3. If you are under the age of 65, you will not be required to input any information related to your expenses or assets. For those under the age of 65, you will then select the Next button and continue
  4. You will be asked to upload documents to support your financial assistance application such as, but not limited to: Proof of Medicaid Application Determination, as well as proof of residency documentation (Photo ID)
  5. Please review and submit your application. A financial adviser will contact you.