Provider Network Information
Who are Preferred Providers?
Beginning with the 2015-2016 policy year, the Preferred Provider Network will be the Tufts Preferred Provider Network in Massachusetts and Rhode Island and the CIGNA Preferred Provider Network nationwide. A Preferred Provider is a doctor, hospital or other health care provider that participates in one of these networks.
The advantage to using a preferred provider is that these providers have agreed to accept a predetermined fee or preferred allowance as payment for their services. Out-of-Network providers have not agreed to any prearranged fee schedule. Consequently, when insured students use preferred providers, out-of-pocket expenses will be less because any applicable co-payment will be based on a preferred allowance.
The insured person should be aware that preferred provider hospitals may be staffed with out of network providers. Receiving services or care from an out of network provider at a preferred provider hospital does not guarantee that all charges will be paid at the preferred provider level of benefits.
How do I find a Preferred Provider?
Click below to locate a Tufts Health Plan Preferred Provider in Massachusetts or Rhode Island:
For providers nationwide, search Cigna:
To locate Preferred Providers for the 2014-2015 Policy Year:
To find a provider in MA, NH, or ME:
Click below to access the United Behavioral Health Network:
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