Provider Network Information
What is a Preferred Provider?
Beginning with the 2016-2017 policy year, A Preferred Provider is a doctor, hospital or other health care provider that participates regionally in the Tufts Preferred Provider Network in Massachusetts and Rhode Island and nationally in the CIGNA Preferred Provider Network nationwide.
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:
For the 2015-2016 policy yearthe participating provider networks were MagnaCare In New Your or Multiplan outside of New York.
To find a MagnaCare Preferred Provider in New York click on the 'Search for Provider' button below.
To locate a Multiplan provider outside of New York, click the "Search Provider" button below
Network participation is subject to change, so please verify with the provider that they are participating in the network when making an appointment or at the time of service.
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