Tufts Coverage
Tufts Insurance Coverage for Rehab at URP Behavioral Health
At URP Behavioral Health, we provide the best care, which addresses your needs in mental health and substance use treatment. Compassionate, evidence-based programs to help you get on the pathway of long-lasting recovery and well-being are at the core of what we do here in the clinic. Everybody deserves quality care, we believe, and with the Tufts insurance coverage available, it becomes easier for you to pay attention to your journey to recovery without financial worry.
Tufts also covers a wide array of mental health and rehabilitation services. This partnership means that every individual and family in need will be accorded the necessary care, which may include therapy sessions, medication management, and inpatient and outpatient programs, among others. The experienced staff at URP Behavioral Health will work with you to determine an appropriate course of treatment, utilizing any available leverage from Tufts to provide your care as affordably as possible. Our professional and knowledgeable staff stand ready to help guide you through the process, determine with them what your benefits are, and answer any questions you may have in the process.
Imagine a place where therapy sessions are empowering, medication management is seamless, and every step of your recovery journey falls on compassionate experts. At URP Behavioral Health, we make sure that not only do you receive quality care, but you understand every option available to you through your Tufts Health Plan. When it comes to recovery, knowledge is power, and so is having the right insurance partner.
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We know that seeking treatment can be overwhelming, but our staff is here to make the process as smooth as possible. We’re available 24/7 to address any questions or concerns you may have.
History Tufts
Tufts Health Plan is a nationally recognized nonprofit ordered in 1979 that pioneered health care plans and quality coverage. Since its founding, Tufts has been a leader in healthcare, so that all people have access to comprehensive, low-cost medical care.
In 2011, Tufts expanded to the Massachusetts healthcare market by purchasing an organization, Network Health, from Cambridge Health Alliance. This acquisition by Tufts depicts that a company is firmly committed to the extension and facilitation of better healthcare access across diversified communities statewide.
In 2013, Tufts continued to innovate by launching its Tufts Health Plan Senior Care Options program in Barnstable County Massachusetts. Such a step underlined the company’s very mission of service to the older adult population with appropriate, specially designed healthcare solutions for their very special needs.
Building on this reputation for leadership in integrated care, Tufts began implementing initiatives in 2015 to integrate behavioral health services into the patient-centered medical home model in Rhode Island. This is a better way to give access to behavioral health care through primary care settings and further exemplifies Tufts’ forward-thinking strategies in evolving health care.
These milestones continue to position Tufts Health Plan at the forefront of providing holistic, comprehensive, and innovative healthcare services to those it serves.
What is Tufts Rehab Insurance Coverage?
Tufts Health Plan behavioral health care benefits are designed to offer a complete continuum of care in supporting recovery from addiction. Members will have access to a range of different treatment levels of care, tailored to meet the member’s specific needs in their individualized care, ensuring comprehensive care and support can be provided. Tufts Health Plan may cover:
- Outpatient services. Providing flexible treatment options that will allow individuals to continue most of their daily responsibilities while being treated.
- Inpatient services. These are intensive, structured programs with 24/7 care for individuals needing a more heightened level of support.
One of the great positives about Tufts Health Plan is that most of these services cost little, if not nothing at all, to its members. Whether it be a person seeking outpatient treatment or highly intensive inpatient care, Tufts makes sure they have just what they need to assist them on their road to recovery.
And the best part? Many of these services come at little or no cost to you. Isn’t it comforting to know help is accessible, affordable, and customized to your needs?
Does Tufts Cover Rehab for Mental Health Treatment?
Tufts Health Plan covers the costs of rehabilitation that involve treating mental health disorders, including substance abuse disorders under the Affordable Care Act. Since the ACA requires that every single insurance plan offer partial cost for mental health treatment, in turn, members can easily avail the necessary treatments.
Substance abuse is a mental health disease, and therefore Tufts Health Plan covers a variety of rehabilitation programs. The amount covered depends on the following:
- Your specific insurance plan. Benefits and restrictions may differ.
- Level of care required. Outpatient, inpatient, or partial hospitalization programs may have high or low levels of coverage.
- The length of your treatment. Longer treatments may need special approvals or changes in coverage.
- Treatment center. Facilities are either “in-network” or “out-of-network” for coverage.
For details on specific benefits related to mental health treatment, contact your personal Tufts Health Plan representative or consult the information for your group.They can further provide insight into what treatments and services are covered so that you can receive the needed care to recover.
Not sure if your condition qualifies? With Tufts, virtually all diagnosable and reimbursable mental health disorders are covered. Why wait to find out if the help you need is just a phone call away?
Mental Health Programs Covered by Tufts Insurance
Tufts Health Plan provides expansive mental health coverage through insurance plans designed to suit a wide set of healthcare needs. Depending upon your specific plan, Tufts may provide access to mental health programs designed to support individuals during every stage of life. These include:
- Preferred Provider Organization. PPOs allow one to see specialists and other out-of-network providers without a referral.
- EPO. EPOs are like many plans, but they’ve got a network of providers, and services outside the network are not covered except in emergencies.
- POS. This combines features of the HMO and PPO plans. It offers the patient a choice between in-network or out-of-network providers but usually requires a referral from a PCP.
Tufts Health Plan offers a range of mental health programs that ensure greater access to care. These include:
- Individual, group, and family sessions with no referral required.
- Psychiatric services. Consultation and medication management by licensed psychiatrists.
- Rehabilitation programs. Patient recovery from mental health disorders, outpatient and inpatient.
What Mental Health Disorders Does Tufts Cover?
- Depression. Full-service treatment for individuals with mood-related illness.
- Anxiety. Dealing with stress, panic disorders, and generalized anxiety treatment options.
- Alcohol abuse. Support for individuals struggling with substance use disorders.
- Grief and loss. Therapy to help cope with the emotional impact of loss.
- Eating disorders. Specialty programs for problems of anorexia, bulimia, and binge eating.
- Learning disabilities. Access to therapies addressing cognitive and educational challenges.
Tufts Health Plan also covers many other diagnosable mental health conditions to ensure that as many different patient needs as possible are taken into account. Whether one is facing long-standing challenges or temporary struggles, Tufts is committed to securing for members the resources they need to care for their minds.
How Much Does Tufts Cover For Mental Health Treatment?
How much Tufts Health Plan covers for mental health treatment is related to the specifics of your plan, which includes coverage type, copayment amount, and reimbursement rates. Tufts Health Plan reimburses for therapy, but how much depends on your specific plan. To find your plan’s reimbursement rate for therapy:
- View your plan documents.
- Log in to your secure member portal.
- Contact Tufts Member Services for assistance. The phone number for Member Services is listed on your insurance card.
The cost per therapy session is influenced by:
- Your plan type. Copayment amounts and deductible requirements vary by plan.
- Provider rates. Different providers may charge different session fees.
Finding Tufts Health Plan providers that are in their network which will keep your out-of-pocket expenses down to a minimum-is quite painless. Provided they were to use one of TuftsHealth Plans contracted-in network providers, copayment charges apply, hence only needing to cover the negotiated copay/coinsurance, thereby assuring low out-of-pocket expenditures.
Why wait? Take the first step toward getting well today. Call us, visit our clinic, or explore your Tufts benefits. In recovery, it is assumed that the sooner a beginning is made, the brighter the future.
