Massachusetts Center for Addiction
Rehabs That Take Tufts Health Plan in Massachusetts
If you have Tufts Health Plan and you are looking for a rehab that takes it, here is where things stand. Massachusetts Center for Addiction in Quincy is in-network with most commercial Tufts Health Plan policies. That means your cost is set at the plan’s negotiated rate, not an out-of-network price, and there is no balance billing.
Short version: with a commercial Tufts Health plan you almost certainly have coverage for our Intensive Outpatient (IOP) and Partial Hospitalization (PHP) programs. One call confirms your exact benefits.
Verify Your Tufts Coverage Now
You do not have to guess at costs. Our admissions team can check your Tufts benefits, explain your deductible, and tell you what you would pay in one short call.
Verify your insurance or call admissions at 844-486-0671.
Does Tufts Health Plan Cover Rehab in Massachusetts?
Yes. Under the Affordable Care Act and Massachusetts parity law, treatment for substance use and mental health conditions is an essential health benefit, and Tufts Health Plan policies have to cover it. Tufts is one of the largest commercial insurers in the state, and one of the plans we see most often at our Quincy center.
What you pay depends on your plan, whether it is an HMO or a PPO, and how much of your deductible you have already met. Most commercial Tufts plans cover the levels of care we provide:
- Partial Hospitalization Program (PHP). A structured day program, usually five days a week, with clinical care close to a residential level while you sleep at home.
- Intensive Outpatient Program (IOP). Treatment three to five days a week, scheduled around work, school, or family.
- Outpatient Therapy and Aftercare. Ongoing support after the structured program ends.
- Dual Diagnosis Care. Treatment for anxiety, depression, bipolar disorder, or trauma at the same time as substance use.
- Medication-Assisted Treatment (MAT). Medications such as buprenorphine, managed inside your treatment program when they are appropriate.
- Sober Living support. Help finding structured sober housing as you step down; see our sober living resources.
Detox Centers That Accept Tufts Health Plan
We are an outpatient program. We do not run an on-site medical detox or a 24-hour residential unit. If you or your loved one needs medical stabilization first, we refer you to an accredited inpatient detox partner that also takes Tufts, and your plan generally covers medically necessary detox there. When you are stable, you come to us for PHP or IOP. Admissions can arrange both halves of that in the same call, so there is no gap between the two.
Which Tufts Health Plans We Accept
We accept most commercial and employer-sponsored Tufts Health Plan policies, HMO and PPO. Coverage details differ from one policy to the next, so let us verify your specific plan before you start.
We are a private-pay and commercial insurance provider, so we do not accept Tufts Health Together, which is Tufts’ MassHealth (Medicaid) product, or Tufts Medicare plans. If you are not sure which type of Tufts plan you have, call us and we will read your card with you.
Tufts Health Plan and Harvard Pilgrim Health Care are both part of Point32Health, and some commercial members now carry a card with the Harvard Pilgrim name on it. If that is you, see our Harvard Pilgrim coverage page; either way, we can verify it.
Rehabs Covered by Tufts Health in Massachusetts: What to Check
When you search for a drug or alcohol rehab covered by Tufts Health, you are checking two things: whether the provider is in-network, and whether it treats what you are dealing with. For most commercial Tufts members in Massachusetts, both are a yes at our Quincy center.
In-network status is what sets your cost at the plan’s negotiated rate and keeps out-of-network balance billing off the table. As for what we treat: alcohol, opioids, benzodiazepines, cocaine and other stimulants, and marijuana, along with co-occurring mental health conditions, through our alcohol and drug treatment programs. If you are comparing alcohol treatment centers or drug rehabs that accept Tufts Health, verifying your plan with us is the fastest way to get an actual number rather than an estimate.
How to Verify Your Tufts Coverage
We handle the insurance side. Here is what happens after you call.
- The assessment. We ask for the Member ID on the front of your card and a few basics about what you are looking for.
- Verification. We contact Tufts Health Plan directly to confirm your eligibility, your copays, and any deductible you still have to meet.
- Pre-authorization. Our clinical team sends Tufts the medical justification it needs to authorize your start date.
- Your number. We tell you what your plan covers and what, if anything, you would owe, before you start. No surprise bills.
You can start with the secure form below, or read our guides on paying for rehab and the cost of rehab in Massachusetts.
Why Choose Massachusetts Center for Addiction
Because we focus on day treatment (PHP) and intensive outpatient (IOP), you can get a high level of clinical support without leaving your job, your kids, or your home. Depending on what you need, your care plan may include:
- Cognitive Behavioral Therapy (CBT)
- Trauma-informed care
- Group therapy and peer support
- Family systems work
- Life skills and relapse prevention
Our center is in Quincy, MA, minutes from I-93 and Route 3 and a short walk from the Quincy Center MBTA station on the Red Line and Commuter Rail. Daily treatment is workable for clients across Norfolk, Suffolk, and Plymouth counties, from the South Shore into Boston.
Get Started With Massachusetts Center for Addiction
Your Tufts Health Plan is there to pay for this. You do not have to work out the coverage details on your own.
Call 844-486-0671 to verify your Tufts Health Plan benefits, or start your insurance verification online.
Frequently Asked Questions About Tufts Health Plan Rehab Coverage
Yes. Commercial Tufts Health Plan policies are required by the Affordable Care Act and Massachusetts parity law to cover substance use and mental health treatment as an essential health benefit. What you pay depends on your plan and deductible, which we can verify in one call at 844-486-0671.
We are in-network with most commercial Tufts Health Plan policies. In-network status sets your cost at the plan’s negotiated rate and protects you from out-of-network balance billing. Plans differ, so have us verify your individual policy before you start.
We accept most commercial and employer-sponsored Tufts Health Plan policies, including HMO and PPO plans. We do not accept Tufts Health Together, which is Tufts’ MassHealth (Medicaid) product, or Tufts Medicare plans. If you are unsure which plan you have, call us and we will read your card with you.
Yes. Most commercial Tufts plans cover Partial Hospitalization (PHP), Intensive Outpatient (IOP), and standard outpatient care, which are the programs we provide. These levels of care are often the right fit for members who need clinical treatment while living at home.
Tufts plans generally cover medically necessary detox. We do not run an on-site detox, so we coordinate that first step with an accredited inpatient partner and bring you into our outpatient program once you are stable. Our admissions team can arrange both sides of that transition.
Yes. You do not need a substance use disorder to receive care here. We treat primary mental health conditions, including depression, anxiety, bipolar disorder, and PTSD, under your Tufts behavioral health benefits.
No. Your privacy is protected by HIPAA. Your employer may see general data about insurance usage, but they do not have access to your medical records or the nature of your treatment.
We can usually verify your benefits within an hour. Once we complete your initial clinical assessment, we submit for pre-authorization with Tufts Health Plan, and in many cases we can get approval to admit you within 24 to 48 hours of your first call.
Yes. Tufts Health Plan typically covers telehealth for IOP and PHP. You can take part in our full clinical program from home over secure video, which helps if you lack transportation or have mobility limits.
Clinically reviewed by Corey Gamberg, LADC II, Executive Director. This page is for educational purposes and is not a substitute for medical advice, and coverage details vary by plan. If you are experiencing a medical emergency, call 911. For mental health crisis support, call or text 988.
