Cost
Tufts Health Direct, our focused-network plan for individuals and small groups, offers several affordable plan levels. Each plan level has a monthly premium (payment) per enrollee, and a specific cost-sharing structure.
- Cost sharing means that, as members, your employees will pay for a portion of their health care costs not covered by Tufts Health Plan. The amount or percentage they pay will depend on the plan level you choose for your small group.
- Some plan levels have an out-of-pocket maximum, meaning a limit on what members will need to pay during a benefit year.
See more cost-sharing terms and definitions.
Find out how much you might pay.
Key plan level differences:
| Direct Platinum |
- Highest premiums
- No annual deductible
- Lower out-of-pocket expenses
|
| Direct Gold |
Direct Gold
- High premiums
- Lower annual deductible and no pharmacy deductible
- Lower out-of-pocket expenses
Direct Gold 1600
- High premiums
- Lower annual deductible and pharmacy deductible
- Lower out-of-pocket expenses
|
| Direct Silver |
Direct Silver 2000
- Moderate premiums
- Moderate annual medical deductible and an integrated pharmacy deductible
- Moderate out-of-pocket expenses
Direct Silver 2000 HSA (Health Savings Account)
- Lower premiums
- Deductible - Non-embedded
- Health Savings Account (HSA)
|
| Direct Bronze |
Direct Bronze 2850
- Lower premiums
- High annual deductible and an integrated pharmacy deductible
- High out-of-pocket expenses
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