Eligibility
You may be able to purchase Tufts Health Direct, our individual and small-group plan, if you:
- Are you a Massachusetts resident
- Are not eligible for an employer’s health insurance benefits
- Were not terminated from prior health coverage due to fraud or nonpayment of your premium
- Are shopping during the open enrollment period.
OR, if shopping outside of open enrollment, one or more of the following qualifying events apply. Within the last 60 days, or within the next 60 days, you:
- Moved or will move to Massachusetts
- Moved or will move within Massachusetts and left or will leave the service area of your health plan
- Became or will become ineligible for your employer’s health insurance benefits
- Became or will become ineligible for coverage offered by your school
- Used up or declined to participate in a former employer’s COBRA or mini-COBRA benefits
- Lost or will lose coverage due to a divorce, legal separation, or end of a domestic partnership
- Lost or will lose eligibility as a dependent on a parent or guardian’s plan
- Lost coverage due to the death of a subscriber
- Lost or will lose government-subsidized coverage
- Lost or will lose coverage because your insurer will not renew your plan
- Received a waiver from the Department of Public Health’s Office of Patient Protection
Think you may be eligible? Shop and enroll today.
Questions?
Call us at 877-322-2443. We’ll be happy to help.