Employees are offered a choice of two medical insurance plans through Tufts Health Plan: an HMO Choice Copay20, an Advantage HMO 1000, and an Advantage PPO 500. The cost of this benefit is shared between the College and the employee.
Coverage becomes effective on the first of the month following or coincident with the date of hire. Employees may elect individual, employee plus one, or family coverage. The plan covers non-dependent children up to the age of 26.
Health Insurance Enrollment/Change Form (pdf) Find your insurance plan on the list below. Write the corresponding letter on the PRODUCT line next to the Member Section arrow (in blue) on the enrollment/change form.
In general, preventive and medically necessary health care services and supplies are covered when provided or authorized by your network primary care provider (PCP). This plan also covers emergency medical care you may need, even when the care is not provided or authorized by your PCP.
As an HMO member:
Please check the HMO Choice Copay 20 Summary of Benefits (pdf) for more information.
If you do not already have a PCP who participates in the Tufts Health Plan network, you may find a doctor here.
Like the above HMO Choice Copay 20, the Advantage HMO 1000 requires selection of a PCP for you and each covered family member. The PCP directs all of your care, including referrals to a specialist when necessary. The plan covers preventive/routine services in full, with no member cost sharing, similar to the HMO Choice Copay 20 and the in-network side of the Advantage PPO 500 plan. While the basic structure of the Advantage HMO 1000 mirrors the above HMO, there are a couple of important differences to consider:
Keep in mind that, while these differences may increase your out-of-pocket costs when you receive care under the Low Cost HMO plan, your premium contributions for this plan will be much lower than what you will pay for coverage under the HMO and PPO plans.
As a PPO member:
Please check the Advantage PPO 500 Summary of Benefits (pdf) for more information.
Tufts Health Plan will reimburse you up to $250 for your fitness club membership.
Complete the Member Reimbursement Fitness Club Form (pdf) and return it to Tufts Health Plan.
Do you refill prescriptions monthly? Members with Tufts Health Plan can order prescriptions by mail and refill online to save time and money. This pharmacy benefit is administered by Caremark. Complete the Mail Service Order Form(pdf) and return it to Caremark.
For reimbursement for covered out-of-pocket expenses such as a flu shot, please complete the Member Reimbursement Medical Claim Form (pdf).
To contact Tufts Health Plan member services center, call 800.462.0224 or go online to their website at tuftshealthplan.com.
Employees are offered dental insurance through Delta Dental. This is an employee-paid benefit. Coverage becomes effective on the first of the month following or coincident with the date of hire. Employees may elect individual, employee plus one, or family coverage. The plan covers dependent children up to the end of the month in which they turn 26.
The dental plan covers:
There is a $1,500 (per person) annual maximum for all coverages combined.
Delta Dental Enrollment Form Dental Insurance Enrollment/Change Form (pdf)
For more detailed information on coverage, please refer to the Dental Benefits Summary (pdf).
For reimbursement for an out of network claim, please complete the Dental Claim Form (pdf).
To contact the Delta Dental customer service center, call 800.872.0500 or go online to their website at www.deltadentalma.com.
Please note: You can pay for out-of-pocket costs associated with dental work using a Flexible Spending Account.
Employees are offered vision insurance through Davis Vision. This is an employee-paid benefit. Coverage becomes effective on the first of the month following or coincident with the date of hire. Employees may elect individual, employee plus one, or family coverage. The plan covers non-dependent children up to the age of 26.
The vision plan covers:
*(in lieu of lenses and frames)
Davis Vision Enrollment Form Vision Insurance Enrollment/Change Form (pdf)
For more detailed information on coverage, please refer to the Vision Benefits Summary (pdf) and Frequently Asked Questions (pdf). For a list of covered providers in the area, please refer to the Davis Vision Participating Providers.
For reimbursement for an out of network claim for Davis Vision, please complete the Out of Network Claim form.
To contact Davis Vision customer service, call 1.800.999.5431 or go online to their website at www.davisvision.com.
This website is intended as a general overview of Hampshire College benefits plans only. Every effort has been made to summarize these programs accurately. In all cases, the actual provisions of each benefit plan will govern if there is any inconsistency between this site and Hampshire's formal plans or contracts.