Understanding Your Harvard Pilgrim / Tufts [verification pending] Coverage

Harvard Pilgrim / Tufts [verification pending] was formed from the merger of two of New England's most established health insurers: Harvard Pilgrim Health Care and Tufts Health Plan. Together, they serve over two million members across Massachusetts, New Hampshire, Connecticut, and Maine, making Harvard Pilgrim / Tufts [verification pending] one of the largest health plans in the region.

Whether you carry a Harvard Pilgrim or Tufts Health Plan card, your Harvard Pilgrim / Tufts [verification pending] coverage likely includes behavioral health benefits for substance use disorder treatment and mental health services. Under the Affordable Care Act, these services are classified as essential health benefits, meaning most plans are required to provide coverage for addiction treatment programs.

Trailhead Treatment Center accepts both Harvard Pilgrim and Tufts Health Plan insurance. Our admissions team will verify your specific plan to confirm exactly what is covered and what your out-of-pocket costs will be before treatment begins.

What Harvard Pilgrim / Tufts [verification pending] Typically Covers

Most Harvard Pilgrim and Tufts Health Plan policies provide coverage for the following addiction treatment services at Trailhead Treatment Center:

Partial Hospitalization

Full-day structured treatment, Mon-Fri, 9 AM - 3:30 PM

Intensive Outpatient

Flexible morning or evening sessions

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Outpatient Program

Weekly individual therapy and check-ins

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Medication-Assisted Treatment

Vivitrol, Sublocade, Brixadi, and medication management

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Telehealth Services

Virtual therapy and hybrid programming

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Group & Individual Therapy

CBT, DBT, ACT, trauma processing, and more

Coverage details vary between Harvard Pilgrim and Tufts plans, and depend on your specific policy tier, deductible, and coinsurance structure. Our team contacts Harvard Pilgrim / Tufts [verification pending] directly to verify your exact benefits.

Trailhead Is In-Network with Harvard Pilgrim / Tufts [verification pending]

Harvard Pilgrim & Tufts Plans Accepted

Trailhead Treatment Center is an in-network provider with Harvard Pilgrim / Tufts [verification pending], which means we accept both Harvard Pilgrim Health Care and Tufts Health Plan insurance. Our contracted rates with Harvard Pilgrim / Tufts [verification pending] result in significantly lower out-of-pocket costs for you compared to out-of-network providers.

As an in-network facility, your Harvard Pilgrim / Tufts [verification pending] plan covers a larger percentage of your treatment costs. Many members find that their out-of-pocket responsibility is limited to their copay or coinsurance after meeting their deductible.

We provide a complete cost breakdown before treatment begins so there are no surprises. Our billing team handles all claims directly with Harvard Pilgrim / Tufts [verification pending] on your behalf.

  • Both Harvard Pilgrim and Tufts Health Plan cards accepted
  • Lower copays and coinsurance as an in-network provider
  • No surprise balance billing — contracted rates apply
  • We bill Harvard Pilgrim / Tufts [verification pending] directly on your behalf
  • Free, confidential insurance verification before treatment

Programs Available with Harvard Pilgrim / Tufts [verification pending]

Your Harvard Pilgrim / Tufts [verification pending] coverage gives you access to Trailhead's full continuum of outpatient addiction treatment programs:

How to Verify Your Harvard Pilgrim / Tufts [verification pending] Coverage

Verifying your Harvard Pilgrim or Tufts Health Plan coverage takes just minutes. Our admissions team handles the entire process.

1

Call Us

Call (857) 312-1697 or fill out our online form. Have your Harvard Pilgrim or Tufts member ID ready.

2

We Verify Your Benefits

Our team contacts Harvard Pilgrim / Tufts [verification pending] directly to confirm your coverage, deductible status, copay amounts, and any authorization needs.

3

Start Treatment

Once verified, most clients begin treatment within 24-48 hours. We handle all billing and claims with Harvard Pilgrim / Tufts [verification pending] directly.

Harvard Pilgrim / Tufts [verification pending] Insurance FAQ

Yes. Harvard Pilgrim / Tufts [verification pending] plans — including both Harvard Pilgrim and Tufts Health Plan — cover substance use disorder treatment as an essential health benefit under the Affordable Care Act. This includes outpatient programs like PHP, IOP, and OP offered at Trailhead Treatment Center.
Yes. Trailhead Treatment Center is in-network with Harvard Pilgrim / Tufts [verification pending], which includes all Harvard Pilgrim Health Care plans. Whether you have an HMO, PPO, or other Harvard Pilgrim plan type, we can verify your specific benefits and begin treatment quickly.
Yes. As an in-network Harvard Pilgrim / Tufts [verification pending] provider, Trailhead accepts Tufts Health Plan insurance. This includes Tufts commercial plans, Tufts Health Together (MassHealth), and other Tufts plan types. Our team verifies the specifics of your individual policy.
Most Harvard Pilgrim / Tufts [verification pending] plans cover Intensive Outpatient programs for substance use and mental health treatment. IOP at Trailhead is available in morning and evening sessions. Some plans may require prior authorization, which our admissions team handles on your behalf.
Simply call us at (857) 312-1697 with your Harvard Pilgrim or Tufts member ID. Our admissions team contacts Harvard Pilgrim / Tufts [verification pending] directly to verify your benefits, including covered services, deductible status, and any copay or coinsurance amounts. The entire process typically takes less than 30 minutes.
By Trailhead Treatment Center Editorial Team · Last Updated February 2026