Understanding Your Harvard Pilgrim / Tufts [verification pending] Coverage
Harvard Pilgrim / Tufts [verification pending] is one of New England's largest health insurance organizations, formed from the 2023 merger of Harvard Pilgrim Health Care and Tufts Health Plan. Together, these two trusted names serve millions of members across Massachusetts, New Hampshire, Connecticut, and Maine with comprehensive health coverage.
If you carry a Harvard Pilgrim or Tufts Health Plan card, your coverage is now administered under the Harvard Pilgrim / Tufts [verification pending] umbrella. Both legacy plan types continue to be accepted at Trailhead Treatment Center for substance use disorder and mental health treatment services.
Harvard Pilgrim / Tufts [verification pending] plans include robust behavioral health benefits that cover a range of addiction treatment services, from intensive outpatient programs to medication-assisted treatment. As a major regional insurer, Harvard Pilgrim / Tufts [verification pending] is committed to expanding access to mental health and substance abuse care across New England.
What Harvard Pilgrim / Tufts [verification pending] Typically Covers
Harvard Pilgrim / Tufts [verification pending] plans — whether branded as Harvard Pilgrim or Tufts Health Plan — provide coverage for substance use disorder treatment as required under the Affordable Care Act and the Mental Health Parity and Addiction Equity Act. Here is what is typically covered at Trailhead Treatment Center:
- Partial Hospitalization Program (PHP) — Intensive structured daytime treatment with 5-6 hours of daily programming, combining individual therapy, group work, and evidence-based interventions
- Intensive Outpatient Program (IOP) — Flexible 3-4 hour sessions, 3-5 days per week, designed for those transitioning from higher levels of care or needing structured support while maintaining daily responsibilities
- Outpatient Program (OP) — Individual and group therapy sessions focused on ongoing recovery maintenance and relapse prevention strategies
- Medication-Assisted Treatment (MAT) — Clinically supervised use of FDA-approved medications (Vivitrol, Sublocade, Brixadi) alongside behavioral therapy for opioid and alcohol addiction
- Telehealth Services — Remote therapy and counseling sessions via secure video platform, covered by most Harvard Pilgrim / Tufts [verification pending] plans
- Dual Diagnosis Treatment — Integrated care addressing co-occurring substance use and mental health disorders such as depression, anxiety, PTSD, and more
Both Harvard Pilgrim and Tufts Health Plan members can access addiction treatment at Trailhead. Your specific benefits, copays, and deductible requirements depend on your individual plan. Our team verifies all details before treatment begins.
In-Network Provider with Harvard Pilgrim / Tufts [verification pending]
Trailhead Treatment Center is an in-network provider with Harvard Pilgrim / Tufts [verification pending], including both Harvard Pilgrim Health Care and Tufts Health Plan networks. Being in-network means you benefit from pre-negotiated rates that result in significantly lower out-of-pocket costs for your addiction treatment.
When you choose an in-network provider like Trailhead, your copays, coinsurance, and deductible contributions are lower than they would be at an out-of-network facility. Additionally, all costs at Trailhead count toward your in-network deductible and annual out-of-pocket maximum, helping you reach coverage milestones faster.
Our admissions coordinators work directly with Harvard Pilgrim / Tufts [verification pending] to verify your benefits and obtain any required pre-authorizations. We handle the insurance paperwork so you can concentrate entirely on beginning your recovery journey.
Treatment Programs Available
Trailhead Treatment Center offers a full continuum of outpatient care that can be covered by your Harvard Pilgrim / Tufts [verification pending] plan. Our clinical team assesses your needs and recommends the appropriate level of care.
Partial Hospitalization Program
Our highest level of outpatient care with 5-6 hours of daily structured programming, ideal for those needing intensive support without residential treatment.
Learn More →Intensive Outpatient Program
Flexible 3-4 hour sessions allowing you to receive treatment while maintaining work, school, or family commitments.
Learn More →Outpatient Program
Ongoing individual and group therapy for sustained recovery support, relapse prevention, and life skills development.
Learn More →Medication-Assisted Treatment
Comprehensive MAT program combining FDA-approved medications with counseling for opioid and alcohol dependence.
Learn More →Telehealth Services
Secure virtual therapy sessions for convenient access to professional treatment from your home or office.
Learn More →Alumni Program
Lifelong community support and resources for program graduates committed to maintaining their recovery.
Learn More →How to Verify Your Harvard Pilgrim / Tufts [verification pending] Coverage
Whether you have a Harvard Pilgrim or Tufts Health Plan card, verifying your coverage for addiction treatment at Trailhead is fast and completely confidential.
Call Our Admissions Team
Contact us at (857) 312-1697. Have your insurance card ready — whether it says Harvard Pilgrim, Tufts Health Plan, or Harvard Pilgrim / Tufts [verification pending], we accept them all.
We Verify Your Benefits
Our team contacts Harvard Pilgrim / Tufts [verification pending] directly to confirm your behavioral health benefits, including your deductible, copay or coinsurance rates, and any prior authorization requirements. We present a clear breakdown of your expected costs.
Start Treatment in 24-48 Hours
Once your insurance is verified and any authorizations are secured, we schedule your intake assessment and begin your personalized treatment plan — typically within 24 to 48 hours.