Understanding Your Harvard Pilgrim / Tufts [verification pending] Coverage
Harvard Pilgrim / Tufts [verification pending] was formed in 2023 through the merger of Harvard Pilgrim Health Care and Tufts Health Plan, creating one of the largest not-for-profit health insurers in New England. Serving members across Massachusetts, New Hampshire, Connecticut, and Maine, Harvard Pilgrim / Tufts [verification pending] provides a wide range of commercial, Medicare, and Medicaid health plans.
Whether you carry a Harvard Pilgrim plan or a Tufts Health Plan, your behavioral health benefits are now managed under the Harvard Pilgrim / Tufts [verification pending] umbrella. Most Harvard Pilgrim / Tufts [verification pending] plans include coverage for substance use disorder treatment and mental health services as required by the Affordable Care Act and state parity laws.
Harvard Pilgrim / Tufts [verification pending] offers HMO, PPO, POS, and high-deductible health plans throughout New England. Coverage levels for addiction treatment vary by plan type, which is why our admissions team verifies your specific benefits before treatment begins. We handle all verification and pre-authorization requirements so you can focus on recovery.
What Harvard Pilgrim / Tufts [verification pending] Typically Covers
Most Harvard Pilgrim / Tufts [verification pending] plans 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
Outpatient Program
Weekly individual therapy and check-ins
Medication-Assisted Treatment
Vivitrol, Sublocade, Brixadi, and medication management
Telehealth Services
Virtual therapy and hybrid programming
Group & Individual Therapy
CBT, DBT, ACT, trauma processing, and more
Coverage specifics depend on your individual plan, including your deductible, copay or coinsurance amounts, and any prior authorization requirements. Our team contacts Harvard Pilgrim / Tufts [verification pending] directly to verify your exact benefits before treatment begins.
Trailhead Is In-Network with Harvard Pilgrim / Tufts [verification pending]
What In-Network Means for You
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. This means we have contracted rates that result in significantly lower out-of-pocket costs for you compared to out-of-network facilities.
When you use an in-network provider like Trailhead, your insurance company covers a larger portion of the treatment cost. Depending on your specific plan, your out-of-pocket responsibility may be limited to your copay or coinsurance after meeting your deductible.
Many Harvard Pilgrim / Tufts [verification pending] members pay little to nothing out of pocket for addiction treatment at Trailhead. We will not begin treatment until you fully understand your financial responsibility.
- Lower copays and coinsurance compared to out-of-network providers
- No surprise balance billing — we accept Harvard Pilgrim / Tufts [verification pending]'s contracted rates
- Streamlined claims processing — we bill Harvard Pilgrim / Tufts [verification pending] directly
- Free, no-obligation insurance verification before you commit
- Dedicated billing team to handle any insurance questions
About Harvard Pilgrim / Tufts [verification pending] in New England
Harvard Pilgrim / Tufts [verification pending] is a leading not-for-profit health plan organization created by the 2023 merger of Harvard Pilgrim Health Care and Tufts Health Plan. Together, they serve over 2 million members across Massachusetts, New Hampshire, Connecticut, and Maine.
Plans We Accept
- Harvard Pilgrim Commercial Plans — PPO, HMO, and POS plans widely used by employers across New Hampshire and Massachusetts
- Tufts Health Plan — HMO and POS plans popular with individuals and families throughout New England
- Tufts Health Direct — Individual and family plans purchased through the Health Insurance Marketplace
- Tufts Health Together (MassHealth) — Managed Medicaid plans for eligible Massachusetts residents
- High-Deductible Health Plans (HDHP) — HSA-compatible plans that cover addiction treatment after deductible is met
Regional Coverage Across New England
Harvard Pilgrim / Tufts [verification pending] maintains one of the largest provider networks in New England, making it easy for members from Massachusetts, New Hampshire, Connecticut, and Maine to access quality addiction treatment. Trailhead's Salem, NH location is ideally situated near the MA-NH border, making it convenient for Harvard Pilgrim / Tufts [verification pending] members from throughout the region.
If your employer provides Harvard Pilgrim or Tufts Health Plan coverage, you likely have behavioral health benefits that cover the outpatient addiction treatment programs at Trailhead. Our admissions team can verify your specific coverage in minutes.
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 / Tufts [verification pending] coverage takes just a few minutes. Our admissions team handles everything — you do not need to call Harvard Pilgrim / Tufts [verification pending] yourself.
We Verify Your Benefits
Our team contacts Harvard Pilgrim / Tufts [verification pending] directly to confirm your coverage, deductible status, copay amounts, and any authorization requirements.
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.