Tufts Health Plan and Harvard Pilgrim Health Care Combination

You are a member of Tufts Health Plan which is currently listed on your member ID card. If you have questions about your current plan, you should continue to call the numbers listed on your ID card.

Please continue to use your existing member ID card and ID number.

No changes to your plan and benefits are planned in the near-term due to Harvard Pilgrim and Tufts Health Plan coming together as one organization. As always, if anything changes, you will receive advance notice to help you understand the changes and how you may be affected. If you have specific questions, you should call the Member Services number printed on your ID card.

You will continue to receive mail from Tufts Health Plan.

You should continue to log in to the Tufts Health Plan website you use today. Your account information remains the same.

There are no current changes to your benefits related to Harvard Pilgrim and Tufts Health Plan coming together as one organization.

There are no current changes to your copayments and deductibles due to the combination.

There are no current changes to your pharmacy benefits or pharmacy network due to the combination.    

There are no current changes to the prescription drug formulary you are using now due to the combination.  You can continue to access the formulary for the plan you’re currently enrolled in through Tufts Health Plan.

There are no current changes to your HSA or FSA due to the combination.

You can continue to enjoy all programs and services that come with your plan today, which includes our health and wellness offerings, and reimbursement and discount programs.

You can continue seeing your current PCP. If your PCP leaves our provider network for reasons not related to the combination, you will, of course, need to find a new PCP.  We would notify you of those changes and help you find a new PCP. The same is true for specialists. Our network of specialists is not changing at this time as a result of the combination.

Yes. Just as we are committed to providing clear and frequent communication to our members, we are also communicating with the providers in our network.

Yes, your provider network will remain the same throughout 2021. You should continue to access your Tufts Health Plan providers, based on your current health plan.

Currently nothing changes within your service area. You should continue to access your Tufts Health Plan providers, based on your current health plan.

Currently nothing changes with authorizations or referrals.

You can feel confident that your care will not be affected. Your insurance coverage will not change, and you can continue to see all the same providers who are involved in your care as long as they remain part of the network.

Yes. For the time being, nothing will change with your care manager or health coach. It’s possible, however, that your care manager could change sometime in the future. If that happens, we are committed to giving you advance notice and will answer all your questions.

Yes, you can continue seeing your current therapist. If he or she leaves our provider network for reasons not related to combination, you would need to find a new therapist. If this happens, we would notify you of the change and help you find a new therapist.

You should continue to send your forms to your current health plan. The appropriate addresses are listed on the forms. To find a form, go to tuftshealthplan.com.