Harvard Pilgrim vs Tufts Health Plan Utilisation & Stats

Welcome to the Tufts Health Plan member mobile app for Commercial and Senior Plan members. Once you complete the initial registration on your phone, this app will allow you to perform the following functions: 1. View Claims: including claims summary information, individual claim detail and your cost-share, if applicable. 2. View Plan Limits and Accumulations: including your plan’s specific benefit plan limits, such as deductibles, out-of-pocket maximums and visit limits. 3. View Cost and Benefits: including your plan’s specific benefits and detailed benefit types, such as routine medical services (e.g. immunizations or primary care), pharmacy or DME (durable medical equipment). 4. View Referrals: if your plan requires referrals, you can view them along with any limits. 5. ID Card: View, email or fax your ID card. 6. Provider Search: Quickly find network providers that participate with your plan 7. Treatment Cost Estimator: Get out-of-pocket cost estimates for procedures based on your health benefits and claims. We designed and developed the app using input and feedback directly from our members. If you have suggestions for additional functions, we’d love to hear them! Call Member Services at the phone number listed on your Member ID Card.