Back to Insights and Updates for ProvidersJuly 2024

ConnectorCare plans – in-network coverage reminder

Harvard Pilgrim Health Care Commercial  |  Tufts Health Direct

As you may know, as of Jan. 1, 2024, every insurance carrier that participates in the Massachusetts Health Connector marketplace also offers a health insurance plan through the ConnectorCare program. We’re pleased to share that Harvard Pilgrim Health Care has joined Tufts Health Plan as a ConnectorCare issuer for the 2024 plan year!

Please keep in mind that if you are contracted with Point32Health’s Harvard Pilgrim Health Care Commercial or Tufts Health Direct plans, you are an in-network provider for ConnectorCare members who have chosen coverage through either of these plans. You can identify Harvard Pilgrim members by their health insurance ID cards, which specify the ConnectorCare plan type (1,2,3), under “HMO” in the upper right corner. Please see the sample card image below for reference.

ConnectorCare members who have purchased health care coverage through Tufts Health Plan can be recognized by their Tufts Health Direct member ID cards, which include the ConnectorCare plan type (I, II, III), as seen on the following sample card image.

Confirmation of your patients’ ConnectorCare member coverage can be obtained through the HPHConnect and Tufts Health Plan secure provider portals or via the New England Healthcare EDI Network (NEHEN) if you are a member.

The increased number of ConnectorCare plan issuers, along with extended income eligibility limits for the program have expanded access to affordable health care coverage for thousands of Massachusetts residents. We’re proud of our role in helping to improve health outcomes across the state and look forward to our continued participation in this vital Massachusetts initiative.

Read on to learn more about the 2024 ConnectorCare Program.

Annmarie Dadoly,
Senior Manager, Provider Communications

Joseph O’Riordan, Susan Panos, Ellen Gustavson, Ryan Francis, Stephen Wong,

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Production Coordinator

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Graphic Designer