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About Tufts Health Plan

Welcome to the Tufts Health Plan member mobile app for Commercial and Senior Plan members. The app doesn’t currently support members with Tufts Health Direct, Tufts Health Unify or Tufts Health Together plans, but it will in the future and members will be notified.
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.

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Frequently Asked Questions(FAQ)

Which members does the Tufts Health Plan app support?

The app currently supports Commercial and Senior Plan members.

Does the app support members with Tufts Health Direct, Tufts Health Unify or Tufts Health Together plans?

No, the app does not currently support members with those plans, but it will in the future and members will be notified.

What functions can be performed using the app?

The app allows members to view claims, plan limits and accumulations, cost and benefits, referrals, ID card, provider search, and treatment cost estimates.

How can I view my claims and cost-share information?

You can view your claims summary information, individual claim detail, and your cost-share information, if applicable, using the app.

Can I view my plan's specific benefit plan limits?

Yes, you can view your plan's specific benefit plan limits such as deductibles, out-of-pocket maximums, and visit limits using the app.

Can I view my plan's specific benefits and detailed benefit types?

Yes, you can view your plan's specific benefits and detailed benefit types such as routine medical services, pharmacy, and durable medical equipment using the app.

How can I view my referrals?

If your plan requires referrals, you can view them along with any limits using the app.

Can I view and manage my ID card using the app?

Yes, you can view, email, or fax your ID card using the app.

How can I find network providers that participate with my plan?

You can quickly find network providers that participate with your plan using the app's provider search feature.

Can I get out-of-pocket cost estimates for procedures?

Yes, using the app's Treatment Cost Estimator, you can get out-of-pocket cost estimates for procedures based on your health benefits and claims.
author
Works great and easy to use. Also it has you payment receipts you have made, etc. For those who have this Health Insurance Plan, I do recommend this app 100% 😉
Goku X20
author
excellent
Mir Shuttari
author
Very user friendly
Teresa Triggs
author
I'm very pleased with the results of the app
Ruben Lopez