Point32Health, the combined Tufts Health Plan and Harvard Pilgrim Health Care organization, selected UnitedHealthcare as its national network provider effective January 1, 2024. UnitedHealthcare is already the national provider for Harvard Pilgrim Health Care members, so there are no changes for Harvard Pilgrim Health Care members as the result of this announcement. Until 2024, Tufts Health Plan members will continue to use the nationwide Cigna network.
Tufts Health Plan and HPHC members residing in New England access the plans’ networks of nearly 100K healthcare providers and all New England hospitals. For PPO members, the national carrier complements these networks outside of the service area. When visiting a doctor or hospital, the employee shows their edHEALTH health carrier ID card, which gives the provider the information they need for billing the plan administrator.