Using insurance while waiting for your new member ID card

How do I access health or dental services before I receive my member ID card?

Important information for new members

Once you make your first payment, it will take about five business days before your insurance carrier will be able to confirm your enrollment. Once your enrollment is confirmed, you will receive a Welcome Letter from the Health Connector.

Most insurers will send your ID card within about 2 weeks after the Health Connector receives your full payment. However, your health insurance will still cover you going back to the 1st day of the month your insurance starts. See information about each insurer below for more information.

Due to the time it takes to process payments, if you made your first premium payment for health or dental insurance on the 23rd day of the month or later, your enrollment will not show up in your health insurance carrier’s member services system right away when you call their customer service number.

If you need pharmacy, health, or dental services before your member ID card has arrived, please find your insurance company below to see what you can do to fill prescriptions or receive health or dental services.

Altus Dental logo
Member Services: 877-223-0588
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Altus Dental

Member ID cards are mailed within 10–14 business days after membership information is received by Altus Dental from the Health Connector.

For dental services, members can call Altus Dental’s Customer Service at 1-877-223-0588 to verify their coverage. If covered, representatives can give members their ID number.

Blue Cross Blue Shield of Massachusetts logo
Member Services: 800-262-2583
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Blue Cross Blue Shield of Massachusetts (BCBSMA)

BCBSMA member ID cards are started on the day the member information received from the Health Connector has been added to our system. There could be a delay of one to two days from when member information is received from the Health Connector and when BCBSMA processes it depending on the processing schedule.Most members can expect to receive their member ID cards within 7–10 business days (but this could be slightly longer for January 1, 2015 due to the holiday period and high volume of new members).

If a member does not have an ID card or member ID #, then they may have to pay for prescriptions out-of-pocket and can then submit a reimbursement request to BCBSMA.Please note that some pharmacies may dispense part of a prescription for a member while they are waiting for their ID card, but that would need to be arranged between the member and pharmacy.

If a member does not have an ID card or ID #, then they may have to pay for services out-of-pocket and can then submit a reimbursement request to BCBSMA.Please note that most, if not all, physicians will not bill in advance, but that would need to be arranged between the member and the provider.

BMC Healtnet Plan logo
Member Services: 855-833-8120
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Boston Medical Center HealthNet Plan (BMCHP)

Member ID cards are mailed within 9–11 business days after membership information is received by BMCHP from the Health Connector.

Once member information is successfully received from the Health Connector, BMCHP then provides that information to their Pharmacy Benefits Manager (PBM).  The member’s  pharmacy can contact the PBM’s customer care center to ask for the member’s ID information to fill a prescription.Members can also contact BMCHP’s member services department at 1-855-833-8120 (TTY: 711) to request their ID cards, or to request their BIN/PCN/Group Number so that the pharmacy can fill a prescription.

Once member information is successfully received from the Health Connector, new members can call BMCHP’s  Member Services Department at 1-855-833-8120 (TTY: 711) to request their member ID number, which they can provide to their physician.  Also, providers are able to use BMCHP’s  provider portal and Interactive Voice Response (IVR) phone system using the member’s name and date of birth to verify eligibility.

Delta Dental logo
Member Services: 800-872-0500
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Delta Dental

Member ID cards are mailed within 10 business days after membership information is received by Delta Dental from the Health Connector.

Members can contact Delta Dental customer service at 1-800-872-0500 for assistance.

Fallon Health logo
Member Services: 800-868-5200
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Fallon Health

Member ID Cards are mailed within 5 business days from date membership information is received by Fallon Health from the Health Connector.

Members can contact Fallon Health’s Customer Service at 1-800-868-5200, who will assist by providing the members with their ID number as well as enter the member in the Fallon Health pharmacy system if their information is not already entered.Member ID cards are also available through Fallon Health’s member web portal and mobile application after about 2 business days after membership information is received from the Health Connector.

Members can contact Fallon Health’s Customer Service at 1-800-868-5200 who will assist by providing members with their ID number as well as enter the member in the Fallon Health pharmacy system, if information is not already entered.Member ID cards are also available through Fallon Health’s member web portal and mobile application after about 2 business days after membership information is received from the Health Connector.

Harvard Pilgrim Health Care logo
Member Services: 888-888-4742
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Harvard Pilgrim Health Care

Member ID cards are mailed within 7–10 business days after membership information is received by Harvard Pilgrim from the Health Connector.

Harvard Pilgrim members can submit claims to be reimbursed for covered services. For prescriptions, members can pay the pharmacy directly, then have two options:

  1. Members can submit a Prescription Drug Reimbursement Claim Form to Harvard Pilgrim, along with the required documentation listed on the form.Or
  2. If a member receives their Harvard Pilgrim member ID card within 30 days of paying for their prescription, they  typically may request reimbursement directly from the pharmacy. (Some pharmacies may have a 10-day limit, so members must be sure to ask about their pharmacy’s policy when filling a  prescription.)

To access Harvard Pilgrim claim forms, go to www.harvardpilgrim.org/membersand click the Member Forms link on the left side of the page. Login is not required.

Harvard Pilgrim members can submit claims to be reimbursed for covered services. For medical services, members must pay their provider, then submit a Medical Claim Form to Harvard Pilgrim, along with the required receipt or documentation listed on the form. For behavioral health services, members must pay the provider, then submit a Behavioral Health Claim Form to Harvard Pilgrim, along with the required documentation listed on the form. To access Harvard Pilgrim claim forms, go to www.harvardpilgrim.org/members and click the Member Forms link on the left side of the page. Login is not required.

Health New England logo
Member Services: 800-310-2835
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Health New England (HNE)

Including the day membership information is received by from the Health Connector, HNE mails ID cards on the 4th or 5th business day after receiving the information.

Members can either call HNE and get their ID number and necessary pharmacy information needed to fill a prescription, or they could print a temporary ID card from my.hnedirect.org, use the HNE mobile app for an ID card, or pay out of pocket and then be reimbursed once they receive their cards.

Members could either call HNE customer service and get their member ID number and necessary information in order to receive health services, or they could print a temporary ID card from my.hnedirect.org, use the HNE mobile app for an ID card, or pay out of pocket and then be reimbursed once they receive their cards.

Neighborhood Health Plan logo
Member Services: 866-414-5533
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Neighborhood Health Plan (NHP)

Note that Neighborhood Health Plan will become AllWays Health Partners starting January 1, 2019.

Members should expect to receive their ID card within 7–10 calendar days after their payment is processed and information has been received by NHP from the Health Connector.Once enrolled by NHP, members can access their ID #, or print a temporary ID card at any time before they receive their permanent member ID card.

Go to the NHP website member site to register to login to their member account and get their temporary ID card at www.nhp.org/member/Pages/home.aspx. The temporary card includes all information needed to fill a prescription. If member is at the pharmacy with no card, pharmacy can call NHP Customer Service at 1-866-414-5533 (TTY: 711) for assistance.

Go to the NHP website member website to register to login to their member account and get their temporary ID card at www.nhp.org/member/Pages/home.aspx. The temporary card includes all information needed to see a provider for health services.If members have questions about benefits, that information is also available on the NHP member website or through NHP Customer Service at 1-866-414-5533 (TTY: 711).

Tufts Health Plan logo
Member Services: 888-257-1985
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Tufts Health Plan

Member ID cards are mailed within 5 business days after membership information is received by Tufts from the Health Connector.

If members needs pharmacy services and have not received an ID card, but are in the Tufts member system, they will be able to get pharmacy services one of two ways:

  1. Providers or members can call Tufts customer service for eligibility and pharmacy benefit information.
    Or
  2. A Tufts customer service representative would also be able to fax a copy of and/or email a PDF version of the ID card to the member or pharmacy as soon as it is available (if needed before the card is mailed).

If members needs health services and have not received an ID card, but are in the Tufts member system, they will be able to get health services one of two ways:

  1. Providers or members can call Tufts customer service for eligibility and medical benefit information.
    Or
  2. A Tufts customer service representative would also be able to fax a copy of and/or email a PDF version of the ID card to the member or provider as soon as it is available (if needed before the card is mailed).
Tufts Health Plan logo
Member Services: 877-856-2429
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UnitedHealthcare

Offering plans that start January 1, 2019. Information coming soon.