2024 Harvard pilgrim explorer pos

POS Plan network Out-of-network coverage is usually more expensive than in-network coverage. Non-participating providers may bill you for the differences between their charges and the amount the plan pays for covered services. Harvard Pilgrim Health Care includes Harvard Pilgrim Health Care, Harvard Pilgrim Health Care of New England and HPHC. Grace curly

For benefits effective July 1,2023 - June 30,2024. Harvard Pilgrim. Harvard Pilgrim - Access America (PPO): 164580 Harvard Pilgrim - Explorer Plan (POS): 43598 Harvard Pilgrim - Quality Plan (HMO): 020285 Harvard Pilgrim - Medicare Enhance (Supplement): 074645 Health New EnglandPrior authorization needed. Under most Harvard Pilgrim plans, prior authorization is required for the following. For members enrolled in Harvard Pilgrim’s HMO products, prior authorization is required for any elective referral to a non-contracted provider. See the criteria used to review prior authorization requests. Back pain management. Harvard Pilgrim Explorer POS is a Point of Service (POS) plan that covers preventive and medically necessary health care services and supplies that you need to help stay healthy and to help you get healthy when you’re sick. How this plan works: How this plan works •ull network — any provider on Harvard Pilgrim is part of the Harvard ... more than Harvard Pilgrim’s allowed amount for the care you received. In that case, you would be responsible for paying the difference between the provider’s charges and Harvard Pilgrim’s allowed amount; this is sometimes called “balance billing.” The balance you pay would not count toward your out-of-pocket maximum.Harvard Pilgrim Quality HMO and Explorer POS Products Tiering Structure Below are the key foundational concepts of Harvard Pilgrim’s 2024-2025 tiering methodology for our Quality HMO and Explorer POS GIC products, which are based largely around cost and quality information: • Hospitals were categorized as Academic, Teaching orOne in particular (Mass, Eye, & Ear) just stopped accepting it. I was going to go up a level to Harvard Pilgrim Explorer (formerly Tufts Navigator) and pay about $50 more per month for my son and I (family plan), but the Mass General Brigham plan is on the same level.ID:MD0000005613_ X ScheduleofBenefits HarvardPilgrimHealthCare,Inc. The Harvard Pilgrim Independence Plan℠POS MASSACHUSETTS PleaseNote:This Plan includes an In-Network tiered provider network.In 2024, Harvard Pilgrim Stride SM (HMO)/(HMO-POS) Medicare Advantage plans are available in 10 of 12 counties in New Hampshire. Depending on the county in which they reside, Medicare beneficiaries can choose from the following Harvard Pilgrim plan options in New Hampshire (Note that Value Rx Plus is the only plan we offer in Strafford County):Harvard Pilgrim Explorer POS $1,067.87 $2,645.90 Mass General Brigham Health Plan Complete HMO $977.66 $2,585.42 Harvard Pilgrim Quality HMO Limited $788.04 $2,005.81 Wellpoint Community Choice PPO-TYPE $744.97 $1,849.09 Health New England HMO Regional $778.25 $1,866.96Prescription drug plans. Harvard Pilgrim works with Optum Rx to manage our pharmacy benefits. The type of drug plan you have (either Premium, Value or Core NH) will be shown on your ID card. The dollar or percentage amounts next to “Rx” on your card will tell you how many tiers your plan has. If your card does not show a specific drug plan ...3 of 8 Harvard University Medical Plan: Harvard Pilgrim Health Care (HPHC) POS Coverage Period: 01/01/2016-12/31/2016 Summary of Benefits and Coverage: What this Plan Covers & What it Costs Coverage for: Individual and Family | Plan Type: POS Questions: Call 1-888-333-4742 or visit us at www.harvardpilgrim.org. If you aren’t …Harvard Pilgrim Explorer POS. Learn about Harvard Pilgrim Health Care - Explorer POS. Member handbook; Summary of Benefits & Coverage; Find a provider; Transparency In Coverage Files; Harvard Pilgrim Quality HMO. Learn about Harvard Pilgrim Health Care - Quality HMO. Member handbook; Summary of Benefits & Coverage; Find a provider; Transparency ...Harvard Pilgrim Health Care, one of the GIC’s health plan partners, was the target of a recent cybersecurity attack. Please be assured that the GIC has taken all the necessary steps within our control to ensure that member data is not compromised. ... Harvard Pilgrim Explorer POS (effective July 2023) – found at the bottom of the list ...UnitedHealthcare providers are considered in-network on the Explorer POS plan and services will still be covered at the in-network level of benefits. We recognize that providers may not be familiar with this change; if they have any questions they can speak with a representative in our Provider Services Call Center at 800-708-4414,“Harvard Pilgrim Explorer” or “Harvard Pilgrim Quality,” not just “Harvard Pilgrim Health Care.” Your health insurance plan is the best source for this information. 6. You may only enroll in or change your health plan election during GIC’s annual enrollment or within 60 days of a qualifying status change event. For a complete list ofHarvard Pilgrim Stride SM Medicare Advantage Provider Manual. Referral Policy and Procedures. Authorization and Notification Procedures. Behavioral Health Care Prior Authorization & Notification. Molecular Diagnostic Testing Prior …Harvard Pilgrim Health CareStride℠ (HMO)/(HMO-POS) 2024 Formulary (List of Covered Drugs) PLEASE READ: This document contains information about the drugs we cover in this plan 24526 Version 11 This formulary was updated on 05/01/2024. For more recent information or other questions, please 800-637-4751, then option 1. Email the Broker Employer Service Team. Small Group Implementation and Quoting. For small group installs, quoting and renewal. Mon. – Fri. 8:30 a.m. - 5 p.m. 800-637-4751, then option 2. New Business Sales Inquiries. For large groups (50+) Contact your Sales Executive or call 800-637-4751, then option 3. Explorer Premier. Explorer Premier. Explorer ... POS with MagnaCare/First Health (NY). PPO with MagnaCare/First ... Harvard Pilgrim. Hide Plans Show Plans. Access ...Harvard University Medical Plan: Harvard Pilgrim Health Care (HPHC) POS Coverage Period: 01/01/2017-12/31/2017 Summary of Benefits and Coverage: What this Plan …Log in to Harvard Pilgrim. Username. Password. Log in. Create a secure account to see your personal health information. Forgot password or username? Need help with your …Harvard Pilgrim Health Care - Explorer POS All of Massachusetts AllWays Health Partners - Complete HMO Mass General Brigham Health Plan - Complete HMO Most of Massachusetts (See Locator Insurance Map on page 6) Harvard Pilgrim Health Care - Primary Choice Harvard Pilgrim Health Care -• Harvard Pilgrim Health Care Explorer POS (requires PCP) • Mass General Brigham Health Plan Complete HMO (requires PCP, limited to MA residents) III.Active Medical Plan Changes FY24 Active Plan Names Plans available based on subscriber residence National (outside of New England) Harvard Pilgrim Health Care Access America Limited Network ...Provider tiering. Welcome, GIC employees. Harvard Pilgrim placed its participating physicians and hospitals into one of two tiers for the Primary Choice plan and one of three tiers for the Independence Plan, based on cost and quality performance. Using national quality benchmarks, as well as plan medical expense information, we placed ...The Harvard Pilgrim Independence Plan℠POS MASSACHUSETTS PleaseNote:This Plan includes an In-Network tiered provider network. In this plan, Members pay different levels of Member Cost Sharing depending on the tier of the Provider delivering a Covered Benefit.ID:MD0000005002_ X ScheduleofBenefits HarvardPilgrimHealthCare,Inc. The Harvard Pilgrim Independence Plan℠POS MASSACHUSETTS PleaseNote:This Plan includes an In-Network tiered provider network.In this plan, Members pay different levels of Member Cost Sharing depending on the tier of the Provider delivering aA provider’s benefit tier may change annually on January 1. To determine a provider’s tier in a specific plan’s network, please search the Harvard Pilgrim provider directory by plan name. You also may call ( 888) 333-4742 to request a paper copy of the provider directory at no charge. 4 Applies to Best Buy HMO plans only.Welcome to the plan comparison page! To get started, please select the state and group segment you wish to display plans for. Then, select which comparison view you’d like. “Compare Current” allows you to compare your client’s current plan to new plans. “Compare New” allows for comparison of new plans across the portfolio. HSA. Non ... POS Open Access HSA plan Routine and preventive care* There’s no extra charge for routine annual exams with your PCP and many preventive tests and services. Other tests and services your PCP orders may require cost sharing. Specialty care You can see specialists inside or outside of Harvard Pilgrim’s network for covered services. BenefitHandbook,lookupbenefits,Copayments,claimshistory,andDeductiblestatus, andviewPriorApprovalandreferralactivities.YoucanalsolearnhowyourPlancoversdefault in the Harvard Pilgrim Explorer POS plan. There is no action you need to take unless you select a different plan during Annual Enrollment. • You and your covered family members will receive new member ID cards in the mail for your 2023-2024 health plan. • Like Tufts Health Plan Navigator, Harvard Pilgrim Explorer POS is a …This sample card shows a Value 5-Tier prescription drug coverage plan. Select a plan below to look up drugs, get prices, find in-network pharmacies and more. * Not all employer-sponsored plans offer Harvard Pilgrim prescription drug benefits. Please contact Member Services or your Human Resources department to find out more about your coverage.Harvard Pilgrim Explorer POS is a Point of Service (POS) plan that covers preventive and medically necessary health care services and supplies that you need to help stay healthy and to help you get healthy when you’re sick. How this plan works: How this plan works •ull network — any provider on Harvard Pilgrim is part of the Harvard ...The voyage of the Mayflower in 1620 is one of the most iconic moments in American history. Carrying a group of English Separatists, known as the Pilgrims, this ship set sail from P...GoDaddy have announced they are launching a new Point of Sale (POS) hardware that will let sellers sell anything from anywhere. GoDaddy have announced they are launching a new Poin...Code Exxxx: MSRP = $150.00. Harvard Pilgrim rental period (as indicated on the Harvard Pilgrim fee schedule) = 15 months. $150.00/15 = $10.00 per month RR 1 unit. When billing for DME monthly rentals (Terms as outlined on …Adult medicine. Adolescent medicine. Geriatric medicine. Pediatrics. Family practice. Check that your PCP is in your plan's network and listed in your member profile before making an appointment. You can change your PCP through your member account or by calling Member Services at 888-333-4742 (TTY: 711 ).In academic writing, proper referencing is crucial for establishing credibility and giving credit to the original authors. One popular referencing style that is widely used in vari...Harvard Pilgrim Explorer POS is a Point of Service (POS) plan that covers preventive and medically necessary health care services and supplies that you need to help stay healthy and to help you get healthy when you’re sick. How this plan works: How this plan works •ull network — any provider on Harvard Pilgrim is part of the Harvard ...Harvard University Medical Plan: Harvard Pilgrim Health Care (HPHC) POS Coverage Period: 01/01/2017-12/31/2017 Summary of Benefits and Coverage: What this Plan Covers & What it Costs Coverage for: Individual and Family | Plan Type: POS Questions: Call 1-888-333-4742 or visit us at www.harvardpilgrim.org.PPO/POS Video Short. Providers outside our service area can see any Harvard Pilgrim Health Care PPO/POS member for covered services. This quick video gives an overview …POS) and StrideSM Value Rx Plus (HMO) for January 1, 2022 - December 31, 2022. Harvard Pilgrim is an HMO/HMO-POS plan with a Medicare contract. Enrollment in StrideSM (HMO) depends on contract renewal. The benefit information provided is a summary of what we cover and what you pay. It does not list every service that we cover …Harvard University Medical Plan: Harvard Pilgrim Health Care (HPHC) POS Coverage Period: 01/01/2017-12/31/2017 Summary of Benefits and Coverage: What this Plan …The Atrius Health Preferred HMO plan has a limited network and the Atrius Health Choice POS plan has the full Harvard Pilgrim network. Unique to the Atrius Health medical plans is the Atrius Health Ecosystem, which represents a family of providers and facilities who provide high quality, affordable care, particularly at Atrius Health.Harvard Pilgrim Health Care — Fast Facts for Hospital Administration Effective 07/01/2022–06/30/2023 Harvard Pilgrim used a standard inpatient and outpatient benchmark upon which to compare the cost of all in-network facilities. The reimbursement rates for each facility’s specific inpatient and outpatient claims for 2016 dates of ser-The Atrius Health Preferred HMO plan has a limited network and the Atrius Health Choice POS plan has the full Harvard Pilgrim network. Unique to the Atrius Health medical plans is the Atrius Health Ecosystem, which represents a family of providers and facilities who provide high quality, affordable care, particularly at Atrius Health.Get to know the resources available to you and your family. Access high-quality care, support and services along your entire wellness journey. View new member resources. Harvard Pilgrim is a leading not-for-profit health services company serving members in Connecticut, Maine, Massachusetts, New Hampshire & beyond. Call us today!Log in to Harvard Pilgrim. Username. Password. Log in. Create a secure account to see your personal health information. Forgot password or username? Need help with your …Harvard Pilgrim will assign one to you. For in-network coverage, your PCP must provide or arrange for your care (except in emergencies). You must get a referral from your PCP for most kinds of specialty care. The HMFP & APHMFP myClassic POS Plan is a flexible option for your health care needs. My family and I already have PCPs that we like. Harvard Pilgrim will assign one to you. For in-network coverage, your PCP must provide or arrange for your care (except in emergencies). You must get a referral from your PCP for most kinds of specialty care. The HMFP & APHMFP myClassic POS Plan is a flexible option for your health care needs. My family and I already have PCPs that we like. One in particular (Mass, Eye, & Ear) just stopped accepting it. I was going to go up a level to Harvard Pilgrim Explorer (formerly Tufts Navigator) and pay about $50 more per month for my son and I (family plan), but the Mass General Brigham plan is on the same level.State employee with Harvard Pilgrim Explorer Family State retiree with Wellpoint Medicare Extension coverage: Full-Cost premium on July 1, 2024 (Monthly): 12-month benefit = $2,637.99. 25% of this premium. Individual coverage: Full-Cost premium on July 1, 2024 (Monthly): 12-month benefit = $443.35.This is a resource tool for standard HMO, POS, and PPO products; please keep in mind that products may vary by employer group and state. No guarantee of payment is implied. Use this guide as a quick reference tool, only, as it is not comprehensive. For questions, call the Provider Service Center at 800-708-4414. KEY R= Referral.POS Plan network Out-of-network coverage is usually more expensive than in-network coverage. Non-participating providers may bill you for the differences between their charges and the amount the plan pays for covered services. Harvard Pilgrim Health Care includes Harvard Pilgrim Health Care, Harvard Pilgrim Health Care of New England and HPHCLourdes, a small town nestled in the southwestern region of France, is widely known for its grotto, which holds great religious significance. Every year, millions of pilgrims from ...Harvard Pilgrim Access America . Q. What health plan is available for those living outside of the U.S.? UniCare Total Choice is the only health insurance plan offered by the GIC that is available for members living outside of the U.S. Q. Do all plans cover emergency services when you are traveling outside of the U.S.?Register for the Stride℠ (HMO) member portal to get the most out of your plan. Check out ways to save while supplementing your benefits with things like discounts on eyewear, health and wellness programs, and more. Links on this page may take you away from the Harvard Pilgrim Health Care website. H6750_22139 Last Update: …Explore our electronic services and learn about our secure portal capabilities for: ... Providers outside our service area can see any Harvard Pilgrim Health Care PPO/POS member for covered services. This quick video gives an overview for providers who are in our Harvard Pilgrim’s national network through UnitedHealthcare or out-of-network ...Harvard Pilgrim Explorer POS. Harvard Pilgrim Quality HMO. Health New England. UniCare Community Choice. Mass General Brigham Health Plan. Active Employee / Non ...Explore information on health conditions, wellness, prevention, life stages and more. Behavioral health; Choosing a PCP; Chronic pain management; ... Point32Health is the parent organization of Harvard Pilgrim Health Care and Tufts Health Plan. Together, we're delivering ever-better health care experiences to everyone in our diverse communities.Harvard Pilgrim’s HMO-POS plans prov ide members with the ability to access certain services out-of-network anywhere in the US (territories excluded). Under the Point-of-Service (POS) benefit, you will not pay a higher cost share when using an out-of-network provider. However, if you use an o-ofut-network provider, you must follow theExplore our broad range of health plan choices today. We’ve got options to meet the needs of everyone across our communities. BROWSE PLANS. ... Point32Health is the parent organization of Harvard Pilgrim Health Care and Tufts Health Plan. Together, we're delivering ever-better health care experiences to everyone in our diverse communities.800-637-4751, then option 1. Email the Broker Employer Service Team. Small Group Implementation and Quoting. For small group installs, quoting and renewal. Mon. – Fri. 8:30 a.m. - 5 p.m. 800-637-4751, then option 2. New Business Sales Inquiries. For large groups (50+) Contact your Sales Executive or call 800-637-4751, then option 3.There is not a provider directory, as any provider who accepts Medicare is considered in-network for this plan. If you are experiencing an urgent matter, please contact HPHC at 1-844-442-7324. You can monitor the Harvard Pilgrim Health Care - Point32Health website for updates. We will continue to keep you updated should any additional ...Harvard Pilgrim Health Care Stride℠ (HMO)/(HMO-POS) 2023 Formulary (List of Covered Drugs) PLEASE READ: This document contains information about the drugs we cover in this plan 23555 Version 16 This formulary was updated on 12/01/2023. For more recent information or other questions, please contact MemberHarvard Pilgrim Health Care and Tufts Health Plan combined under the parent organization Point32Health on Jan. 1, 2021. Refer to this FAQ to learn about the work we have done in transitioning our processes and products — and our plans for what’s ahead. Refer this FAQ. Tools and resources to assist Harvard Pilgrim network providers ...Wellpoint is the only health plan that offers healthcare benefits exclusively to Massachusetts Group Insurance Commission (GIC) members. We are uniquely ... Harvard Pilgrim Health Care StrideSM Basic Rx (HMO), StrideSM Value Rx (HMO), StrideSM Value Rx Plus (HMO), StrideSM Choice Rx (HMO-POS) and StrideSM Gain RxSM (HMO) 2021 Formulary (List of Covered Drugs) PLEASE READ: THIS DOCUMENT CONTAINS INFORMATION ABOUT THE DRUGS WE COVER IN THIS PLAN Formulary File ID#21386, Version Number HOW IT WORKS: The Harvard Pilgrim POS. Plan – Massachusetts. The Harvard Pilgrim POS (point-of-service) Plan gives you flexible choices for your health care needs. q If you …Harvard Pilgrim is an HMO/HMO-POS plan with a Medicare contract. Enrollment in Stride℠ (HMO) depends on contract renewal. This document may be available in an alternate format such as Braille, larger print, or audio. For more information call our Member Services department at 1-888-609-0692,Harvard Pilgrim’s POS Open Access - LP plans offer highly coordinated health care, highly flexible coverage and a chance to save money. You’ll choose one of our participating primary care providers to help guide your care, and you’ll also have access to other medical professionals and hospitals nationwide—all without having to get ...Harvard Pilgrim Health Care — Fast Facts for Hospital Administration Effective 07/01/2022–06/30/2023 Harvard Pilgrim used a standard inpatient and outpatient benchmark upon which to compare the cost of all in-network facilities. The reimbursement rates for each facility’s specific inpatient and outpatient claims for 2016 dates of ser-You can generally expect to spend $3,000 to $10,000 a year for your business’s POS system. Learn more about POS system cost. Retail | Ultimate Guide Updated February 18, 2023 REVIE...•Harvard Pilgrim Explorer - POS type •Mass General Brigham Health Plan Complete - HMO type (Limited toMA residents) Health Insurance Plan Names, Networks, and Types Where members live determines which health insurance plan they may enroll in. National (For members living outside of New England) Harvard Pilgrim Access America …HOW IT WORKS: The Harvard Pilgrim POS. Plan – Massachusetts. The Harvard Pilgrim POS (point-of-service) Plan gives you flexible choices for your health care needs. q If you live within the plan’s service area*, you’ll choose a primary care provider (PCP) to deliver or arrange for your medical care.insurance plan’s full name, such as “Harvard Pilgrim Explorer” or “Harvard Pilgrim Quality,” not just the health carrier name ... Harvard Pilgrim Explorer. POS $1,067.87 $2,645.90. Mass General Brigham Health Plan Complete. HMO $977.66 $2,585.42. Harvard Pilgrim Quality . HMO LimitedHarvard Pilgrim Access America . Q. What health plan is available for those living outside of the U.S.? UniCare Total Choice is the only health insurance plan offered by the GIC that is available for members living outside of the U.S. Q. Do all plans cover emergency services when you are traveling outside of the U.S.?Explorer POS — How this plan works: • Full network — any provider in Harvard Pilgrim is part of the Harvard Pilgrim Explorer POS plan • Network is tiered into Tiers 1, 2 and 3 • Highest level of coverage with in-network services with PCP, a specialist with PCP referral or via our national networkOct 20, 2023 · Integration FAQ. Overview. We want to keep our network providers aware of the work that we have done in transitioning our technologies, processes, and products since Harvard Pilgrim Health Care and Tufts Health Plan combined under the parent organization Point32Health on Jan. 1, 2021. This FAQ shares that progress and a look at what’s ahead. Harvard Pilgrim Health Care is a non-profit health services company based in Canton, Massachusetts serving the New England region of the United States.. On August 14, 2019, the boards of Harvard Pilgrim Health Care and Tufts Health Plan announced plans for the two insurers to merge their organizations into a new company. The new company serves …Harvard Pilgrim Health Care. Harvard Pilgrim Health Care is a non-profit health services company based in Canton, Massachusetts serving the New England region of the United States . On August 14, 2019, the boards of Harvard Pilgrim Health Care and Tufts Health Plan announced plans for the two insurers to merge their organizations into a new ...You can generally expect to spend $3,000 to $10,000 a year for your business’s POS system. Learn more about POS system cost. Retail | Ultimate Guide Updated February 18, 2023 REVIE...Jul 1, 2023 ... The names of the new Harvard Pilgrim plans are Explorer (broad- network POS plan) and Quality (limited-network HMO plan). Copays and deductibles ...

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insurance plan’s full name, such as “Harvard Pilgrim Explorer” or “Harvard Pilgrim Quality,” not just the health carrier name ... Harvard Pilgrim Explorer. POS $1,067.87 $2,645.90. Mass General Brigham Health Plan Complete. HMO $977.66 $2,585.42. Harvard Pilgrim Quality . HMO LimitedHarvard Pilgrim Quality HMO and Explorer POS Products Tiering Structure Below are the key foundational concepts of Harvard Pilgrim’s 2024-2025 tiering methodology for our Quality HMO and Explorer POS GIC products, which are based largely around cost and quality information: • Hospitals were categorized as Academic, Teaching orHarvard Pilgrim Health Care. Harvard Pilgrim Health Care is a non-profit health services company based in Canton, Massachusetts serving the New England region of the United States . On August 14, 2019, the boards of Harvard Pilgrim Health Care and Tufts Health Plan announced plans for the two insurers to merge their organizations into a new ...THE HARVARD PILGRIM BIDMC – CHOICE POS – MASSACHUSETTS 1 3-SPF, 01/12 . MD0000002668 . Schedule of Benefits . Harvard Pilgrim Health Care, Inc. THE HARVARD PILGRIM BIDMC -CHOICE TIERED COPAYMENT POS MASSACHUSETTS . This Schedule of Benefits summarizes your benefits under the Harvard Pilgrim BIDMC - …The Harvard Pilgrim POS Maine Form # 106 2 Copayment amounts and any charges in excess of the Usual, Customary and Reasonable Charge do not apply to the Out-of-Network Out-of-Pocket Maximum. Your Plan has a Penalty Payment of $500 that applies to Out-of-Network Covered Services when you do not obtain required Prior Approvals.You also may call Harvard Pilgrim to request a paper copy of the provider directory at no charge. ***Consistently among the nation’s highest-rated health plans, Harvard Pilgrim Health Care (private HMO/POS and PPO plans) and Harvard Pilgrim Health Care of New England (private HMO/POS plans) have been rated 4.5 out of 5 in NCQA’s Private ...You can search for providers without logging in. You will need to select a plan name to search for participating providers. Select a plan. If you can't locate your provider or are unsure of their availability, please call Member Services at the number on your ID card.Harvard Pilgrim Explorer POS is a Point of Service (POS) plan that covers preventive and medically necessary health care services and supplies that you need to help stay healthy and to help you get healthy when you’re sick. How this plan works: How this plan works • Full network — any provider on Harvard Pilgrim is part of the Harvard ...The following practices were named in the 2021 Harvard Pilgrim Physician Group Honor Roll (“with Distinction” status noted with an asterisk*): Connecticut. ProHealth Physicians : Central, CT: Maine. InterMed: Portland, ME: Martin's Point Healthcare: Portland, ME: Massachusetts. Acton Medical Associates:Program eligibility and benefits may vary by employer, plan and state. You must be currently enrolled in Harvard Pilgrim at time of reimbursement. Fitness facility membership or virtual fitness subscription must be for at least four months in a current calendar year. Restrictions apply, and reimbursement is not available to all members.Having trouble finding a mental health or substance use disorder provider? Our specially trained Service Navigators can help you find and get the care that's ...“Harvard Pilgrim Explorer” or “Harvard Pilgrim Quality,” not just “Harvard Pilgrim Health Care.” Your health insurance plan is the best source for this information. 6. You may only enroll in or change your health plan election during GIC’s annual enrollment or within 60 days of a qualifying status change event. For a complete list ofHarvard Pilgrim Health Care is a not-for-profit ... Harvard Pilgrim is known for its ... * NCQA's Private Health Insurance Plan Rankings, 2011-15, HMO/POS/PPO.Harvard Pilgrim Explorer POS is a Point of Service (POS) plan that covers preventive and medically necessary health care services and supplies that you need to help stay healthy and to help you get healthy when you’re sick. How this plan works: How this plan works •ull network — any provider on Harvard Pilgrim is part of the Harvard ... Coveragefor:Individual+Family|PlanType:POS The Summary of Benefitsand Coverage (SBC) document will help you choose a health plan. The SBC shows you how you and the plan would share the cost for covered health care services. NOTE: Information about the cost of this plan (called the premium) will be provided separately. This is only a summary. .

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