Harvard Pilgrim Health Care is a full-service health benefits company serving members throughout Massachusetts, New Hampshire, Maine, and beyond.

An independent, not-for-profit organization, Harvard Pilgrim offers a wide variety of health insurance options for companies, families and individuals. Our fully insured or self-insured PPO, POS and HMO plans are available with multiple variations tailored to the needs of our members and their employers.

About Harvard Pilgrim

A Harvard Pilgrim company, Health Plans Inc., specializes in administering customized self-insured or ASO (Administrative Services Only) plans for employers. Health Plans, Inc. is the largest TPA in New England.

Through an alliance with UnitedHealthcare, we also offer a very successful program for multi-site, multi-state employers that have a substantial number of employees in our region.

In addition, Harvard Pilgrim offers the personalized service and technology that makes our plans easier to use; we work closely with providers to improve the health of our members, both through prevention and by helping people manage chronic conditions or other serious medical problems.

Harvard Pilgrim, Inc.

Corporate Headquarters:
93 Worcester Street Suite 100
Wellesley, Massachusetts 02481
United States
CEO:
Bruce Bullen
Employee Number:
1,300
2008 Revenue:
$2.6 billion

Product Types Offered

Individuals

Harvard Pilgrim offers Health Products for individuals, families and sole proprietors under the age of 65 and not eligible for Medicare. Harvard Pilgrim allows you to easily request an instant quote for more than a dozen plans available for direct purchase by individuals and individuals with families. Once you find the plan that's right for you, you can use this tool to enroll. Or, if you are already a Buy Direct member, you can use this tool to view your options or change your plan upon your renewal date.

Aditionally, Harvard Pilgrim offers Pulse, a plan available for young adults (18-26 years old)

• Pulse Plan: Available for 18-26 year olds

Employers

Harvard Pilgrim offers a wide variety of product options to meet both your budget and employees' needs. They offer cost-sharing plans such as our Best Buy suite of products, HSAs, HRAs, as well as both self and fully insured funding options.

Here are some of the employer options available:

• HMO Plans: Available in Massachusetts, Maine and New Hampshire through employers
• POS Plans: Available in Massachusetts, Maine and New Hampshire through employers
• PPO Plans: Available in Massachusetts, Maine and New Hampshire through employers
• Best Buy POS & PPO Plans: Available in Massachusetts, Maine and New Hampshire through employers
• Best Buy HSA PPO Plans: HSA (Health Savings Account) qualified high deductible health plan available in Massachusetts, Maine and New Hampshire through employers

Medicare Plans

Medicare is the nation’s largest health insurance program, covering 40 million Americans. It was designed to provide high-quality health care to people 65 and over, as well as to others with disabilities.

Harvard Pilgrim offers one Medicare Plan:

First Seniority Freedom 2009
First Seniority Freedom is a Medicare Advantage Private Fee-for-Service health plan from Harvard Pilgrim Health Care Inc. First Seniority Freedom is a Medicare Advantage Private Fee-for-Service plan offered by Harvard Pilgrim Health Care.Harvard Pilgrim has an annual contract with the Federal government to provide your Medicare benefits.  Benefits, premiums, copayments and service areas are subject to change on January 1st of each year. 

All Medicare Advantage and Medicare Prescription Drug Plans agree to stay in the program for a full calendar year.  Each year, the Plan may decide whether to continue for another year.  Even if a Medicare Advantage or Medicare Prescription Drug Plan leaves the program, either through termination or non-renewal, you will not lose Medicare coverage.  If a Plan does not continue, it must send you a letter at least 90 days before your coverage will end.  The letter will explain your options for Medicare Advantage and Medicare Prescription Drug Coverage in your area.

Provider Network

Harvard Pilgrim’s provider network is extensive and includes physicians who practice in a variety of settings — including individual practices, small medical groups and large multi-specialty groups. Harvard Pilgrim has a growing network of over 135 hospitals and 28,000 doctors and clinicians.

To access Harvard Pilgrim’s provider Network Online click here.

Network Facts

Health Care Networks:

1. Over 28,000 Doctors/Clinicians.
2. Over 135 Hospitals

Recent News

Here are some of the most recent news regarding Harvard Pilgrim:

Harvard Pilgrim's New Small-Group Plans Focus on Wellness
No co-pays charged for preventive services

Wellesley, Ma., July 08, 2009 — Harvard Pilgrim Health Care announced today that President and Chief Executive Officer (CEO) Charles D. Baker will leave the company to put together a statewide electoral campaign. Bruce Bullen, the current Chief Operating Officer (COO), has been named the Interim CEO by the Harvard Pilgrim Board of Directors.

“For the past ten years, I’ve had the unique and wonderful opportunity to serve as the CEO of this outstanding organization.  Over that period of time, Harvard Pilgrim has had a pretty great ride: six straight years of membership growth and nine years of positive financial performance under very difficult and very competitive circumstances,” said Charles D. Baker. (Continue Reading)

Rating

Harvard Pilgrim’s rating, as rated by A.M. Best Company. A.M. Best Company is a full-service credit rating organization dedicated to serving the financial services industries, including the banking and insurance sectors.

Financial Strength Rating
Rating: B++ (Good)
Affiliation Code: g (Group)
Financial Size Category: IX ($250 Million to $500 Million)
Outlook: Stable
Action: Affirmed
Effective Date: February 18, 2009