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.
Product Types Offered
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)
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:
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
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.
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.
Health Care Networks:
Here are some of the most recent news regarding Harvard Pilgrim:
Harvard Pilgrim's New Small-Group Plans Focus on Wellness
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.
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