Our Solutions
Select a state first (BY STATE), followed by group type (BY GROUP). Then choose a specific plan type (BY PLAN). To compare multiple plans at once, see the new plan compare tool.
For groups with 51+ employees. A range of full, tiered and select network plan options. Benefits may be customized to suit employers’ needs.
Large Group Enrollment Hub
| Plan Name | Year | Overview | Documents |
|---|---|---|---|
| HMO | 202220232024 | Provides access to our full network of New England providers and hospitals. PCPs and referrals are required. | HMO Brochure |
| HMO HSA | 202220232024 | A qualified high-deductible health plan (HDHP). Provides access to our full network of New England providers and hospitals. PCPs and referrals are required. Gives employers and/or members the option to fund a health savings account. | HMO HSA Brochure |
| HMO – LP | 202220232024 | Provides access to our full network of New England providers and hospitals. PCPs and referrals are required. With the LP benefit, members can pay lower cost sharing when they use Select LP providers for lab services and outpatient surgery. | HMO Brochure |
| HMO – LP Open Access | 202220232024 | Provides access to our full network of New England providers and hospitals. PCPs are required; referrals are not. With the LP benefit, members can pay lower cost sharing when they use Select LP Providers for lab services and outpatient surgery. | HMO Open Access Brochure |
| ElevateHealth HMO | 202220232024 | Select network HMO. Members must use ElevateHealth hospitals and providers, except in medical emergencies. PCPs and referrals are required. | NH ElevateHealth HMO Brochure ElevateHealth Network Map |
| ElevateHealth HMO HSA | 202220232024 | A select network HMO and qualilfied high deductible health plan (HDHP). Members must use ElevateHealth hospitals and providers, except in medical emergencies. PCPs and referrals are required. Gives employers and/or members the option to fund a health savings account. | ElevateHealth HMO HSA BrochureElevateHealth Network Map |
| ElevateHealth Options HMO | 202220232024 | A tiered HMO that provides access to our select ElevateHealth network for lower out-of-pocket costs and the rest of our New England network for higher out-of-pocket costs. PCPs and referrals are required. | NH ElevateHealth Options HMO BrochureElevateHealth Network Map |
| ElevateHealth Options HMO Open Access | 202220232024 | A tiered HMO that provides access to our select ElevateHealth network for lower out-of-pocket costs and the rest of our New England network for higher out-of-pocket costs. PCPs are required; referrals are not. | ElevateHealth Options HMO Open Access BrochureElevateHealth Network Map |
| SimplyVirtualSM HMO | 202220232024 | Full-network virtual PCP plan. PCPs and referrals are required. Members age 19 and up choose Doctor On Demand PCPs; members under age 19 choose office-based PCPs. Doctor On Demand PCPs refer members to office-based providers in Harvard Pilgrim’s network for services that can't be provided virtually (e.g., specialty care, labs, X-rays). | SimplyVirtual Member Flyer |
| Virtual ChoiceSM HMO | 202220232024 | Full-network virtual PCP plan that's flexible and family-friendly. PCPs and referrals are required. Members age 19 and up choose Doctor On Demand PCPs for lower cost sharing or office-based PCPs from Harvard Pilgrim's network for higher cost sharing. Members under age 19 choose an office-based PCP and will pay lower cost sharing. PCPs refer members to office-based providers for services that can't be provided virtually (e.g., specialty care, labs, X-rays). | Virtual ChoiceSM Brochure Virtual ChoiceSM Member Flyer |
| Littleton Options HMO | 202220232024 | A tiered HMO that provides access to our Littleton Options providers for lower out-of-pocket costs and the rest of our New England network for higher out-of-pocket costs. PCPs and referrals are required. Members have the option to select a Preferred PCP within Tier 1 to save money on PCP visits. | Littleton Options HMO Brochure |