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Quality coverage your clients can depend on

With quality coverage, excellent benefits and services, extra discounts, and a commitment to excellence, you can feel good about recommending Harvard Pilgrim Health Care Medicare Advantage plans to your clients.

These are just some of the reasons our plans stand out:

1. 4 stars for quality

Quality is important. Especially when it comes to health coverage. Harvard Pilgrim Health Care Medicare Advantage (HMO)/(HMO-POS) plans were rated 4 out of 5 Stars for quality by Medicare for 2023.

4 Stars means better quality and care. Our Star rating reflects how easy it is for members to get the checkups, screenings, and information they need to stay healthy. It reflects member satisfaction with our plan and is proof of our commitment to provide members with exceptional service and quality coverage.

2. Monthly premiums starting at $0* a month.

StrideSM (HMO)’s benefits help provide more complete coverage for your clients’ health care needs, and with more than one plan option, you they can choose the best fit. Monthly premiums are as low as $0 a month for the Basic Rx (HMO) Plan.

3. Stay healthy and save with Wallet Benefit

Harvard Pilgrim’s Wallet Benefit provides the flexibility and choice for members to achieve their own health and wellness. The Wallet Benefit can be used towards the cost of acupuncture, fitness membership, fitness tracking devices, eyewear, massage therapy, holistic medicine visits, mind/body therapies, and installation of bathroom safety devices.

Wallet benefit amounts by plan:

  • Basic Rx (HMO) $350
  • Value Rx (HMO) $325
  • Value Rx Plus (HMO) $400
  • Choice Rx (HMO-POS) $325

4. Hearing aid savings

Harvard Pilgrim partnered with TruHearing® to offer a hearing aid benefit that lets StrideSM (HMO) members get up to two hearing aids every year. Members have a copayment of $699 or $999 per aid which includes:

  • 3 free follow-up visits for programming and fitting of the aid
  • 3-year warranty
  • 48 free batteries per aid for non-rechargeable models
  • 45-day trial period
  • Advanced and Premium hearing aids are available in a selection of styles and colors

5. Dental coverage to smile about

Harvard Pilgrim Health Care offers an annual reimbursement for dental services. There are no network restrictions. Members can go to any licensed dentist and get reimbursed for their dental services including preventive and comprehensive needs.  Benefits are $1,000 annual  coverage on the Stride Basic Rx plan and $500 coverage on other plans.

6. Over the counter benefit

StrideSM (HMO) Plan members get an annual allowance to order health-related drugs and supplies, including cough, cold and allergy medicines, vitamins, first aid supplies and much more—at no cost to you! Members select items from the 2023 Over-the-Counter Brochure by calling 1-888-609-0692 TTY: 711.

Over the counter amounts by plan:

  • Basic Rx (HMO) $170
  • Value Rx (HMO) $100
  • Value Rx Plus (HMO) $100
  • Choice Rx (HMO-POS) $150

7. Save on Rx with mail order

Members can save money on prescription drugs by using Optum Home Delivery program and having prescriptions sent directly to their home by mail. Shipping is free and members could save up to $50 for a 90-day supply of prescription medication (depending on the plan they are in and the tier their drug is on). That’s a potential savings of up to $200 a year! To sign up for mail order, members can fill out the form on our website at  Stride Member forms

8. $0 health screenings

Getting regular screenings is one of the best ways to stay healthy. Members can take advantage of a $0 copay for many screenings including cancer, diabetes, depression, and many more.

9. $0 vision exam

Harvard Pilgrim Health Care makes it easy to have regular vision exams with a $0 copay for an annual vision exam each year. (Note: Choice Rx (HMO-POS) plan members—not covered out-of-network.)

10. $0 annual physical exam

Seeing your doctor each year for a physical exam makes it easier to spot problems earlier and maintain a healthy lifestyle. $0 copayment for 1 visit per year (Note: Choice Rx (HMO-POS) plan members—not covered out-of-network.)

If you have any questions, please contact Medicare Broker support:

*Premium and coverage may vary based on plan selected