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|Plan Name||Year||Overview||Documents||Administration Forms|
|HMO Tiered Copay||2018||No referral, open-access HMO, plus the added feature of a differential copay based on the provider. Incents members to choose high quality, low cost care.||Perks of Harvard Pilgrim membership||Pre-RenewalChecklistPlan Enrollment|
|Best Buy HMO Tiered Copay||2018||No referral, open-access HMO with most services subject to deductible for lower premium, plus differential copays based on provider helps members choose high quality, low cost.||Perks of Harvard Pilgrim membership||Pre-RenewalChecklistPlan Enrollment|
|Best Buy HMO HSA||2018||No referral, open-access HMO with most services subject to deductible for lower premium. Employers and/or members may be able to fund a pre-tax health savings account.||Perks of Harvard Pilgrim membership||Pre-RenewalChecklistPlan Enrollment|
|Best Buy HMO HSA Tiered Copay||2018||The Best Buy HMO HSA plan with the added feature of a differential copay based on the provider. Incents members to choose high quality, low cost care.||Perks of Harvard Pilgrim membership||Pre-RenewalChecklistPlan Enrollment|
Benefits, coverage and member cost-sharing details for our plans.
Schedules of Benefits and SBCs: Connecticut
Small Group 2017
|HMO - OFF EXCHANGE with Dental||SOB||SBC|
|HMO Copay 25/35 MD0000004204||Show HMO Copay 25/35 SOB||Show HMO Copay 25/35 SBC|
|Best Buy HMO Hospital 4000 MD0000004211||Show Best Buy HMO Hospital 4000 SOB||Show Best Buy HMO Hospital 4000 SBC|
|Best Buy HMO Hospital 2000 MD0000004212||Show Best Buy HMO Hospital 2000 SOB||Show Best Buy HMO Hospital 2000 SBC|
|Best Buy HSA HMO 6100 MD0000004215||Show Best Buy HSA HMO 6100 SOB||Show Best Buy HSA HMO 6100 SBC|
|Best Buy HSA HMO 3000 MD0000004216||Show Best Buy HSA HMO 3000 SOB||Show Best Buy HSA HMO 3000 SBC|
Small Group 2018
|Best Buy HMO Hospital 2000 MD0000004513||Show Best Buy HMO Hospital 2000 SOB||Show Best Buy HMO Hospital 2000 SBC|
|Best Buy HMO 2000 with Coinsurance MD0000004518||Show Best Buy HMO 2000 with Coinsurance SOB||Show Best Buy HMO 2000 with Coinsurance SBC|
|HMO Copay 25/35 MD0000004520||Show HMO Copay 25/35 SOB||Show HMO Copay 25/35 SBC|
|Best Buy HMO 5000 with Coinsurance MD0000004521||Show Best Buy HMO 5000 with Coinsurance SOB||Show Best Buy HMO 5000 with Coinsurance SBC|
|Best Buy HSA HMO 4000 with Coinsurance MD0000004522||Show Best Buy HSA HMO 4000 with Coinsurance SOB||Show Best Buy HSA HMO 4000 with Coinsurance SBC|
|Best Buy HSA HMO 3000 MD0000004523||Show Best Buy HSA HMO 3000 SOB||Show Best Buy HSA HMO 3000 SBC|
Small Group 2019
|HMO 25/35 Copay MD0000004903||Show HMO 25/35 Copay SOB||Show HMO 25/35 Copay SBC|
|HMO 2250 Hospital MD0000004904||Show HMO 2250 Hospital SOB||Show HMO 2250 Hospital SBC|
|HMO 2500 Hospital MD0000004905||Show HMO 2500 Hospital SOB||Show HMO 2500 Hospital SBC|
|HMO 2000 with Coinsurance MD0000004906||Show HMO 2000 with Coinsurance SOB||Show HMO 2000 with Coinsurance SBC|
|HMO 3000 Hospital MD0000004919||Show HMO 3000 Hospital SOB||Show HMO 3000 Hospital SBC|
|HMO 5000 with Coinsurance MD0000004907||Show HMO 5000 with Coinsurance SOB||Show HMO 5000 with Coinsurance SBC|
|HMO HSA 3000 MD0000004908||Show HMO HSA 3000 SOB||Show HMO HSA 3000 SBC|
|HMO HSA 4000 with Coinsurance MD0000004909||Show HMO HSA 4000 with Coinsurance SOB||Show HMO HSA 4000 with Coinsurance SBC|
|HMO HSA 2800 MD0000004918||Show HMO HSA 2800 SOB||Show HMO HSA 2800 SBC|
Offerings that enhance our value for members, employers and brokers. Fees may apply to some programs.
Medical and Pharmacy
Transparency tools, pharmacy information and other resources for when members need guidance with their care.
Programs for helping members keep more of their money.
Estimate My Cost
This search tool lets members find and compare estimated health care costs before they receive services. It’s available to members in CT, MA, ME and NH.
Additional Products & Programs
Student Insurance for Colleges and Universities
Underwritten by HPHC Insurance Company (“HPHC”) and administered by UnitedHealthcare StudentResources.
Visiting Family Medical Coverage
Harvard Pilgrim offers temporary medical coverage to international travelers visiting friends and family in the U.S., offering a limited and premium coverage product, Visitor Care and Patriot America*
For more information on Visiting Family Medical Coverage, please contact Rose Hom at: firstname.lastname@example.org
*Harvard Pilgrim Health Care, through its affiliate HPHC Insurance Agency, Inc. makes referrals for travel medical insurance to International Medical Group (IMG). HPHC Insurance Agency receives a commission for each individual it refers to IMG who is subsequently enrolled into its plan. Harvard Pilgrim Health Care does not underwrite or bind individuals to coverage offered by IMG. Such coverage is not in any way connected to health coverage offered through Harvard Pilgrim Health Care or its affiliates.
Harvard Pilgrim and Guardian are partnering to provide a full line of ancillary insurance products to employers in Connecticut, Maine, Massachusetts and New Hampshire. Learn how your clients can save money and provide more insurance options for their employees.
HSAs and HRAs
HSAs and HRAs can offset the costs of high-deductible health plans and motivate members to make smarter health care decisions. Our preferred vendors can get you and your clients started.
Harvard Pilgrim’s approach to wellness features comprehensive, strategic, customizable programming that’s easy to implement. It extends past the traditional focus of just diet and exercise, and actually gets at the root of behavior change.
Behavioral health and substance use issues can be complex, confusing and overwhelming. We provide members with access to resources that will get them on the right path.
As industry leaders in population health, we combine data and analytics with robust care-management outreach. Our “whole person” approach to care encourages wellness and contains costs.