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.

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Offerings that enhance our value for members, employers and brokers. Fees may apply to some programs.

Medical, Pharmacy and Health Services

Transparency tools, pharmacy information and other resources for when members need guidance with their care.

Health Services

We’re proud to offer our members a diverse menu of well-being offerings but we also know it’s a lot to unpack. Discover a resource that puts all these services in one place. Our Health Services Cheat Sheet easily differentiates one offering from another and gives you access to the talking points that will speak to your client. Find information on dozens of services now available to fully insured and self-insured members in an easy to digest format that cuts through the noise.

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Pharmacy Program

We offer a variety of tiered formulary offerings to meet your clients’ needs.

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Urgent Care Options and ER Alternatives

When their PCPs aren’t available, members who need care right away for minor illnesses and accidents have a variety of cost-effective options.

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Member Savings

Programs for helping members keep more of their money.

Fitness Reimbursement Benefits

We know the value that a healthy workforce brings to your clients. So, to guide and support employee well-being, we offer fitness reimbursements of up to $150-$300 a year for our members.

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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.

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Reduce My Costs

Voluntary program that makes it easy for members to save money by finding care at lower-cost facilities for elective, outpatient medical procedures and diagnostic tests. Members can earn rewards for choosing lower-cost providers.

Reduce My Costs

Additional Products & Programs

Guardian

Harvard Pilgrim and Guardian are partnering to provide a full line of ancillary insurance products – including dental, vision, short- and long-term disability and more – to employers in Maine, Massachusetts and New Hampshire. Learn how your clients can save money and provide more insurance options for their employees.

Guardian Ancillary Products

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.

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