Why Work With Us

Harvard Pilgrim has a longstanding history and trusted partnerships with brokers throughout Maine, Massachusetts, New Hampshire and Rhode Island. Be confident, knowing you’re working with a health and well-being company that has a proven track record for meeting the needs of employers of all sizes.

We’re serious about service

Service is how we bring our not-for-profit mission to life.

We answer the phone, and we answer to our customers — not shareholders. Every day, we aim for measurable responsiveness, dependability and impact, with emphasis on personal connections to you, your clients and our members. Whenever you need us, we’re just a call or an email away.

Online quoting and Express Enrollment make things easier and faster for everyone. And moving clients and members to Harvard Pilgrim is a snap with SmartStartSM, our best-in-class transition program; during the onboarding experience, we pay especially close attention to members receiving medical treatment, to ensure their continuity of care.

We offer flexible plans with national reach

Harvard Pilgrim and our family of companies offer a wide range of group insurance options — from fully funded programs to national third-party administration with our partner, Health Plans, Inc. (HPI) — to meet your clients’ needs and goals.

Our regional network has more than 90,000 doctors and other clinicians, and more than 180 hospitals. For groups with employees working across the country as well as in New England, we also have national solutions with networks that give members access to providers throughout the United States.

We care for the whole person

Our advanced population health programs combine data and analytics with robust care management outreach to encourage wellness and contain costs.

Harvard Pilgrim members have access to health care professionals who are certified care managers and wellness coaches, licensed social and behavioral health workers, and nurse educators specializing in diabetes, pediatrics, asthma and cardiology.

Our plans include industry-leading care programs — at no additional cost — that support members wherever they are on the continuum of health. Our programs help members:

  • Living with conditions such as asthma, diabetes, heart disease and COPD
  • At risk for hospitalization due to multiple conditions and diagnoses
  • Who could benefit from lifestyle support programs, such as those for pregnancy, smoking cessation, nutrition and weight management

We deliver innovative programs and services

Harvard Pilgrim offers a hearty suite of programs that help contain costs for employers and improve members’ well-being — from our turnkey workplace wellness toolkit to digital apps that give members chances to earn gifts cards for wellness activities. We’re continually working to bring simplicity and personalization into our services and significantly enhance the member experience.

Become a Harvard Pilgrim Broker

Email Harvard Pilgrim broker relations today.

Provider Partnerships

We are a local health services company with national network access.


More than 70,000 doctors and other clinicians and 182 hospitals across Harvard Pilgrim’s network.

Access to a national network of 830,000 providers and more than 5,800 hospitals via UnitedHealthcare.


Our value-based provider contracts and deep partnerships drive better health and deliver greater value—members get the right care at the right time in the right place. Together, our team works with members’ primary care providers to put them on a path to better health.


As of July 2018, seventy-six percent of our HMO and POS members receive care from provider groups with value-based contracts

Adjusted medical costs trends are 3% lower for providers in value-based contracts than those who are not*.

*Based on 2015—2017 data.


 

Our Clients

“Himmel Hospitality Group chooses to work with Harvard Pilgrim Health Care because they continuously provide impeccable service to our company and most valuable resource – our staff.”

- Himmel Hospitality

“Our Harvard Pilgrim Account Management team is responsive, knowledgeable, and courteous. With Harvard Pilgrim, we have plans that fit our members’ needs. Our Harvard Pilgrim plans come with many tools and programs that help our members’ keep their costs down without reducing their quality of care.”

- NHADA

“Harvard Pilgrim has provided our employees’ healthcare coverage for the last three years and are strong partners of our organization. Customer service is the best we’ve experienced. They are quick to resolve billing and coverage concerns for our employees.”

- Horizons CT

“We have enjoyed a great relationship with Harvard Pilgrim for many years. They unfailingly deliver exemplary customer service to our participating employees and are incredibly responsive to our benefit administration team. They are not just a provider, but are a great partner. Our experience with them from all user groups consistently exceeds expectations. ”

- The Kraft Group