Harvard Pilgrim has established a deep-rooted history and trusted partnerships with brokers throughout Massachusetts, Maine, New Hampshire and Connecticut. Yes, we’re a health insurance company. What sets us apart is how we go about it.
At your service.
Service is how we live our not-for-profit mission. Every day we aim for measurable responsiveness, dependability and impact. We emphasize a personal connection to you, your clients and our members because we know service is much more than just a business efficiency.
We make things faster and easier for everyone with online quoting and Express Enrollment. We streamline your clients’ transition to Harvard Pilgrim—paying particularly close attention to members in treatment – to ensure their continuity of care.
Whenever you need us, we’re just one call (800-424-7285) or email away—whether it’s Broker Relations, Consumer Sales, Medicare Sales, Member Services or the Broker/Employer Service Team.
We listen to you—a lot—through our state- and-market-driven Broker Advisory Council meetings and surveys—to name a few. Your input, coupled with listening to our members and monitoring market conditions, is why we have a broad portfolio of products, programs and services to meet your clients’ needs.
Outstanding coverage, choice and value.
We have plans for everyone, from individuals and Medicare beneficiaries to small businesses and large corporations—whether it be local, regional or national coverage with fully or self-insured funding options.
If your clients are looking for a flexible plan design, we have that too—by way of doctors and hospitals, benefits coverage, cost-sharing and wellness programs.
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. All 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.
Whether fully or self-insured, all our plans have industry-leading programs aimed at supporting members wherever they are on the continuum of health—at no additional cost. Our programs range from helping members living with conditions such as asthma, diabetes, heart disease and COPD—to those at risk for hospitalization due to multiple conditions and diagnoses—to those who could benefit from lifestyle support programs, such as pregnancy, smoking cessation, nutrition and weight management.
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.