Attractive, affordable solutions for Connecticut businesses
No matter how many employees you need to cover or where in the country they’re located, Harvard Pilgrim has a full range of insurance solutions to meet your needs and your budget.
Outstanding coverage, choice and value
High-deductible, HSA-compatible HMO and PPO designs are available.
No referral, no PCP, open-access HMO, available with or without deductible. Offers access to our full network of New England providers and hospitals.
- Focus CTSM HMO
Available with greater savings over our standard HMO plans. Includes select providers across CT, plus the rest of our New England network. PCP and referrals required.
Provides access to local and national providers and hospitals without referrals. No PCP required. Out-of-network access to non-participating providers.
- Network Choice CTSM PPO
Available with greater savings over our standard PPO plans. Two tiers of participating providers. Tier 1 = lower in-network cost sharing; Tier 2 = higher in-network cost sharing. Out-of-network access to non-participating providers.
- Med Enhance
Available through employers to their Medicare beneficiaries, Med Enhance fills in the gaps that Medicare doesn’t pay. Members can live anywhere in the U.S. and visit any provider that accepts Medicare.
- SimplyVirtualSM HMO
New, innovative health care model giving members 24/7 access to PCPs through virtual visits with Doctor On Demand*. Members have the freedom to receive virtual visits from anywhere – at home, in the workplace, while traveling on vacation – all with a lower PCP visit cost share than office-based offerings.
- Virtual ChoiceSM HMO
Flexible, family-friendly plan gives members a choice of virtual or office-based primary care. Adult members age 19+ who choose a virtual PCP have 24/7 access through virtual visits with Doctor On Demand* from anywhere — at home, in the workplace, while traveling on vacation – all with lower PCP visit cost sharing than office-based care. Or, adult members can choose an office-based PCP from Harvard Pilgrim’s HMO network. Members under age 19 always receive office-based care and pay lower cost sharing. PCP and referrals are required.
*A member must establish a relationship with a provider by: (1) registering with Doctor On Demand in the state the member resides, and (2) completing a PCP appointment in the same state.