Maine Individual and Family Plans

Special Enrollment Opportunity

Harvard Pilgrim offers you and your family a wide variety of competitive plans for different needs and budgets.

You can apply for coverage during the current special enrollment period, from February 15 to Aug 15. Click the Quote and Enroll button if you believe that you qualify.

On Exchange Product Guide
Off Exchange Product Guide

GET A QUOTE & ENROLL

When you’re covered by Harvard Pilgrim in 2021, you get access to:

$0 copayment annual physical exam

$0 copayment annual flu shot

Personal health coaching at no additional cost

Chiropractic and acupuncture visits

Up to $300 fitness reimbursement

$0 cost sharing for Doctor On Demand urgent care visits (Non-HSA plans only)

Support during COVID-19

To support you during the COVID-19 pandemic, our offerings now include:

$0 cost sharing for COVID-19 testing and medical treatment

Complimentary access to live online wellness classes, including yoga, Zumba ® and meditation sessions


Enrollment outside of the open enrollment period is allowed under certain circumstances (Special Enrollment Period) such as an involuntary loss of employer sponsored coverage. If you believe that you qualify for this special enrollment period, click the Quote and Enroll button and follow the steps for Qualify for a Special Enrollment Period.

 

Schedules of Benefits (SOB) & Summary of Benefits and Coverage (SBC)

View Schedules of Benefits and Summaries of Benefits and Coverage for individual plans.

2020

2021

Rate Justification for Maine Individual Plans

As per the Affordable Care Act, health insurers are required to post information on their websites to help explain individual market rate increases. See the rate justification notice for reference.

Harvard Pilgrim Health Care includes Harvard Pilgrim Health Care, Harvard Pilgrim Health Care of New England, and HPHC Insurance Company.