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Harvard Pilgrim Announces Aid for Employers, Members, and Providers (NEW 6/18/2020)

Harvard Pilgrim is providing $32 million in premium credits to all its fully-insured employer groups, as well as to Medicare Supplement members. In addition, we will provide $3 million in financial support to independent primary care physicians and $3 million to support community health centers, and will waive all primary care and specialty care copays for office visits for Medicare Advantage members through the end of the year. Harvard Pilgrim is working through the details of the distribution and expect to have more details to share soon.

Coronavirus Information for Providers

Harvard Pilgrim is committed to supporting our members and providers during this global pandemic. We’re continually assessing and adapting our policies and business operations as needed to aid in preventing the spread of the COVID-19, ensuring that members can quickly and easily access any necessary testing and treatment for the virus, and supporting providers in delivering this important care. Please refer to our resources for more information.

Provider Information Sheet

Answers to questions on coverage, coding/billing, telemedicine, pharmacy, and more.

Commercial Interim Telemedicine/Telehealth Payment Policy (COVID-19 Pandemic)

Harvard Pilgrim is emphasizing telemedicine/telehealth to members and expanding the scope of our coverage; refer to this interim policy for guidance on coverage and billing.

Expedited credentialing and enrollment process

Instructions on how to utilize our expedited credentialing and enrollment process to bring clinicians onboard quickly to address the COVID-19 public health emergency.

Harvard Pilgrim’s coronavirus microsite

Tips to help protect yourself, as well as links to CDC and state health departments.



News & Updates
Tufts Health Plan and Harvard Pilgrim Health Care sign definitive agreement to combine organizations
Keep Directory Information Up to Date
Get Patients In for Important Vaccines

Medicare Advantage Plans
Important resources on StrideSM (HMO)

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Resources for NIA Authorization Programs
Weight Loss Surgery Centers of Excellence
Ethics Program

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