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Network Matters
News and Information for the
Harvard Pilgrim Health Care Network

October 2017

New Products and Benefits for 2018

Harvard Pilgrim is glad to announce the addition of two new StrideSM (HMO) Medicare Advantage plans, as well as three new commercial products and two new benefit enhancements, effective Jan. 1, 2018.

Flex benefit

Flex is a new benefit that will enable many of our Massachusetts members to pay a lower cost share when they receive services at a participating Flex general laboratory or ambulatory surgical center.

Two new Atrius Health products

Harvard Pilgrim is introducing two new commercial products in partnership with Atrius Health for the coming year. The products will be called Atrius Health Choice POS and Atrius Health Preferred HMO, and they will be available to Atrius employees only. Atrius Health Choice POS will be a tiered, full-network product, with cost sharing varying by tier. Atrius Health Preferred HMO will be a tiered, limited-network product. Members of this plan will have access to network benefits when services are rendered by providers who are participating in the network, and cost sharing will vary by tier.

New Harvard Medical Faculty Physicians product

In conjunction with Harvard Medical Faculty Physicians (HMFP), Harvard Pilgrim will introduce the new HMFP/APHMFP Choice Network. This is a tiered, full-network commercial POS product, and member cost sharing will vary by tier. The new HMFP/APHMFP Choice Network product will be available to HMFP employees only.

New Preferred PCP benefit in New Hampshire

We are also collaborating with Dartmouth-Hitchcock, St. Joseph Hospital, Elliott Hospital, and Frisbie Memorial Hospital to offer an enhanced benefit to members of some existing commercial HMO products in New Hampshire. Some members of our Best Buy HMO – LP, ElevateHealth HMO, and ElevateHealth Options HMO will have the option to pay a lower cost share by seeing a Preferred PCP for office visits.

New Medicare Advantage Plans

In addition to our existing Stride plans, Harvard Pilgrim will be introducing a new BasicRx plan in Massachusetts and New Hampshire. BasicRx will be offered in Massachusetts’ Bristol and Plymouth counties at a $25 monthly premium, and will feature a $0 generic drug tier copayment and an over-the-counter allowance, as well as a $200 annual fitness activities allowance. It will be offered in New Hampshire’s Merrimack, Hillsborough, and Rockingham counties, with a $0 premium, a $0 generic drug tier copayment and an over-the-counter allowance.

More information

Please refer to our online provider directory for information on participating providers and cost tier, when applicable, for these new products and benefits. You can recognize members with these products and benefits by their ID cards.

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Eric H. Schultz,
President and Chief Executive Officer

Robert Farias,
Senior Vice President, Network Strategy

Annmarie Dadoly,

Joseph O'Riordan,

Kristin Edmonston,
Production Coordinator