Like many other U.S. states, Massachusetts continues to be plagued by a severe opioid epidemic. Recognizing this, Harvard Pilgrim is updating our benefit for in-network coverage of methadone maintenance.
Beginning Jan. 1, 2018, methadone maintenance will be covered in full for members of all non-HSA fully insured plans in Massachusetts, and it will be covered in full after the deductible is met for members of all Massachusetts fully insured HSA plans. This benefit change aligns with the Massachusetts Association of Health Plans’ recommendation that health plans in the state provide full coverage for methadone maintenance.
The change is for in-network coverage only; Harvard Pilgrim’s PPO and POS plans in Massachusetts and elsewhere will continue to apply the existing out-of-network cost sharing for methadone maintenance.