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

January 2018

Coverage for Out-of-Area Dependents


For the coming plan year, Harvard Pilgrim is updating our policy regarding coverage for out-of-area dependents.

Effective March 1, 2018, members of Harvard Pilgrim’s HMO plans (including limited network HMO plans) who are registered as out-of-area dependents will only be covered for out-of-network services when they seek medical treatment from a provider within the UnitedHealthcare Options network, or behavioral health treatment from a provider contracted with Optum/United Behavioral Health.

Out-of-area dependents will be able to determine which providers they have access to and are eligible to receive treatment from by referring to the Dependent Out-of-Area Provider Directory within the “Standard Plans” section of Harvard Pilgrim’s online Provider Directory.

Please note that this change will not affect members of the GIC Primary Choice HMO Plan.

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PUBLICATION INFORMATION

Eric H. Schultz,
President and Chief Executive Officer

Robert Farias,
Senior Vice President, Network Strategy

Annmarie Dadoly,
Editor

Joseph O'Riordan,
Writer

Kristin Edmonston,
Production Coordinator