Harvard Pilgrim is introducing a new family of commercial POS products for fully insured and self-insured large groups (100+ employees) in New Hampshire, known as POS Open Access plans, which will launch on July 1, 2018.
These plans provide a new option for the large group market that features the best aspects of Harvard Pilgrim’s HMO and PPO products. They will offer members the ease and flexibility of a PPO, with no requirement for referrals, along with affordability.
Although referrals will not be needed for POS Open Access plans, members will still be required to select a Harvard Pilgrim primary care physician — to continue Harvard Pilgrim’s focus on care coordination and care management and emphasize the doctor-patient relationship.
We will offer three base plan designs: POS Open Access, POS Open Access HSA, and POS Open Access – LP. The POS Open Access – LP version of the product enables members to pay a lower cost share when they receive services at a freestanding general laboratory or ambulatory surgical center.
You can recognize members of these plans by their Harvard Pilgrim member ID cards.
Provider directory and plan information
POS Open Access and POS Open Access HSA members will use the existing POS provider directory, which has been renamed the “POS/POS Open Access” directory. A new “POS Open Access – LP” directory has been created specifically for that plan. Please refer to Harvard Pilgrim’s provider directory online or in HPHConnect for more information about participating providers.
For more information about New Hampshire’s new POS Open Access plans, refer to the POS Open Access product page in Harvard Pilgrim’s online commercial Provider Manual.