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

February 2013

Update: New Dartmouth-Hitchcock Employee Medical Plan

On January 1, 2013, Dartmouth-Hitchcock began partnering with Harvard Pilgrim’s wholly owned subsidiary Health Plans, Inc to offer a new preferred network plan for its employees.  The Dartmouth-Hitchcock Medical Plan, which is administered by Health Plans, currently has close to 17,000 members.

This plan features a three-tier design with a deductible and out-of-pocket maximum cost sharing. Members must pre-certify admissions and certain outpatient services. However, members can see any provider in or out of network, and do not need a referral to see a specialist.

Members of the Dartmouth-Hitchcock Medical Plan carry a customized card, which includes logos for Dartmouth-Hitchcock, Harvard Pilgrim, and Health Plans, as shown in the example below. The back of the card features information on member eligibility verification, claim submission, pharmacy, and pre-certifying inpatient stays.

Visit Health Plans, Inc. to view the pre-certification list, as well as tier assignments for Harvard Pilgrim network providers. Please call Health Plans at (866) 471-5550 with any additional questions.

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Eric H. Schultz,
President and Chief Executive Officer

Richard Weisblatt PhD,
Senior Vice President, Provider Network and Product Development

Joann Peck,
Manager, Network Planning and Administration

Annmarie Dadoly,

Kristin Edmonston,
Production Coordinator