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

December 2013

Update: New Preferred Network Plans for Self Insured Employers

Effective January 1, 2014, two of Harvard Pilgrim and Health Plans, Inc. self-insured employer customers will begin offering preferred network plans to their employees.

Boston Medical Center
Boston Medical Center is offering two products to their employees in 2014: BMC Select and BMC Tiered HMO. BMC Select is a limited network HMO; members have access to network benefits only from the providers in the product’s participating network. BMC Tiered is a full network, tiered HMO, where member cost sharing varies by tier.

You can recognize members of these plans by their ID cards, which display BMC plan name in the top right corner, along with the Harvard Pilgrim Health Care logo on the top left. For information on participating providers and tiering (where applicable), please consult the product-specific provider directories on Harvard Pilgrim’s member web page.

Lawrence General Hospital Employee Medical Plan
Health Plans, Inc., Harvard Pilgrim’s wholly owned subsidiary, is partnering with Lawrence General Hospital to offer a new preferred network plan for its employees. The Lawrence General Hospital Medical Plan has nearly 2,200 members and features a three-tier design. There is no coverage for out-of-network providers, except in emergencies.

You can recognize members by their ID cards, which include logos for Lawrence General Hospital, Harvard Pilgrim, and Health Plans. Visit www.healthplansinc.com/LGH after January 1st to view tier assignments for Harvard Pilgrim network providers. Please call Health Plans at (877) 490-3636 with any additional questions.

Plans currently administered by Health Plans, Inc
As a reminder, Health Plans, Inc. administers several other preferred network plans. Below is a list of these plans and the contact information for how you can learn more.

  • Southcoast Health Plan—Southcoast Health System offers this three-tier preferred network to 10,000 members in Southeastern Massachusetts. For more information, visit www.southcoasthealthplan.org or call 877-234-5550.
  • Signature Healthcare Medical Plan—Signature Healthcare offers a three-tier preferred network. The plan currently has 3,000 members. For more information, visit www.healthplansinc.com or call
    (877) 490-3636.
  • Dartmouth-Hitchcock Medical Plan—The Dartmouth-Hitchcock Hospital preferred network plan (PPO), which currently has close to 17,000 members, also features a three-tier design. For more information, visit www.healthplansinc.com/D-H  or call 866-471-5550.

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Eric H. Schultz,
President and Chief Executive Officer

Richard Weisblatt PhD,
Senior Vice President, Provider Network

Annmarie Dadoly,

Kristin Edmonston,
Production Coordinator