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

December 2014

Acupuncture Benefit Offered in 2015 

In recent years, a growing number of Americans have turned to acupuncture for help with a variety of conditions, ranging from headaches to hot flashes. Studies suggest that acupuncture may be helpful in treating headaches, low back pain, knee pain, osteoarthritis, and in relieving side effects from chemotherapy. If any of your Harvard Pilgrim patients have asked about acupuncture, they may be interested in our new benefit.

Beginning on Jan. 1, 2015, Harvard Pilgrim will be offering acupuncture benefits to most fully insured members of our Massachusetts, Maine, New Hampshire and Connecticut HMO, PPO, and POS products. This new benefit includes coverage for up to 20 acupuncture visits per year (copayments, deductibles, and coinsurance may apply).

No referral is required, but HMO members must receive services from participating providers in order for these sessions to be covered. Harvard Pilgrim members will have access to a select group of participating Healthways WholeHealth Networks acupuncturists. PPO and POS members can receive covered acupuncture services from participating or non-participating providers. A list of participating providers is available on our member website. If your practice includes an acupuncturist who would like to participate, please visit the Healthways website (click on the “Nominate a practitioner” link at the bottom of the page) for information on the nomination and credentialing process.

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Network Matters Archives

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New Version of CAQH Coming in 2015

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New Quantity Limit for OxyContin

How Care Management Improves Coordination Across Multiple Settings

Specialty Pharmacy Program Updates

Acupuncture Benefit Offered in 2015

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PCPs and Behavioral Health Care Providers — Working Together


Remember to Complete Your Provider Satisfaction Survey


Eric H. Schultz,
President and Chief Executive Officer

Richard Weisblatt PhD,
Senior Vice President, Provider Network

Annmarie Dadoly,

Joseph O'Riordan,
Contributing Writer

Kristin Edmonston,
Production Coordinator