Harvard Pilgrim Health Care Home
  HPHConnect
 
  Learn more.
  Sign up for HPHConnect.
Medical Management
E-Transactions
HPHConnect
Pharmacy
For Your Patient
News Center
Network Matters
Newsletter Archives
Newsletter Registration
Newsroom
Office Support
Products
Provider Manual
Medicare Advantage
Research & Teaching
Resources & Links
 
Print    Text Size

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

March 2015

Eastern Harmony: A Review and 2015 Updates


Harvard Pilgrim’s innovative Eastern Harmony program is introducing some key changes for 2015, including acupuncture benefits and a visiting family benefit.

Harvard Pilgrim’s Eastern Harmony program combines Western medicine with traditional Eastern practices to provide a cross-cultural range of benefits. It is an all-encompassing approach to wellness, complementing routine PCP visits and preventive care with alternative methods based in a rich history of Eastern health principles.

In partnership with Healthways WholeHealth Networks, Harvard Pilgrim offers members up to 30% savings on alternative services from a variety of practitioners, including:

  • Chiropractors
  • Acupuncturists
  • Ayurvedic practitioners
  • Chinese herbal medicine
  • Tai chi and qigong instructors
  • Reiki and shiatsu practitioners
  • Yoga and Pilates instructors

What’s new in 2015?

Harvard Pilgrim now offers acupuncture benefits to most fully insured members of our Massachusetts, Maine, New Hampshire and Connecticut HMO, PPO, and POS products. Many of our members like to combine their regular treatments with acupuncture to help with a variety of conditions, such as headaches, low back pain, knee pain, osteoarthritis, and certain side effects of chemotherapy. As of 2015, up to 20 visits for the services of acupuncture specialists will be covered per year (copayments, deductibles, and coinsurance may apply). 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.

Harvard Pilgrim also introduced visiting family medical coverage. Recognizing that many Asian and South Asian Americans have family members overseas that may occasionally visit for extended periods of time, Harvard Pilgrim has partnered with IMG (International Medical Group) to provide temporary medical coverage to international travelers visiting family and friends in the United States.

IMG’s customer service features include multilingual claims settlement and a secure website where members can search for providers, view the status of claims, and chat live with representatives. You may provide health care services to a visiting family member with IMG coverage if you are part of the IMG network; in this case, you can recognize these members by their IMG member ID card, which also includes claims submission information. For questions on the details of our visiting family health care coverage offerings, your patients should visit www.harvardpilgrim.org/visitingfamily.

For questions about Harvard Pilgrim’s Eastern Harmony program, please contact EasternHarmony@harvardpilgrim.org.

*Harvard Pilgrim Health Care, through its affiliate HPHC Insurance Agency, Inc. makes referrals for travel medical insurance to International Medical Group (IMG). HPHC Insurance Agency receives a commission for each individual it refers to IMG who is subsequently enrolled into its plan. Harvard Pilgrim Health Care does not underwrite or bind individuals to coverage offered by IMG. Such coverage is not in any way connected to health coverage offered through Harvard Pilgrim Health Care or its affiliates.

Email this article to a colleague   


Network Matters Archives

Download printer-friendly version

HPHCURRENT EVENTS

Eastern Harmony: A Review and 2015 Updates

CLINICIAN CORNER

Prior Authorization Required for Cosentyx

New Quantity Limits for Select Opioid Agents

Members’ Rights and Responsibilities

Caregiver Stress and Substance Abuse

OFFICE ASSISTANT

Harvard Pilgrim’s E-Tools for Greater Efficiency

PUBLICATION INFORMATION

Eric H. Schultz,
President and Chief Executive Officer

Richard Weisblatt PhD,
Senior Vice President, Provider Network

Annmarie Dadoly,
Editor

Joseph O'Riordan,
Writer

Kristin Edmonston,
Production Coordinator