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Home > Employer > Plan Information > ChoiceNet

Harvard Pilgrim’s ChoiceNet

When members choose more cost-efficient physicians and hospitals, they pay less when receiving care.

ChoiceNet Video This ChoiceNet interactive presentation helps members learn how the plan works and to find answers to frequently asked questions.

ChoiceNet highlights

  • Complements Harvard Pilgrim’s Best Buy portfolio of tiered copayment HMOs and PPOs with deductibles
  • Addresses the reality of medical care cost differences through three tiers of cost sharing
  • Three tiers of cost sharing for physician and hospital visits
  • Tier 1 features the most cost-efficient doctors and hospitals

About ChoiceNet tiers

Tier 1 Tier 2 Tier 3
$ $$ $$$
  • Members pay less when they go to doctors and hospitals in lower tiers
  • More than 75% of doctors and hospitals are in Tier 1 and Tier 2
  • All three tiers include doctors and hospitals from our Quality Honor Rolls
  • Tier 1 includes other providers like chiropractors, optometrists, physical therapists and all behavioral health services
  • Emergency room care is always Tier 1 (regardless of hospital tier)

Note: ChoiceNet plans are currently available to employers based in Massachusetts and New Hampshire.

This plan includes a tiered provider network called ChoiceNet. In this plan, members pay different levels of cost sharing depending on the tier of the provider delivering a covered service or medical supply. A provider's benefit tier may change annually on January 1. Please consult the Harvard Pilgrim ChoiceNet Provider Search Tool to determine a provider's tier in the ChoiceNet Network. You may also call Harvard Pilgrim at 1-888-333-4742 to request a paper copy of the provider directory.

Provider Directory

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Members' Right to Transitional Continuation of Care for Serious Diseases*