Our Solutions
Select a state first (BY STATE), followed by group type (BY GROUP). Then choose a specific plan type (BY PLAN). To compare multiple plans at once, see the new plan compare tool.
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Plan Name | Year | Overview | Documents |
---|---|---|---|
HMO Flex | 202220232024 | Provides access to our full network of New England providers and hospitals. PCPs and referrals are required. Flex benefit provides member savings on general labs and outpatient surgery. | HMO BrochureFlex Flyer |
HMO HSA Flex | 202220232024 | A qualified high-deductible health plan (HDHP). Provides access to our full network of New England providers and hospitals. PCPs and referrals are required. Flex benefit provides member savings on general labs and outpatient surgery. Gives employers and/or members the option to fund a health savings account. | HMO HSA BrochureFlex Flyer |
Focus Network-MA HMO | 202220232024 | A select network HMO. Members must use Focus Network-MA hospitals and providers, except in medical emergencies. PCPs and referrals are required. Lower premiums compared to full-network plans. | MA Focus Network HMO BrochureMA HMO Focus Hospital List |
Focus Network-MA HMO HSA | 202220232024 | A select network HMO and qualified high-deductible health plan (HDHP). Members must use Focus Network-MA hospitals and providers, except in medical emergencies. PCPs and referrals are required. Gives employers and/or members the option to fund a health savings account. Lower premiums compared to full-network plans. | MA Focus Network HMO HSA BrochureMA HMO Focus Hospital List |
Standard Connector HMO | 202220232024 | An HMO with three-tier value formulary Rx coverage. Available on and off the Connector. Provides access to our full network of New England providers and hospitals. PCPs and referrals are required. | HMO Brochure |
Standard Connector HMO Flex | 202220232024 | An HMO with three-tier value formulary Rx coverage. Available on and off the Connector. Provides access to our full network of New England providers and hospitals. PCPs and referrals are required. Flex benefit provides member savings on general labs and outpatient surgery. | HMO BrochureFlex Flyer |
Standard Connector HMO HSA Flex | 202220232024 | An HMO with three-tier value formulary Rx coverage and a qualified high-deductible health plan (HDHP). Available on and off the Connector. Provides access to our full network of New England providers and hospitals. PCPs and referrals are required. Flex benefit provides member savings on general labs and outpatient surgery. | HMO HSA BrochureFlex Flyer |
Benefits, coverage and member cost-sharing details for our plans.
Schedules of Benefits and SBCs: Massachusetts
Individual 2023
PPO - OFF EXCHANGE without Dental | SOB | SBC |
---|---|---|
PPO 25 - Flex MD0000200313 | Show PPO 25 - Flex SOB | Show PPO 25 - Flex SBC |
PPO 500 - Flex MD0000200314 | Show PPO 500 - Flex SOB | Show PPO 500 - Flex SBC |
PPO 1000 - Flex MD0000200315 | Show PPO 1000 - Flex SOB | Show PPO 1000 - Flex SBC |
PPO 1500 - Flex MD0000200316 | Show PPO 1500 - Flex SOB | Show PPO 1500 - Flex SBC |
PPO 2000 - Flex MD0000200317 | Show PPO 2000 - Flex SOB | Show PPO 2000 - Flex SBC |
PPO 2000 Value - Flex MD0000200318 | Show PPO 2000 Value - Flex SOB | Show PPO 2000 Value - Flex SBC |
PPO 3000 - Flex MD0000200319 | Show PPO 3000 - Flex SOB | Show PPO 3000 - Flex SBC |
PPO 4000 - Flex MD0000200320 | Show PPO 4000 - Flex SOB | Show PPO 4000 - Flex SBC |
PPO HSA 3000 - Flex MD0000200321 | Show PPO HSA 3000 - Flex SOB | Show PPO HSA 3000 - Flex SBC |
PPO HSA 3400 - Flex MD0000200322 | Show PPO HSA 3400 - Flex SOB | Show PPO HSA 3400 - Flex SBC |
PPO HSA 5000 - Flex MD0000200323 | Show PPO HSA 5000 - Flex SOB | Show PPO HSA 5000 - Flex SBC |
HMO - ON EXCHANGE with Dental | SOB | SBC |
---|---|---|
Standard Platinum - Flex MD0000200230 | Show Standard Platinum - Flex SOB | Show Standard Platinum - Flex SBC |
Standard High Gold - Flex MD0000200269 | Show Standard High Gold - Flex SOB | Show Standard High Gold - Flex SBC |
HMO 2000 Low - Flex MD0000200233 | Show HMO 2000 Low - Flex SOB | Show HMO 2000 Low - Flex SBC |
Standard Silver MD0000200234 | Show Standard Silver SOB | Show Standard Silver SBC |
Standard High Bronze HSA - Flex MD0000200236 | Show Standard High Bronze HSA - Flex SOB | Show Standard High Bronze HSA - Flex SBC |
HMO 3500 - Flex MD0000200238 | Show HMO 3500 - Flex SOB | Show HMO 3500 - Flex SBC |
HMO - ON EXCHANGE with Dental - AI/AN - Limited | SOB | SBC |
---|---|---|
Standard Platinum - Flex MD0000200230 | Show Standard Platinum - Flex SOB | Show Standard Platinum - Flex SBC |
Standard High Gold - Flex MD0000200269 | Show Standard High Gold - Flex SOB | Show Standard High Gold - Flex SBC |
HMO 2000 Low - Flex MD0000200233 | Show HMO 2000 Low - Flex SOB | Show HMO 2000 Low - Flex SBC |
Standard Silver MD0000200234 | Show Standard Silver SOB | Show Standard Silver SBC |
Standard High Bronze HSA - Flex MD0000200236 | Show Standard High Bronze HSA - Flex SOB | Show Standard High Bronze HSA - Flex SBC |
HMO 3500 - Flex MD0000200238 | Show HMO 3500 - Flex SOB | Show HMO 3500 - Flex SBC |
HMO - ON EXCHANGE with Dental - AI/AN - $0 | SOB | SBC |
---|---|---|
HMO MD0000200231 | Show HMO SOB | Show HMO SBC |
HMO MD0000200231 | Show HMO SOB | Show HMO SBC |
HMO MD0000200231 | Show HMO SOB | Show HMO SBC |
HMO MD0000200231 | Show HMO SOB | Show HMO SBC |
HMO MD0000200231 | Show HMO SOB | Show HMO SBC |
HMO MD0000200231 | Show HMO SOB | Show HMO SBC |
Individual 2024
HMO - ON EXCHANGE with Dental | SOB | SBC |
---|---|---|
Standard Platinum - Flex MD0000201122 | Show Standard Platinum - Flex SOB | Show Standard Platinum - Flex SBC |
Standard High Gold MD0000201116 | Show Standard High Gold SOB | Show Standard High Gold SBC |
Standard High Bronze HSA - Flex MD0000201126 | Show Standard High Bronze HSA - Flex SOB | Show Standard High Bronze HSA - Flex SBC |
HMO 2000 Low - Flex MD0000201123 | Show HMO 2000 Low - Flex SOB | Show HMO 2000 Low - Flex SBC |
HMO 3500 - Flex MD0000201124 | Show HMO 3500 - Flex SOB | Show HMO 3500 - Flex SBC |
Standard Silver II MD0000201164 | Show Standard Silver II SOB | Show Standard Silver II SBC |
HMO - ON EXCHANGE with Dental - AI/AN - Limited | SOB | SBC |
---|---|---|
Standard Platinum - Flex MD0000201122 | Show Standard Platinum - Flex SOB | Show Standard Platinum - Flex SBC |
Standard High Gold MD0000201116 | Show Standard High Gold SOB | Show Standard High Gold SBC |
Standard High Bronze HSA - Flex MD0000201126 | Show Standard High Bronze HSA - Flex SOB | Show Standard High Bronze HSA - Flex SBC |
HMO 2000 Low - Flex MD0000201123 | Show HMO 2000 Low - Flex SOB | Show HMO 2000 Low - Flex SBC |
HMO 3500 - Flex MD0000201124 | Show HMO 3500 - Flex SOB | Show HMO 3500 - Flex SBC |
Standard Silver II MD0000201164 | Show Standard Silver II SOB | Show Standard Silver II SBC |
HMO - ON EXCHANGE with Dental - AI/AN - $0 Cost | SOB | SBC |
---|---|---|
HMO MD0000201115 | Show HMO SOB | Show HMO SBC |
HMO MD0000201115 | Show HMO SOB | Show HMO SBC |
HMO MD0000201115 | Show HMO SOB | Show HMO SBC |
HMO MD0000201115 | Show HMO SOB | Show HMO SBC |
HMO MD0000201115 | Show HMO SOB | Show HMO SBC |
HMO MD0000201115 | Show HMO SOB | Show HMO SBC |
HMO - ON EXCHANGE with Dental - CSR - 94% | SOB | SBC |
---|---|---|
Standard ConnectorCare 1 MD0000201118 | Show Standard ConnectorCare 1 SOB | Show Standard ConnectorCare 1 SBC |
HMO - ON EXCHANGE with Dental - CSR - 87% | SOB | SBC |
---|---|---|
Standard ConnectorCare 2 MD0000201119 | Show Standard ConnectorCare 2 SOB | Show Standard ConnectorCare 2 SBC |
HMO - ON EXCHANGE with Dental - CSR - 73% | SOB | SBC |
---|---|---|
Standard ConnectorCare 3 MD0000201120 | Show Standard ConnectorCare 3 SOB | Show Standard ConnectorCare 3 SBC |
Small Group 2023
PPO - OFF EXCHANGE without Dental | SOB | SBC |
---|---|---|
PPO 25 - Flex MD0000200313 | Show PPO 25 - Flex SOB | Show PPO 25 - Flex SBC |
PPO 500 - Flex MD0000200314 | Show PPO 500 - Flex SOB | Show PPO 500 - Flex SBC |
PPO 1000 - Flex MD0000200315 | Show PPO 1000 - Flex SOB | Show PPO 1000 - Flex SBC |
PPO 1500 - Flex MD0000200316 | Show PPO 1500 - Flex SOB | Show PPO 1500 - Flex SBC |
PPO 2000 - Flex MD0000200317 | Show PPO 2000 - Flex SOB | Show PPO 2000 - Flex SBC |
PPO 2000 Value - Flex MD0000200318 | Show PPO 2000 Value - Flex SOB | Show PPO 2000 Value - Flex SBC |
PPO 3000 - Flex MD0000200319 | Show PPO 3000 - Flex SOB | Show PPO 3000 - Flex SBC |
PPO 4000 - Flex MD0000200320 | Show PPO 4000 - Flex SOB | Show PPO 4000 - Flex SBC |
PPO HSA 3000 - Flex MD0000200321 | Show PPO HSA 3000 - Flex SOB | Show PPO HSA 3000 - Flex SBC |
PPO HSA 3400 - Flex MD0000200322 | Show PPO HSA 3400 - Flex SOB | Show PPO HSA 3400 - Flex SBC |
PPO HSA 5000 - Flex MD0000200323 | Show PPO HSA 5000 - Flex SOB | Show PPO HSA 5000 - Flex SBC |
HMO - ON EXCHANGE with Dental | SOB | SBC |
---|---|---|
Standard Platinum - Flex MD0000200230 | Show Standard Platinum - Flex SOB | Show Standard Platinum - Flex SBC |
Standard High Gold - Flex MD0000200269 | Show Standard High Gold - Flex SOB | Show Standard High Gold - Flex SBC |
HMO 2000 Low - Flex MD0000200233 | Show HMO 2000 Low - Flex SOB | Show HMO 2000 Low - Flex SBC |
Standard Silver MD0000200234 | Show Standard Silver SOB | Show Standard Silver SBC |
Standard Low Silver HSA - Flex MD0000200235 | Show Standard Low Silver HSA - Flex SOB | Show Standard Low Silver HSA - Flex SBC |
Standard High Bronze HSA - Flex MD0000200236 | Show Standard High Bronze HSA - Flex SOB | Show Standard High Bronze HSA - Flex SBC |
HMO 3500 - Flex MD0000200238 | Show HMO 3500 - Flex SOB | Show HMO 3500 - Flex SBC |
PPO - ON EXCHANGE with Dental | SOB | SBC |
---|---|---|
PPO HSA 2000 - Flex MD0000200239 | Show PPO HSA 2000 - Flex SOB | Show PPO HSA 2000 - Flex SBC |
Small Group 2024
HMO - ON EXCHANGE with Dental | SOB | SBC |
---|---|---|
Standard Platinum - Flex MD0000201122 | Show Standard Platinum - Flex SOB | Show Standard Platinum - Flex SBC |
Standard High Gold MD0000201116 | Show Standard High Gold SOB | Show Standard High Gold SBC |
Standard Silver MD0000201117 | Show Standard Silver SOB | Show Standard Silver SBC |
Standard Low Silver HSA - Flex MD0000201125 | Show Standard Low Silver HSA - Flex SOB | Show Standard Low Silver HSA - Flex SBC |
Standard High Bronze HSA - Flex MD0000201126 | Show Standard High Bronze HSA - Flex SOB | Show Standard High Bronze HSA - Flex SBC |
HMO 2000 Low - Flex MD0000201123 | Show HMO 2000 Low - Flex SOB | Show HMO 2000 Low - Flex SBC |
HMO 3500 - Flex MD0000201124 | Show HMO 3500 - Flex SOB | Show HMO 3500 - Flex SBC |
PPO - ON EXCHANGE with Dental | SOB | SBC |
---|---|---|
PPO HSA 2000 - Flex MD0000201127 | Show PPO HSA 2000 - Flex SOB | Show PPO HSA 2000 - Flex SBC |
Offerings that enhance our value for members, employers and brokers. Fees may apply to some programs.
Medical, Pharmacy and Health Services
Transparency tools, pharmacy information and other resources for when members need guidance with their care.
Health Services
We’re proud to offer our members a diverse menu of well-being offerings but we also know it’s a lot to unpack. Discover a resource that puts all these services in one place. Our Health Services Cheat Sheet easily differentiates one offering from another and gives you access to the talking points that will speak to your client. Find information on dozens of services now available to fully insured and self-insured members in an easy to digest format that cuts through the noise.
Pharmacy Program
We offer a variety of tiered formulary offerings to meet your clients’ needs.
Urgent Care Options and ER Alternatives
When their PCPs aren’t available, members who need care right away for minor illnesses and accidents have a variety of cost-effective options.
Member Savings
Programs for helping members keep more of their money.
Fitness Reimbursement Benefits
We know the value that a healthy workforce brings to your clients. So, to guide and support employee well-being, we offer fitness reimbursements of up to $150-$300 a year for our members.
Estimate My Cost
This search tool lets members find and compare estimated health care costs before they receive services. It’s available to members in CT, MA, ME and NH.
Reduce My Costs
Voluntary program that makes it easy for members to save money by finding care at lower-cost facilities for elective, outpatient medical procedures and diagnostic tests. Members can earn rewards for choosing lower-cost providers.
Additional Products & Programs
Guardian
Harvard Pilgrim and Guardian are partnering to provide a full line of ancillary insurance products – including dental, vision, short- and long-term disability and more – to employers in Maine, Massachusetts and New Hampshire. Learn how your clients can save money and provide more insurance options for their employees.
HSAs and HRAs
HSAs and HRAs can offset the costs of high-deductible health plans and motivate members to make smarter health care decisions. Our preferred vendors can get you and your clients started.
Population Health
Well-being Rewards
Our NEW Well-being Rewards program can earn your clients healthy savings. Employers can earn up to 6% of their annual premium while improving employees’ well-being. Employees can earn up to $225 in rewards by participating in a variety of fun and convenient activities that support their well-being.