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.
For groups with 51+ employees. A range of full, tiered and select network plan options. Benefits may be customized to suit employers’ needs.
Large Group Enrollment Hub
Plan Name | Year | Overview | Documents |
---|---|---|---|
HMO HSA | 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. Gives employers and/or members the option to fund a health savings account. | HMO HSA Brochure |
HMO Open Access | 202220232024 | Provides access to our full network of New England providers and hospitals. PCPs are required; referrals are not. | HMO Open Access BrochureMaine HMO & POS Open Access Flyer |
HMO | 202220232024 | Provides access to our full network of New England providers and hospitals. PCPs and referrals are required. | HMO Brochure |
HMO Open Access HSA | 202220232024 | A qualified high-deductible health plan (HDHP). Provides access to our full network of New England providers and hospitals. PCPs are required; referrals are not. Gives employers and/or members the option to fund a health savings account. | HMO Open Access BrochureMaine HMO & POS Open Access Flyer |
Maine’s Choice Plus HMO | 202220232024 | A tiered HMO that provides access to our full network of New England providers and hospitals. The Preferred Network has lower cost sharing than the Standard Network; members can choose providers, including PCPs, from either tier. PCPs and referrals are required. | Maine's Choice Plus HMO BrochureMaine's Choice Plus Map |
Maine’s Choice Plus HMO HSA | 202220232024 | A qualified high deductible health plan (HDHP) and tiered HMO that provides access to our full network of New England providers and hospitals. The Preferred Network has lower cost sharing than the Standard Network; members can choose providers, including PCPs, from either tier. PCPs and referrals are required. Gives employers and/or members the option to fund a health savings account. | Maine's Choice Plus HMO HSA Individual BrochureMaine's Choice Plus Map |
SimplyVirtualSM HMO | 2022 | Full-network virtual PCP plan. PCPs and referrals are required. Members age 19 and up choose Doctor On Demand PCPs; members under age 19 choose office-based PCPs. Doctor On Demand PCPs refer members to office-based providers in Harvard Pilgrim’s network for services that can't be provided virtually (e.g., specialty care, labs, X-rays). | SimplyVirtual Member Flyer |
Virtual ChoiceSM HMO | 202220232024 | Full-network virtual PCP plan that's flexible and family-friendly. PCPs and referrals are required. Members age 19 and up choose Doctor On Demand PCPs for lower cost sharing or office-based PCPs from Harvard Pilgrim's network for higher cost sharing. Members under age 19 choose an office-based PCP and will pay lower cost sharing. PCPs refer members to office-based providers for services that can't be provided virtually (e.g., specialty care, labs, X-rays). | Virtual ChoiceSM Brochure Virtual ChoiceSM Member Flyer |