Medicare Advantage
Reminder: As of Jan. 1, 2022, Harvard Pilgrim Health Care is no longer offering StrideSM (HMO) Medicare Advantage plans in Massachusetts and Maine. We continue to offer StrideSM in New Hampshire. Massachusetts StrideSM members had the opportunity to enroll in Tufts Medicare Preferred, which has earned 5 out of 5 stars from the Centers for Medicare and Medicaid Services (CMS) for an unprecedented 7th year in a row — and 7 of 10 former Massachusetts StrideSM members chose a Tufts Medicare Preferred plan for coverage this year. You can access coverage information for these members via the Tufts Health Plan provider portal.
Quick Reference Guide
Our Medicare Advantage StrideSM Quick Reference Guide is a handy reference on verifying eligibility, requesting authorizations, submitting claims and requesting claims appeals, and more
Pharmacy Resources
Referral/Auth. Quick Reference Guide
Resource tool for Medicare Advantage products, indicating which services may require referral or authorization.
Medicare Advantage Provider Service Center:
Phone: 888-609-0692
8 a.m. to 5 p.m. (ET), Monday – Friday
To mail Medicare Advantage claims:
Harvard Pilgrim Health Care, Inc.
c/o Stride Claims Processing
P.O. Box 211067
Eagan, MN 55121
Claims appeals:
Fax#: 617-509-4225
Or mail to:
Medicare Advantage Provider Appeals
P.O. Box 690546
Quincy, MA 02269