2019 Find a Doctor/Pharmacy or the Formulary
Search for a provider
Get the most up-to-date information about our provider network.
Search for a pharmacy
Get the most up-to-date information about our pharmacy network.
View or download a provider directory:
- Providers located in New Hampshire, Maine or Vermont
- Providers located in Massachusetts, Rhode Island or Connecticut
Note: These provider directories are sorted by the provider’s location for ease of use. StrideSM Medicare Advantage (HMO) members can access any provider in our network regardless of location.
New providers are added daily and may not be reflected in this version of the directory.
If you would like us to confirm if your provider is in our network or if you would like a directory mailed to you, please contact Member Services.
View or download the behavioral health provider directory
This document is a comprehensive listing of our behavioral provider network, sorted by state, county, city/town and provider’s last name. In addition, an index by provider’s last name is included. These providers can be found in the online directory link, listed at the top of this page.
Search the online dental directory
Get the most up-to-date information about our provider network before enrollment.
This document is a comprehensive listing of our dental provider network, sorted by state, county, city/town and provider’s last name. These providers can be found in the online directory link above.
How to get care from out-of-network providers.
Under limited circumstances, our plan will allow our StrideSM (HMO) members to see out-of-network providers. These circumstances include seeing a provider with a specialty not currently contracted with our plan or seeing a provider while you are traveling outside our service area. StrideSM (HMO) has contracted with providers across our service area to ensure access to care for our members. You must get a referral from your network provider and receive prior authorization from the plan prior to your out of network Physician specialist visit. Your cost for seeing an out-of-network provider may be more.
If you need medical care that Medicare requires our plan to cover and the providers in our network cannot provide this care, you can get this care from an out-of-network provider. However, authorization should be obtained from the Plan prior to seeking care. In this situation, you will pay the same as you would pay if you got the care from a network provider. You, your doctor, or your representative may call, write or fax our plan to make a request for authorization. For details on how to contact us, go to Chapter 2 in the Evidence of Coverage, Section 1 and look for the section called, “How to contact us when you are asking for a coverage decision about your medical care”.
Harvard Pilgrim is an HMO plan with a Medicare contract. Enrollment in StrideSM (HMO) depends on contract renewal. The pharmacy network, and/or the provider network may change at any time. You will receive notice when necessary.
Links on this page may take you away from the Harvard Pilgrim Health Care website.
|Y0098_18161 Approved||Last Update: 01/11/2018|