Early parenthood

Add your newborn to your Harvard Pilgrim plan

Remember to add your baby to your policy within 30 days of their birth.

• If you have coverage through an employer, contact your human resources or benefits department
• If you buy coverage directly from Harvard Pilgrim, contact Member Services
• If you purchase your coverage through a health care marketplace, please contact:
  • www.CoverME.gov (Maine)
  • www.mahealthconnector.org (Massachusetts)
  • www.healthcare.gov (New Hampshire)

Breast pump coverage

Harvard Pilgrim covers one manual or electric breast pump per pregnancy for members when:

• You have a prescription from your provider, and
• With your prescription, you receive the pump from a durable medical equipment (DME) supplier in your plan’s network

We cover one hospital-grade electric pump rental in place of a manual or electric pump with an order from your provider.

Please make sure the DME supplier you plan to buy your breast pump from participates in your plan’s provider network:

• Log in to your secure member account
• Select “Find a provider”
• Select “Search by Name or Facility”
• Enter the supplier’s name in the search field
• Select “Search Providers”

In-network DME suppliers will submit a claim to Harvard Pilgrim on your behalf.

Lactation consultant coverage

As a Harvard Pilgrim member, we cover you 100% for lactation support from certified consultants.

If you don’t know where to start, ask your obstetrician, midwife or your child’s pediatrician for a recommendation. You can find certified consultants who:

• Work for hospitals or birthing centers and are available to you before and after you go home
• Work in the community and offer in-home classes, group classes or both

Find a lactation consultant near you:

• In Maine, Massachusetts and New Hampshire
• In Maine, New Hampshire and Rhode Island

If you work with a lactation consultant at the hospital or birthing center, they’ll bill us directly and you won’t need to pay out of pocket for their services. Otherwise, please ask your lactation consultant for an invoice and submit it with a completed health care reimbursement form.

Routine pediatric care

Routine pediatric health screenings and preventive immunizations are covered in full (no cost sharing). Find more information on preventive care.

For children from birth through age 5, the Centers for Disease Control and Prevention offer helpful information on the important developmental milestones your child should be reaching as they grow.

Your baby is here, and so is life as a parent to your little one. Ovia Parenting helps you keep track of feedings, diaper changes, sleep and more. It also offers valuable articles and parent and caregiver communities for learning and support. Harvard Pilgrim members have access to services, such as unlimited in-app messaging with Ovia’s team of experts, including:¹

• Lactation consultants
• Infant and child sleep consultants
• Nurse practitioners

Explore Ovia Parenting

NICU support from Harvard Pilgrim

Harvard Pilgrim provides neonatal intensive care unit (NICU) care management to support and assist families throughout their stay. Contact Member Services at the number on your member ID card if you have questions about your options.

Many members have access to:

• Harvard Pilgrim’s pediatric care managers
• Ovia Health’s NICU nurses via in-app support
• ProgenyHealth’s NICU program²

Immunization reminders

We’ll send you a postcard when your child is 15-17 months old, reminding you to complete their childhood immunizations. Check with your pediatrician to see which immunizations are appropriate for your child.