PPO OOA

2026 plan information

How this plan works

  • You have access to the full Harvard Pilgrim network
  • Network consists of in-network (full Harvard Pilgrim network) and out-of-network benefits
  • You are not required to choose a PCP, but we recommend that our members choose one. A PCP provides most of your routine care and can recommend that you see other doctors or practitioners when you have a specific health issue or illness.
  • The plan also covers out-of-network services, with deductible and coinsurance
  • This plan is available for members who are truly OOA (live outside New England)

Find a provider

Union plans

Schedule of Benefits – SEIU OOA

Schedule of Benefits – FH and CCH MNA OOA

Schedule of Benefits – FH and CCH UGSOA OOA

Schedule of Benefits – VNA MNA

Non-union plans

Schedule of Benefits – CDHP OOA

Schedule of Benefits – OOA

Union plans

Non-union plans

Questions?

 For more information about your new benefits, including estimating your out-of-pocket costs and more, contact our SmartStart team at SmartStart@harvardpilgrim.org or call them at 866-874-0817.