Medical Plans

Harvard Pilgrim Health Plan Participants

 

Whole Person Care - A New Integrated Approach to Behavioral Health

Medical Plans 2024

 
Considering the Harvard Pilgrim PPO Plus HSA Plan? Learn more about how this plan works:

Medical Plans 2023

Prescription Coverage - OptumRx

The College offers medical coverage through Harvard Pilgrim Health Care and prescription coverage from Optum RX.

Medical Plan Member Resources

Ovia Health

Ovia offers support for reproductive health, starting a family, having a healthy pregnancy, balancing life as a working parent and managing menopause. 

Transgender Health Services

Emotional and Wellbeing Support

 

Learn More About the HSA

 

Harvard Pilgrim COVID-19 Resource Center 

As the COVID-19 situation continues to change, Harvard Pilgrim continues to offer resources for support. 

Over the counter at home Covid 19 tests will no longer be covered under Harvard Pilgrim effective Friday, May 12, 2023. This is as a result of the Biden administration announcement to end the public health emergency and the national emergency related to COVID-19 on May 11, 2023.
 
If you purchased a FDA approved tests prior to May 12, 2023, you can submit a claim for reimbursement by completing this form and mailing it to Harvard Pilgrim along with copies of receipts. 

 

Harvard Pilgrim Health Care - Transparency in Coverage Information

As part of the Transparency in Coverage Final Rule set forth by the U.S. Department of the Treasury, the U.S. Department of Labor, and the U.S. Department of Health and Human Services (referred to collectively as the “Tri-Agencies”), group health plans and health insurance issuers are required to make available to the public negotiated rates for all covered items with in-network providers, and historical payments to and billed charges from, out-of-network providers through machine-readable files (MRFs) posted on an internet website, updated monthly. These files will permit the public to have access to health plan payment information that can be used to understand health plan pricing and the cost for health care services.

The files that are posted will include:

  • In-network provider negotiated rate files
  • Out-of-network provider historic allowed amount files
  • Table of Contents files