BROKER NEWSLETTER  |  WINTER 2024

Harvard Pilgrim Resources

About Us

Community Support

Company News

NEW for 2024: Dental & Vision Plans

We’re pleased to introduce our latest products to deliver simpler, effective and better care to employer clients and their workforce.

Point32Health Dental and Point32Health Vision are the newest products to join our portfolio of health and well-being programs and services. When integrated with medical coverage and benefits, these products deliver valuable benefits and savings opportunities.

A wide array of plans exclusively offered to Harvard Pilgrim clients (51+ groups) are now available for quoting, with plans effective July 1, 2024.

Point32Health
Dental Highlights

Point32Health
Vision Highlights

Helping You Do Business

Welcome Rhode Island Brokers

Our Harvard Pilgrim broker newsletter will help you stay up to date with our latest news, programs and services.

Visit our broker webpage for additional resources.

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COVID-19 Resource Center

To help support your employer clients stay up to date, we've created state-specific overviews on the latest details in cost-sharing and coverage for COVID-19 tests, vaccines and treatments.

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Health Plan Update

In support of a recent directive, Harvard Pilgrim Health Care is waiving prior authorizations from January 9, 2024 to April 1, 2024, for members transitioning from acute care hospitals to Massachusetts sub-acute care and rehabilitation facilities. Log in to the broker portal for more details.

Comprehensive New Member Communications

Our suite of tools and resources provides a seamless onboarding experience for your employer clients' new hires. MyWire, our secure text message channel, offers a series of messages that guide new members through accessing their plan information or finding doctors. These messages also provide valuable education on behavioral health access, exclusive discounts, perks, and other health plan resources. 

2024 Broker Compensation Program

Our 2024 Broker Compensation Brochures are now available.
Log in to the broker portal to view specific details by state.

Products and Programs

NOW LIVE:
Harvard Pilgrim Wellness Reimbursement Program

This program expands upon the existing fitness reimbursement program to offer rebates on a broad range of wellness activities and expenses, including existing fitness subscriptions and fees. Reimbursement is now available for cardiovascular and strength training equipment; seasonal town, club or school athletic fees; and facilities that offer dance, gymnastics, swimming and martial arts.

Harvard Pilgrim fully-insured, employer groups (51+ members), and ASO plans that elect this option, will have access to the Wellness Reimbursement program. Small group plans will continue to have access to the existing fitness reimbursement.* 

Learn More ›

*To qualify, members must be active for at least four months in the calendar year.

NEW: Trauma Resources & Crisis Support

Resources are available to help members cope with traumatic events or other crises. Our Living Well at Home program also offers 7+ hours of live virtual programming every week. Classes are available to anyone at no cost and are easy to access via Zoom. 

Learn More ›

Behavioral Health Updates 

Since the launch of our insourced behavioral health program, we are excited to share some great feedback: 

   “They really listened and helped me sort everything out.”

-Harvard Pilgrim Member

   “We work directly with the member to find a provider that they feel is a good fit.”

-Behavorial Health Service Navigator

As a reminder, members can continue to see their current behavioral health contracted provider(s) for a specific length of time (based on plan and state regulations), even if these providers are no longer part of the Harvard Pilgrim network after November 1, 2023. 

Provider Access

Our online provider directory is updated daily. Members can select their specific plan to check the provider’s status and they can also search for health care providers based on type, such as primary care and mental health, or by specialty.

Members can access their most recent behavioral health care information in their secure member account which includes activity since November 1, 2023.

Continuity of Care

Teladoc behavioral health providers will remain available to migrating Tufts Health Plan members through March 30, 2024. This expanded access complements our Continuity of Care (CoC) policies for migrating members who are now part of Harvard Pilgrim commercial health plans. In addition, these migrating members also have access to virtual behavioral health providers from Doctor on Demand, as part of their current Harvard Pilgrim health plan.

Concierge Support for Hip and Knee Care

Harvard Pilgrim's collaboration with Carrum Health can help eligible members get hip and knee surgeries, as well as treatment from surgeons in New England. Carrum Health's services are available to fully-insured, commercial Harvard Pilgrim members age 18+ (eligibility criteria may apply). Members who have received a recommendation for surgery or would like to learn more about treatment options (including less invasive procedures), can use Carrum Health to help navigate their care journey. 

Upcoming Webinars

SAVE THE DATE

Corporate & Commercial
Update 2024

9:00-10:00am

Details and registration coming soon.

Foundation Awards Millions in Local Grants

Building on a deep legacy of service and giving our Foundation invests in nonprofit organizations across New England to support, advocate for, and advance healthier lives for all Harvard Pilgrim members, as well as all communities we serve. The Foundation recently announced 58 local organizations have received nearly $6 million in grants, earning a No. 1 ranking for corporate giving in Rhode Island by the Providence Business News.

Questions?

Contact your account executive or call 800-637-4751.