EMPLOYER NEWSLETTER | WINTER 2024
|
|
|
NEW for 2024: Dental & Vision Plans
|
We’re pleased to introduce our latest products to deliver simpler, effective and better care to you and your employees.
Point32Health Dental and Point32Health Vision are the newest products to join our portfolio of health and well-being services. When integrated with our medical coverage, these products deliver valuable benefits and savings opportunities.
A wide array of plans exclusively offered to Harvard Pilgrim clients (51+) are now available, for coverage effective July 1, 2024. Speak to your account manager or broker to learn more.
|
|
|
NEW: Point32Health
Dental Highlights
|
| - Convenient access to more than 350,000 dental access points nationwide
- Complete coverage for adults and children
- Comprehensive preventive, restorative and orthodontia care
|
|
|
NEW: Point32Health
Vision Highlights
|
| - Full coverage for vision exams, lenses and frames
- A wide array of retailers, including online options, to offer members choice and convenience
- Each retailer offers at least 100 frame styles within the frame allowance
|
|
|
Supporting Your Employees
|
|
|
Comprehensive New Member Communications
|
Harvard Pilgrim is making the business of health care simpler for you – and easier for your employees to access:
Secure Member Account: New employees can instantly create an online account to view their health plan benefits, ID cards, find a provider, get treatment estimates and much more.
MyWire: Our secure text message channel helps new employees maximize their health plan benefits with personalized updates about plan offerings, discounts and other educational information.
Resource Hub: New employees can visit our website for updated information about our programs, tools and resources.
Behavioral Health Benefits: New employees can access a comprehensive network of behavioral health care providers plus innovative programs and services.
|
|
|
Our Find a Provider directory makes it easy for your employees to search for doctors or hospitals using their secure online member account. Updated daily, employees can log in and search for providers based on name, type, location or specialty, such as primary care or pediatrics.
Provider Search Tool ›
|
|
|
|
Helping Members Access Care Conveniently
|
Our health plans offer a variety of options for employees and their dependents to get the care they need at the right time and in the right setting. According to the New England Health Institute, 56% of emergency room visits are avoidable.* When it’s not a life-threatening emergency, knowing these options before an illness or injury occurs can save time and money. We encourage you to share this information with your employees.
Learn More ›
|
|
|
|
Our highly skilled teams are always available and ready to offer solutions that support your employees’ needs. Here is an example that we are proud to share:
At a recent benefits fair, a member shared her concerns about the expenses for her son’s care through an out-of-network provider. Our team was able to help the member on the spot — by first confirming the provider was now in network, and helping her select a different plan that would save $700 in out-of-pocket costs.
|
|
|
We appreciate these moments to help our health plan members — and ensure they can access the care they need.
|
|
|
Employer Tools and Policy Updates
|
|
|
NEW: Updated Employer Account Login Page
|
We’ve redesigned our Employer Account login page to make these administrative tasks easier:
|
- Real-time enrollments
- Order employee ID cards
- Download and edit member rosters
- View and download plan documents
- Use billing and invoicing tools
- Access a step-by-step tutorial
|
| Reminder: Health Plan Policy Update
|
In support of and in accordance with a recent directive from the Massachusetts Executive Office of Health and Human Services (EOHHS), Harvard Pilgrim Health Care (a Point32Health company) is waiving prior authorizations from January 9, 2024, until April 1, 2024 for members transitioning from acute care hospitals to Massachusetts sub-acute care and rehabilitation facilities.
|
|
|
NOW AVAILABLE: 2024 Administrative Guide
|
The 2024 edition of the Harvard Pilgrim Health Care Administrative Guide for Employers, Brokers and Third-Party Administrators (TPAs) is now available online. This guide is designed to answer the most common questions and assist you with the completion of membership transactions, including instructions on enrollment procedures and premium payments.
View Guide ›
|
| To help you and your employees 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.
Learn More ›
|
|
|
| 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 Spotlight
|
Our team of behavioral health service navigators are working hard to provide personalized support for your employees’ behavioral health needs. And we are pleased to share some great feedback:
|
|
|
| “We don’t just send the member a list of providers, we actually make the calls, schedule the appointments…and find a provider that they feel is a good fit.”
|
-Behavorial Health Service Navigator
|
“I felt so defeated...I do not know what I would have done without this program.”
|
|
|
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. Members can access their most recent behavioral health care information in their secure member account which includes activity since November 1, 2023.
|
|
|
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.
|
|
|
All Harvard Pilgrim employer groups now have access to the Noom weight loss program. Noom is an award-winning, app-based weight loss program designed by psychologists and scientifically proven to create real, sustainable results through behavior change. Noom uses a personalized, mind-first approach that combines technology and human coaching to create healthier daily habits that lead to more sustainable weight loss. Employer groups must purchase a Noom license to access the program for their employees.
|
| Virtual Care Saves Time and Money
|
Doctor On Demand helps employers save on costs and provides employees quick access to virtual care:
|
- Convenient: 24/7 access to a U.S. board-certified doctor via smartphone, tablet or computer in less than 15 minutes
- Efficient: No appointment required for immediate diagnosis. Prescriptions sent directly to the member's local pharmacy when medically necessary
- Member satisfaction: 4.9/5 rating and 60% of members are repeat users within six months
|
|
|
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. We recently announced 58 local organizations have received nearly $6 million in grants — including $2.5 million in Massachusetts.
|
|
|
Manage your preferences | Opt Out using TrueRemove™
Got this as a forward? Sign up to receive our future emails.
View this email online.
|
1 Wellness Way | Canton, MA 02021 US
|
|
|
This email was sent to dbanoli@gmail.com.
To continue receiving our emails, add us to your address book.
|
|
|
|
