Harvard Pilgrim Health Care is a leading not-for-profit health services company that serves as a guide to better health for its members in Massachusetts, New Hampshire, Maine, Connecticut and beyond. Its flagship health plans in New England provide coverage to more than 1.2 million members, while more than 2 million individuals are served through subsidiaries providing integrated care management and health coaching.
Our mission is to improve the quality and value of health care for the people and communities we serve. We do that through the health plans we offer, as well as through the Harvard Pilgrim Health Care Institute, a research and teaching collaboration with Harvard Medical School; and the Harvard Pilgrim Health Care Foundation, which provides tools, training and leadership to help build healthy communities.
Prescription Drug Coverage
- Options range from very generous to very cost-effective
- Most Rx plans feature a $0 copayment for Tier 1 medications
- Mail Order Program: Receive a 90-day supply of your maintenance medications for one low copayment
When provided or arranged by a PCP, services are typically covered in full with copayments. Services received without a PCP referral or outside Harvard Pilgrim’s participating provider network are subject to deductibles and coinsurance.
Medicare Enhance Plans
Expand your options for retiree coverage with the Aetna/SilverScript Prescription Drug Plan (PDP). Paired with the Harvard Pilgrim Medicare Enhance medical coverage, this PDP program is an alternative high quality prescription drug plan for Medicare Retirees.