The service area for Harvard Pilgrim is: Massachusetts, Maine, New Hampshire, Rhode Island and Vermont. Please note that you and all family members covered under the plan must live in the Service Area to enroll with this plan.
Please use the benefit summaries, schedule of benefits, or Harvard Pilgrim's website to find information on specific benefit coverage. This could include things such as chiropractor, acupuncture, therapy, counseling, etc.
- 2023 Benefit Summaries
On Harvard Pilgrim’s website, you can create an account where you can access detailed information about your plan. Included is information on your claims activity, a deductible tracker, a benefits summary, and an option to order ID cards.
To find a Primary Care Physician or other providers in the HMO plan
1. Go to the Harvard Pilgrim home page (www.harvardpilgrim.org)
2. Select "Find a Provider" at the top right-hand side of the page
3. For Plan Type, select "HMO." For Plan Category, select "Standard." Under Standard, select "HMO or HMO Open Access."
4. The Provider Search tool allows you to search by name, or by a number of different criteria including by specialty, by location, hospital affiliations, gender, etc.
If you have questions about this plan, contact Harvard Pilgrim at 1-866-623-0184.