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 chiropractic, acupuncture, therapy, counseling, etc.
Benefit Summary
2026 HMO Schedule of Benefits (detailed summary)
2027 HMO Schedule of Benefits (detailed summary)
Preventive Care Services Information
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.
You can access the HMO Plan Handbook (detailed benefits coverage information) through your online account with Harvard Pilgrim.
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. Click on "Select a Plan" under Search without logging in."
4. For Plan Type, select "HMO." For Plan Category, select "Standard." Under Standard Plans, select "HMO or HMO Open Access."
5. The Provider Search tool allows you to search by name or by a number of different criteria, including specialty, location, hospital affiliations, gender, etc.
If you have questions about this plan, contact Harvard Pilgrim at 1-866-623-0184.
Other Information:
Whole Person Care: Integrated Approach to Behavioral Health
2026 HMO Summary of Benefits Coverage
2027 HMO Summary of Benefits Coverage