Get Harvard Pilgrim Health Care Accident Questionnaire

HMO: You receive care within Harvard Pilgrim's network, select a PCP and get referrals for most of your care. PPO: You are covered for in-network services and have the option to go out of network for a higher out-of-pocket cost.

Harvard Pilgrim is home to the Harvard Pilgrim Health Care Institute, a collaboration with Harvard Medical School. As Harvard Medical School's Department of Population Medicine, the Institute is the only appointing department of a U.S. medical school housed within a health plan.

A Point32Health company. Point32Health is the parent organization of Harvard Pilgrim Health Care and Tufts Health Plan. Together, we're delivering ever-better health care experiences to everyone in our diverse communities.

After you meet your out-of- pocket maximum, Harvard Pilgrim will pay all additional covered health care costs. The out- of-pocket maximum is $2,500 per person and $5,000 per double/family. The Schedule of Benefits has more details on benefits and cost sharing.

Yes: durable medical equipment, emergency room care, emergency medical transportation, outpatient mental health services, preventive care, provider office visits, rehabilitation services, habilitation services, routine eye exams are covered before you meet your deductibles.

Contact the Provider Call Center at 1-800-708-4414, if you have questions.

Request Electronic Claim Submission To initiate a request to submit electronic claims directly, contact the EDI Team at edi_team@point32health.org or call the EDI Team at 800-708-4414, option 1, option 3. Harvard Pilgrim does not require pre-enrollment for electronic claims submitted through a clearinghouse.

Harvard Pilgrim Health Care Bridgeport Hospital. Bristol Hospital. Charlotte Hungerford Hospital. ... Addison Gilbert Hospital. Anna Jaques Hospital. Athol Memorial Hospital. ... Alice Peck Day Memorial Hospital. Androscoggin Valley Hospital. Catholic Medical Center. ... Blue Hill Memorial Hospital. Bridgton Memorial Hospital.

Claims Requirements Standard Filing Limit • 90 days from the date of service. Members may not be billed for services submitted after the filing limit.

Provider coverage includes Harvard Pilgrim's network in Massachusetts, New Hampshire and Maine, and our national network partner, UnitedHealthcare Options for the remaining states. In addition to the Harvard Pilgrim and United Options networks, members may see an out of network provider, at a higher cost.

The Passport ConnectSM program is an alliance between UnitedHealthcare and Harvard Pilgrim Health Care and offers your employees a “passport” to Harvard Pilgrim's highly regarded physician and hospital network, in addition to UnitedHealthcare's national network—all under one plan.

Harvard Pilgrim and Optum/United Behavioral Health, our behavioral health partner, can help facilitate the coordination of care, and make a number of resources available to Harvard Pilgrim providers.

HMO: You receive care within Harvard Pilgrim's network, select a PCP and get referrals for most of your care. PPO: You are covered for in-network services and have the option to go out of network for a higher out-of-pocket cost.

Harvard Pilgrim is home to the Harvard Pilgrim Health Care Institute, a collaboration with Harvard Medical School. As Harvard Medical School's Department of Population Medicine, the Institute is the only appointing department of a U.S. medical school housed within a health plan.

A Point32Health company. Point32Health is the parent organization of Harvard Pilgrim Health Care and Tufts Health Plan. Together, we're delivering ever-better health care experiences to everyone in our diverse communities.

After you meet your out-of- pocket maximum, Harvard Pilgrim will pay all additional covered health care costs. The out- of-pocket maximum is $2,500 per person and $5,000 per double/family. The Schedule of Benefits has more details on benefits and cost sharing.

Yes: durable medical equipment, emergency room care, emergency medical transportation, outpatient mental health services, preventive care, provider office visits, rehabilitation services, habilitation services, routine eye exams are covered before you meet your deductibles.

Contact the Provider Call Center at 1-800-708-4414, if you have questions.

Request Electronic Claim Submission To initiate a request to submit electronic claims directly, contact the EDI Team at edi_team@point32health.org or call the EDI Team at 800-708-4414, option 1, option 3. Harvard Pilgrim does not require pre-enrollment for electronic claims submitted through a clearinghouse.

Harvard Pilgrim Health Care Bridgeport Hospital. Bristol Hospital. Charlotte Hungerford Hospital. ... Addison Gilbert Hospital. Anna Jaques Hospital. Athol Memorial Hospital. ... Alice Peck Day Memorial Hospital. Androscoggin Valley Hospital. Catholic Medical Center. ... Blue Hill Memorial Hospital. Bridgton Memorial Hospital.

Claims Requirements Standard Filing Limit • 90 days from the date of service. Members may not be billed for services submitted after the filing limit.

Provider coverage includes Harvard Pilgrim's network in Massachusetts, New Hampshire and Maine, and our national network partner, UnitedHealthcare Options for the remaining states. In addition to the Harvard Pilgrim and United Options networks, members may see an out of network provider, at a higher cost.

The Passport ConnectSM program is an alliance between UnitedHealthcare and Harvard Pilgrim Health Care and offers your employees a “passport” to Harvard Pilgrim's highly regarded physician and hospital network, in addition to UnitedHealthcare's national network—all under one plan.

Harvard Pilgrim and Optum/United Behavioral Health, our behavioral health partner, can help facilitate the coordination of care, and make a number of resources available to Harvard Pilgrim providers.