Harvard Pilgrim Health Care

Effective January 1, 2020, OptumRx will be HPHC’s partner for pharmacy services for the WSHG Active Plans, including mail order prescriptions.  Click here for the members Frequently Asked Questions (FAQ)

Harvard Pilgrim Health Care Website

Presentation
AVOID Costly Trips to the Emergency Room

Effective July 1, 2021
HPHC Benchmark HMO Plan
HPHC HSA Qualified HMO Plan
HPHC PPO Plan – out of area plan
HPHC Preventative Drug List– medications at copay level (no deductible when enrolled in the HSA High Deductible Health Plan)

Effective July 1, 2020
HPHC Benchmark HMO Plan
HPHC HSA Qualified HMO Plan
HPHC PPO Plan – out of area plan
HPHC Preventative Drug List– medications at copay level (no deductible when enrolled in the HSA High Deductible Health Plan)
 

Senior Plan – Effective January 1,  2021
HPHC Medicare Enhance
SilverScript Part D Plan Summary
SilverScript Part D Formulary

Senior Plan – Effective January 1,  2020
Effective January 1, 2020, Aetna Medicare Rx will be offered by SilverScript – members of the HPHC Medicare Enhance will receive a Welcome Kit in mid-to-late December – click here for more information
HPHC Medicare Enhance
SilverScript Part D Plan Summary
SilverScript Part D Formulary

Other Information
HPHC Enrollment Map – MA, CT, ME & NH
Urgent Care
HPHC Preventative Services
HPHC Fitness Reimbursement Form

WSHG Health Plan Comparison Chart & Rates