Health Insurance - HMO Plan

Health Insurance - HMO Plan

Is the HMO Plan right for me?

All members must choose a primary care physician — from among thousands that accept Harvard Pilgrim — to provide or coordinate your care. Find your doctor here.

Preventive care services are covered free of charge; some services require a copayment and others are not covered until the deductible is met. Certain tests and screenings are covered at no charge, while others are subject to the deductible.

How to Enroll

To enroll for the first time: you can enroll either at hire or during Open Enrollment

Click Here to Enroll

To make a change to your existing plan: you can only make changes at Open Enrollment

Click Here to Enroll


Learn more about the HMO Plan

View all coverage-related documents, including plan description, Rx information and information on additional benefits.

HPHC's HMO "How It Works"

"Four Facts about the HMO"

HMO Plan Schedule of Benefits


HMO Cost Information

Rate Chart for Year Round (24 Pay) Employees

Rate Chart for 10 month/School Year (20 Pay) Employees

The Schedule of Benefits provides more detail, but if you still have questions, call HPHC (800) 708-4414.

Flexible Spending Accounts

Now is the time to take advantage of an FSA (Flexible Spending Account) to help with deductible expenses.

Learn more about FSAs


What about Prescriptions?

Prescriptions Q & As

HMO Prescription Drug Coverage Value Tier 4

List of Medications Covered at the Tier 4 Cost-Sharing Level

List of Medications Covered at the Tier 5 Cost-Sharing Level

2015 Value Formulary Non-Covered Drug List

Would you like to save time and money? Obtain your prescriptions by mail!

Learn about the mail order process

There are 3 easy ways to take advantage of Prescription Mail Order

For more information, contact: 
413.586.4900 x5923 or x5925