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 (HPHC) — to provide or coordinate your care. To find a doctor, please visit the Harvard Pilgrim website.

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.

New Enrollment:

  1. Go to www.harvardpilgrim.org
  2. Select “Member Login” -  Enroll in Harvard Pilgrim
  3. Enter Employer ID: 0000288568
  4. Effective date: 07/01/2019
  5. Reason for Enrollment: Open Enrollment
  6. Select the plan you would like to enroll in, add Member Information then click “submit”

New Enrollment Instructions

Make changes:

  1. Go to www.harvardpilgrim.org
  2. Select “Member Login” -  Enter your HP Connect username/password
  3. Select “Update my Information”
  4. Select “Edit Plan Options”
  5. FOLLOW THE INSTRUCTIONS!

Existing Employee Instructions

NOTE:  Changes to your plan, can ONLY be made during Open Enrollment, or if you have a qualifying event (birth, marriage, divorce, death).

 

Learn more about the HMO Plan

View all coverage-related documents, including plan description, Rx information and information on additional benefits. The Summary of Benefits below provides plan details, if you have questions please call HPHC (800) 708-4414.

HMO Plan Summary of Benefits

HPHC's HMO "How It Works"

"Four Facts about the HMO"

 

Learn more about the HRA

You are automatically enrolled in the HRA if you have the HMO Plan.

RSI HRA Summary of Benefits

RSI Sample Explanation of Benefits

RSI HRA Plan Claim Process

 

HMO Cost Information

Chart of Biweekly Employee Health Insurance Costs

*School Year - 20 Pay Employees: Scroll down within the above document to see 20 pay rates (see chart with yellow highlighting).

**Union Employees: Union members selecting the year-round lump sum payment in the last payday of the school year will have deductions taken based on the 24 Pay Schedule until the last payday when 2 months of employee payments will be taken.

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

FSA (Flexible Spending Account) Enrollment Form

FSA (Flexible Spending Account) Claim Form

RSI FSA Enrollment Form

 

What about Prescriptions?

Prescription Plan Details

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

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

For more information, contact: 
Phone: 
413.586.4900 x5923, x5922 or x5932
Email: 
hr@collaborative.org