Open Enrollment is Oct. 28 – Nov. 15
On this page, you’ll find information to help you make a decision about your 2025 medical benefits. You can also find more details about all of your benefit options on Benefits Central.
View a short video about your plan options
Need assistance? We’re here to help
Speak with a Harvard Pilgrim Member Advocate
A part of the BILH family, you have access to a dedicated Member Advocate team to help you navigate your plan options, understand cost-savings opportunities, help you find care, and much more. Call your dedicated Member Advocate team at 866-623-0194. Hours are: Monday, Tuesday, Thursday: 8 a.m.-6 p.m.; Wednesday: 10 a.m.-6 p.m.; Friday: 8 a.m. – 5:30 p.m.
Schedule a virtual consultation
A Harvard Pilgrim benefits expert can help you understand your 2025 plan options and all the perks that go along with your new plan. These one-on-one sessions are completely confidential.
Sessions are limited. If you’ve signed up and can no longer make your appointment, please refer to your calendar invite and click the button to cancel or reschedule, so that someone else may sign up for that time. If you are unable to schedule an appointment, please call our dedicated Member Advocate team for BILH employees and they will be happy to assist you.
2025 Medical Plan Information
Hospital tiers for 2025 BILH plans
BILH Network Premier HMO
Flex HMO
Basic Out of Area PPO
Limited to those who live 20 or more miles from a BILH PCP.
Summary of Benefits & Coverage
Out-of-area coverage for dependents
For HMO plan members
Additional Plan Information
For employees of BILH-affiliated organizations covered by a collective bargaining agreement.
Learn about your 2025 plan options
Resources to support you all year long
BILH Living Well
Get moving and reduce stress with this customized well-being program. Accumulate points for completing fun challenges and webinars, then get rewarded! Plus, learn about $150 wellness reimbursement, discounts and other extras to help you stay healthy.
Support for a healthy mind
We could all use some extra support. That’s why BILH is committed to providing a wide range of behavioral health tools and programs for you and your covered dependents.
MyConnect
Call your dedicated Member Advocate team at 866-623-0194. They can answer questions about medical benefits and claims, help you find care, connect you with Harvard Pilgrim’s Care Team, and much more. Hours are: Monday, Tuesday, Thursday: 8 a.m.-6 p.m.; Wednesday: 10 a.m.-6 p.m.; and Friday: 8 a.m. – 5:30 p.m.
2024 medical plan information
Important update about receiving care in Connecticut in 2024
Domestic & Community HMO
HMO Plus
HMO Plus Out of Area
Out-of-area coverage for dependents
(for HMO plan members)
More help finding a provider
View the 2024 BILH Hospital Tiering List
Find a Tier 1 physical, occupational and speech therapy provider
Additional medical plan information
If you are eligible to participate in a PPO plan in 2024, click the link above to see your plan design. Please refer to your benefit materials for more details on eligibility.
* Not all employer-sponsored plans offer Harvard Pilgrim prescription drug benefits. Please contact Member Services or your Human Resources department to find out more about your coverage.