How this plan works
- You have access to the full Harvard Pilgrim network
- Network consists of in-network (full Harvard Pilgrim network) and out-of-network benefits
- You are not required to choose a PCP, but we recommend that our members choose one. A PCP provides most of your routine care and can recommend that you see other doctors or practitioners when you have a specific health issue or illness.
- The plan also covers out-of-network services, with deductible and coinsurance
- This plan is available for members who are truly OOA (live outside New England)
Union plans
Summary of Benefits & Coverage 15
Schedule of Benefits – SEIU and CCHC UGSOA OOA
Summary of Benefits & Coverage 21
Schedule of Benefits – MNA OOA
Summary of Benefits & Coverage 24
Non-union plans
Summary of Benefits & Coverage 7
Schedule of Benefits – CDHP OOA
Summary of Benefits & Coverage 8
For more information about your new benefits, including estimating your out-of-pocket costs and more, contact our SmartStart team at SmartStart@harvardpilgrim.org or call them at 866-874-0817.