Fallon Health has partnered with Harvard Pilgrim Health Care to offer you the quality health care you deserve. You can find details about your 2025 medical plan options and other available resources through Harvard Pilgrim on this page. For information on the 2024 plan options click here.
2025 medical plan options
Focus HMO HRA
How the plan works
Summary of Benefits & Coverage
Schedule of Benefits
Pharmacy Rider
Focus-MA provider directory
Notice of Travel Reimbursement Benefits for Covered Benefits/Services Restricted by State Law Massachusetts
Travel Benefit Reimbursement Form: Covered Services Restricted by State Law
Best Buy HMO HSA
How the plan works
Summary of Benefits & Coverage
Schedule of Benefits
Pharmacy Rider
HMO provider directory
Notice of Travel Reimbursement Benefits for Covered Benefits/Services Restricted by State Law Massachusetts
Travel Benefit Reimbursement Form: Covered Services Restricted by State Law
PPO HSA
How the plan works
Summary of Benefits & Coverage
Schedule of Benefits
Pharmacy Rider
PPO provider directory
PPO Obtaining Care Outside of New England
Notice of Travel Reimbursement Benefits for Covered Benefits/Services Restricted by State Law Massachusetts
Travel Benefit Reimbursement Form: Covered Services Restricted by State Law
Well-being resources for the body and mind
Reimbursement programs
Up to $550 in fitness and weight management reimbursement
Behavioral health support
Explore the tools and resources we offer to support your mental and emotional health, including mobile apps, online resources and educational content.
Living Well Everyday program
Enroll in the online wellness program to start earning iRecognize Points today! You will earn points for participating in a variety of informative, fun and interactive activities including:
- Healthy Eating
- Physical Fitness
- Financial Wellness
- Health Plan Literacy
- Mindfulness and meditation
- And More!
Family and maternal health
Get free support during your journey to parenthood and beyond with three apps from Ovia Health: Ovia Fertility, Ovia Pregnancy and Ovia Parenting.
Maven
Get 24/7 virtual support for building your family, pregnancy and postpartum. This program is available at no cost as part of your Fallon Health medical plan.
Discounts and savings
Get discounts on health and well-being products and services — hearing and vision, healthy eating, smoking cessation, family and senior care, and more.
MyWire – Stay informed while on the go
Whether you’re a new or existing Harvard Pilgrim Health Plan member, MyWire secure text messaging channel is a great resource for you. It offers a convenient way to get started with your health plan journey or optimize your membership by providing actionable and timely information.