Resources

Helpful resources to make health care work smarter, faster and better for everyone.

Our Resources section is packed with money-saving tools, informative articles, downloadable forms and more.

Health care terms to know

What's the difference between a copay and coinsurance? Or an HRA and an HSA? Check out our glossary of health insurance terms. 

LEARN THE LINGO

Discounts and savings

Being a Harvard Pilgrim member is so rewarding! Save big with exclusive discounts on a wide variety of health and well-being products and services.

Check out discounts and savings

Documents and forms

Reimbursement forms, authorization forms, vision care claim forms, tax forms, plan documents and more — all in one convenient location.

Tax form information

Find the insurance forms you need

Emergency room alternatives

Did you know that more than half of all emergency room visits are avoidable? The next time you need care right away, but it’s not a life-threatening situation, please consider these time- and money-saving alternatives.

Save time and money with these ER alternatives

Financial tools

Managing out-of-pocket costs can be confusing. That’s why Harvard Pilgrim offers some exceptional tools that help you estimate and manage your health care costs before you receive services, as well as find care at lower-cost, higher-quality facilities while earning some great rewards.

Manage costs before receiving services with Estimate My Cost

Find lower-cost care with Reduce My Costs

Help

From the most commonly asked health care questions to understanding all that your plan has to offer, our Help section provides everything you need to know to successfully navigate your health care journey.

Multifactor authentication help

How to request a pharmacy exception

What is an Activity Summary?

Browse frequently asked questions

Learn about reimbursement accounts

Tax form information

Choosing the best health plan for you

Review common health insurance terms

For members who live outside of New England

Prior authorizations

Specific items and services require that either your provider or you obtain approval (prior authorization) from Harvard Pilgrim. Find everything you need to know about the prior authorization process in this section.

Medical review criteria for prior authorization

Prior authorization process

Ensuring safe and effective medication use

Reimbursement programs

Find out how to get reimbursed for activities that support healthy lifestyles. Available only to members who are eligible for one or more of these programs.

Childbirth class reimbursement

Fitness reimbursement

Weight management reimbursement

Wellness reimbursement