Haris Ashley
Harvard Pilgrim Health Care is a non-profit health services company based in Canton, Massachusetts, serving over a million members in the New England region of the United States. The company provides a range of benefit options, including competitively priced plans, a statewide network plan, and a PPO that covers doctors across the country. With a focus on improving the quality and value of healthcare, Harvard Pilgrim Health Care also offers various member support services, such as wellness coaching, nurse care managers, and online tools to enhance members' health and well-being. However, it is not clear if Harvard Pilgrim Health Care is a Medicaid program or if it accepts Medicaid.
| Characteristics | Values |
|---|---|
| Type of Organization | Non-profit health services company |
| Year Founded | 1969 or 1994 |
| Headquarters | Canton, Massachusetts |
| Area Served | New England region of the United States, including Massachusetts, Maine, Connecticut, New Hampshire, and Rhode Island |
| Number of Members | 1 million or 2.4 million |
| Services | Health insurance plans, wellness support, chronic condition management, online tools, savings programs, and more |
| Ranking | Consistently ranked among the nation's highest-rated health plans for quality and member satisfaction |
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What You'll Learn
Harvard Pilgrim Health Care is a non-profit
Harvard Pilgrim and its affiliates provide a range of benefit options to over one million members in New Hampshire, Massachusetts, Maine, and Connecticut. The company offers various plans to fit different budgets, including competitively priced plans, a statewide network plan, and a PPO that allows members to see doctors anywhere in the country.
In addition to health insurance, Harvard Pilgrim also provides savings and member support programs to help improve and maintain the health and well-being of its members. These programs include wellness support through personal health coaching, nurse care managers for those with chronic conditions, and online tools to help members shop for providers and make informed decisions about their health care.
On August 14, 2019, Harvard Pilgrim Health Care announced a merger with Tufts Health Plan, creating a new company serving 2.4 million members across Massachusetts, Maine, Connecticut, New Hampshire, and Rhode Island. The merger was completed on January 1, 2021, and the new parent company was named Point32Health.
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It offers a variety of benefit options
Harvard Pilgrim Health Care is a non-profit health services company based in Canton, Massachusetts, serving the New England region of the United States. It was formed in 1994 from the merger of the Harvard Community Health Plan (HCHP) and the Pilgrim Health Plan.
- Wellness support through personal health coaching
- Nurse care managers to help those with chronic conditions or serious illnesses
- An online tool called now iKnowSM, which helps members shop for providers based on cost and quality information
- Numerous online tools and resources to help members find the information they need to make the most of their plan and improve their health and well-being
- A Member Savings program that enables members to save on eyewear, fitness clubs, diet programs, dental care, and more
- Savings programs that provide discounts for programs and services designed to keep members healthy and active, such as reimbursements for fitness-related expenses
Harvard Pilgrim and its affiliates are consistently ranked among the nation's highest-rated health plans for quality and member satisfaction. They strive to improve the quality and value of healthcare for the people and communities they serve, offering plans to fit any budget, including competitively priced statewide network plans and PPOs that provide coverage to see doctors anywhere in the country.
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$19.95
$82.55 $92.95
Members have access to wellness support
Harvard Pilgrim Health Care is one of the nation's leading non-profit health services companies. It provides benefit options to over a million members in New Hampshire, Massachusetts, Maine, and Connecticut.
Members of Harvard Pilgrim Health Care have access to wellness support through personal health coaching. The health insurance company also provides nurse care managers to help those with chronic conditions or serious illnesses.
Harvard Pilgrim Health Care also offers an online tool called now iKnowSM, which helps members choose providers based on cost and quality information. Additionally, members can access numerous online tools and resources to help them make the most of their plan and their health and well-being.
The Member Savings program enables members to save on eyewear, fitness clubs, diet programs, dental care, and more. This includes up to $150 in fitness reimbursement. Members can also take advantage of the wellness reimbursement program, which offers reimbursement for qualified programs or memberships and the purchase of qualified cardiovascular or strength training equipment.
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It merged with Tufts Health Plan in 2021
Harvard Pilgrim Health Care, founded in 1969, is one of the nation's leading non-profit health services companies. It provides benefit options to over a million members in New Hampshire, Massachusetts, Maine, and Connecticut.
Tufts Health Plan and Harvard Pilgrim Health Care merged on January 4, 2021, in Quincy, Massachusetts. The merger was first announced in August 2019 and was formalisation on January 1, 2021. The new organisation is now one of the region's largest health services organisations, serving 2.4 million members. The new entity is named Point32Health, inspired by the 32 points on a compass, and symbolising the critical role it plays in guiding and empowering its members to achieve healthier lives.
The merger brought together two of New England's most iconic non-profit health care companies with a combined legacy of nearly 90 years. The CEO of the new combined organisation, Tom Croswell, stated that the combination of the two companies would strongly preserve non-profit health insurance coverage in the region.
The new organisation will maintain the two plans, which have different customer bases. Harvard Pilgrim Health Care will cater to commercial customers, while Tufts will continue serving government-related customers like MassHealth and Medicare. The brands will remain in the market, and benefits will not change in 2021 due to the merger. The new headquarters is located in Canton, with the move set for the fourth quarter of 2021.
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It serves 2.4 million members
Harvard Pilgrim Health Care is a non-profit health services company that was founded in 1969. It is based in Canton, Massachusetts, and serves the New England region of the United States. The company offers a range of benefit options to its members, including wellness support through personal health coaching, nurse care managers for those with chronic conditions or serious illnesses, and online tools to help members shop for providers based on cost and quality information. They also provide savings programs that offer discounts on programs and services designed to keep members healthy and active, such as fitness clubs and diet programs.
On August 14, 2019, Harvard Pilgrim Health Care announced plans to merge with Tufts Health Plan, another health insurer. The merger was completed on January 1, 2021, resulting in a new company serving 2.4 million members in Massachusetts, Maine, Connecticut, New Hampshire, and Rhode Island. This made the merged entity the second-largest health insurer in Massachusetts. The new parent company was named Point32Health, a name inspired by the 32 points on a compass.
The 2.4 million members served by Point32Health can benefit from the combined resources and networks of both Harvard Pilgrim Health Care and Tufts Health Plan. This includes access to a wide range of healthcare providers, services, and benefits, as well as continued support and resources to maintain and improve their health and well-being. The merger aimed to enhance the quality and value of healthcare for its members while also providing greater efficiency and cost-effectiveness.
As a result of the merger, Point32Health likely gained a stronger market position and increased negotiating power with healthcare providers and suppliers. This could have resulted in improved pricing and contract terms, ultimately benefiting the 2.4 million members in terms of cost and quality. Additionally, the combined resources and expertise of the two legacy organizations may have led to the development of new and innovative healthcare solutions, further enhancing the member experience.
While the exact breakdown of members across the served states is not publicly available, it is likely that the majority of the 2.4 million members reside in Massachusetts, given that it is the base of operations for both legacy organizations. However, it is important to note that Harvard Pilgrim Health Care and Tufts Health Plan each had a presence in multiple states before the merger, and the combined entity continues to serve members across the entire region.
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Frequently asked questions
No, Harvard Pilgrim Health Care is a non-profit health services company based in Canton, Massachusetts, serving the New England region of the United States.
Their mission is to improve the quality and value of health care for the people and communities they serve. They aim to provide a variety of benefit options to their members.
As of 2021, the company serves 2.4 million members across Massachusetts, Maine, Connecticut, New Hampshire, and Rhode Island.
They offer outstanding member support, including wellness support through personal health coaching, nurse care managers for those with chronic illnesses, and an online tool to help members shop for providers based on cost and quality.
