Updated September 10, 2025

Harvard Pilgrim Healthcare Customer FAQ

Recent Harvard Pilgrim Healthcare Customer Questions

Help me with my Harvard Pilgrim Healthcare customer service issue

Insurance Plans

What types of health insurance plans does Harvard Pilgrim offer?

Harvard Pilgrim provides a range of health insurance options, including individual and family plans, PPOs for flexible doctor...

Can I use my Harvard Pilgrim insurance out-of-network?

Harvard Pilgrim Healthcare offers plans that usually cover out-of-network services, but these typically come with higher costs...

What is the coverage for prescription medications under Harvard Pilgrim plans?

Harvard Pilgrim Healthcare's prescription drug coverage varies by plan, generally using a tiered system where costs differ...

What is the cost-sharing structure of Harvard Pilgrim plans?

Harvard Pilgrim Healthcare provides various insurance plans that encompass different cost-sharing elements like premiums,...

Can I add or remove dependents from my Harvard Pilgrim plan?

Individuals can add or remove dependents from their Harvard Pilgrim plan, typically during annual open enrollment or after a...

Are there any coverage restrictions for overseas treatment?

Harvard Pilgrim Healthcare has specific restrictions for overseas treatment, often limiting coverage for non-emergency services...

How can I appeal a denied claim with Harvard Pilgrim?

Policyholders of Harvard Pilgrim Healthcare can appeal denied claims by reviewing the explanation of benefits, gathering...

What is the process for obtaining referrals?

Obtaining referrals with Harvard Pilgrim Healthcare involves understanding the specific plan type and consulting a primary care...

What should I do if my physician is not in-network?

If a physician is outside of Harvard Pilgrim's network, reviewing your plan details is essential. You can search for in-network...

What mental health services are covered under my plan?

Harvard Pilgrim Healthcare generally covers a variety of mental health services, such as outpatient therapy, inpatient care,...

What preventive screenings are included in my coverage?

Harvard Pilgrim Healthcare usually covers various preventive screenings aimed at early detection of health issues, including...

Does my plan cover telehealth services?

Harvard Pilgrim Healthcare generally offers telehealth services in many of its plans, allowing members to receive various...

How do I find specialists within the Harvard Pilgrim network?

To locate specialists in the Harvard Pilgrim network, individuals should visit the Harvard Pilgrim website, where a "Find a...

How do I access wellness resources through Harvard Pilgrim?

Harvard Pilgrim Healthcare provides various wellness resources for members, including fitness classes and health coaching....

What resources are available for managing chronic conditions?

Harvard Pilgrim Healthcare provides various resources for managing chronic conditions, including personalized disease...

Can I enroll in wellness programs through Harvard Pilgrim?

Harvard Pilgrim Healthcare provides various wellness programs to enhance members' physical and mental health, including...

How can I verify the eligibility of my dependents?

To verify dependent eligibility under a Harvard Pilgrim Healthcare plan, individuals should understand the specific criteria,...

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