Beginning on Jan. 1, 2025, Point32Health will offer a new Harvard Pilgrim Health Care Commercial product: PPO Access.
Similar to the existing PPO plan, members of PPO Access are not required to select a PCP or have referrals for specialist care. Provider coverage includes Harvard Pilgrim’s network in five New England states, and our national network partner UnitedHealthcare’s Choice Plus network for the remaining states. In addition to the Harvard Pilgrim and UnitedHealthcare Choice Plus networks, members may see an out-of-network provider, at a higher cost.
The PPO Access product will also include a Flex benefit option for Massachusetts members, meaning that the member has lower cost sharing when they receive services from a designated “Flex” general laboratory or ambulatory surgery center provider, as well as an LP (low-pay) benefit option for New Hampshire members, which means that the member has lower cost sharing when they receive services from a designated “Select LP Provider” general laboratory or ambulatory surgery center provider.
Members will be able to view participating practitioners and filter them by specialty in Harvard Pilgrim’s online Provider Directory. You can recognize PPO Access members by their ID cards.
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