Retirees

HARVARD PILGRIM HEALTH CARE (3 Plans):

Harvard Pilgrim Focus Network MA HMO:

Medical Plan Monthly Contribution 07/01/2025: Individual $1,120.39 / Family $2944.40

Focus Network MA HMO Benefits and Coverage

Harvard Pilgrim HMO:

Medical Plan Monthly Contribution 07/01/2025:  Individual  $1,231.01 / Family $3,235.09

HMO Benefits and Coverage

Harvard Pilgrim PPO (option only if you live outside of the New England area):

Medical Plan Monthly Contribution 07/01/2025: Individual $1,307.14 / Family $3,435.18

PPO Benefits and Coverage

Harvard Pilgrim Enrollment Form:

*Harvard Pilgrim Enrollment Form

Disclosure Notice:

*Medicare Part D Creditable Coverage Disclosure Notice

ALTUS DENTAL:

Altus Dental Benefits and Coverage

*Altus Dental Enrollment Form

ALTUS VISION:

Altus Vision Benefits and Coverage

*Altus Vision Enrollment Form