Early Retirees and Non-Medicare Eligible Retirees

Early Retirees and Non-Medicare Eligible Retirees Benefits 07/01/2025 - 06/30/2026
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