Harvard Pilgrim Focus Network MA HMO
Medical Plan Monthly Contribution 07/01/2024: Individual $1,032.62 Family $2,713.73 *Focus Network MA HMO Flyer *Focus Network MA HMO Summary of Benefits and Coverage *Focus Network MA HMO Schedule of Benefits *Focus Network MA HMO Prescription Coverage Harvard Pilgrim HMO
Medical Plan Monthly Contribution 07/01/2024: Individual $1,134.57 Family $2,981.65 *HMO Summary of Benefits and Coverage *HMO Schedule of Benefits *HMO Prescription Coverage
Harvard Pilgrim PPO (option only if you live outside of the New England area)
Medical Plan Monthly Contribution 07/01/2024: Individual $1,204.74 Family $3,166.06
*PPO Summary of Benefits and Coverage *PPO Schedule of Benefits *PPO Prescription Coverage Harvard Pilgrim Enrollment Form:
*Harvard Pilgrim Enrollment Form Disclosure Notice: *Medicare Part D Creditable Coverage Disclosure Notice ALTUS DENTAL: *Altus Dental Benefits Summary Low Plan *Altus Dental Benefits Summary High Plan *Altus Preventive Rewards Flyer
*Altus Dental PreTreatment
*Altus Web Flyer *Altus Dental Enrollment Form ALTUS VISION: *Altus Vision Benefit Summary *VSP Network
*TruHearing Hearing Aid Discount Offer (Member)
*VSP Diabetic Eyecare Plus Program *Altus Vision Enrollment Form