![]() This online tool may be useful in finding a new plan. If a person moves away from the three states in which Harvard Pilgrim offers Advantage plan coverage, they may be excluded from their Advantage plan and will need to find a new plan in the new location. If a person is eligible for original Medicare, they can enroll in a Harvard Pilgrim Advantage plan. There are several options to get detailed information about Harvard Pilgrim’s Advantage plans, including calling the Harvard Pilgrim client care number at 1-86 (TTY: 711), available from 8am to 8pm or using the online portal. Special enrollment periods (SEPs): A person may also qualify to enroll at other times, depending on special circumstances such as moving homes, qualifying for Extra Help or Medigap, or moving to an institution. ![]() Fall open enrollment period (OEP): From October 15 through December 7, an individual can change from original Medicare to a Medicare Advantage plan or switch between Medicare Advantage plans.The coverage starts the month after a person has enrolled. General enrollment period (GEP): If a person missed their IEP, they can also enroll from January 1 to the end of March.Initial enrollment period (IEP): When a person is first eligible for Medicare, they can enroll in the plan 3 months before their 65th birthday, during their birthday month, and for up to 3 months afterward.Harvard Pilgrim offers one HMO-POS plan, the Harvard Pilgrim Stride Choice Rx.Ī person can enroll in a Harvard Pilgrim Medicare Advantage plan during several Medicare enrollment periods, including: However, if a person chooses to do that, there may be higher copays or coinsurance. HMO Point-of-Service (HMO-POS) plans are similar to HMO plans, but a person can get some types of healthcare outside the plan’s network. The various plans offer basic benefit level to full coverage. ![]() Harvard Pilgrim offers four HMO plans, including: However, if a person uses a provider outside the plan network, such as in an emergency, they may have to pay extra costs. A person chooses an in-network primary care doctor, who then coordinates the person’s healthcare. ![]() With HMO plans, healthcare providers in the plan’s network provide healthcare services. Harvard Pilgrim offers two types of Medicare Advantage plans, called Medicare Advantage Stride HMO and HMO-POS. ![]()
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