About Your Health Basic Plan
This in-network plan provides a moderate co-payment option and 80% coverage on some provider services after you meet your deductible. It offers prescription drug coverage and vision benefits and has mid-level monthly premiums. The 2022 getting started enrollment kit for the basic and enhanced plans (PDF) and additional resources below will guide you to getting the most out of your health insurance.
- Benefits handbook: Basic (PDF)
- Summary of benefits: Basic (PDF)
- Schedule of benefits: Basic (PDF)
- Prescription drug brochure (PDF)
- Summary of prescription benefits: Basic (PDF)
- Three-tier prescription: Basic (PDF)
- Legal notices for group members (PDF)
- Harvard Pilgrim Notice of Privacy Practices (PDF)
- Preventive services under the ACA (PDF)
- Wrap Summary Plan Description (PDF)
Plan Costs
Full-Time Basic Coverage
|
12-Month Pay Structure |
9-Month Pay Structure |
|
|---|---|---|
| Single | $92.40 | $123.20 |
| One Parent and Children | $231.24 | $308.30 |
| Two Adult | $408.74 | $545 |
| Family | $418.08 | $557.44 |
Half-Time Basic Coverage
|
12-Month Pay Structure |
9-Month Pay Structure |
|
|---|---|---|
| Single | $137.80 | $183.72 |
| One Parent and Child/ren | $697.24 | $929.64 |
| Two Adult | $971.62 | $1,295.52 |
| Family | $1,071.64 | $1,428.84 |
Health Online
Create an account with Harvard Pilgrim online to access information about your medical health plan.
Other Resources
Health Advocate: Utilize this free and confidential service to compare the three plans to help choose the plan appropriate to you.