Plan Overview
Harvard Pilgrim Medicare Enhance is a supplemental Medicare plan, offering coverage for services provided by any licensed doctor or hospital throughout the United States that accepts Medicare payment.
Plan Contact Information
Contact the plan for additional information
Harvard Pilgrim Medicare Enhance 1.800.542.1499
Copays Effective July 1, 2013
Physician Office Visit
$10 per visit
Preventive Services
Covered at 100% - no copay
Retail Clinic
$10 per visit
Outpatient Mental Health and Substance Abuse Care
$10 per visit
Inpatient Hospital Care
Covered at 100% - no copay
Inpatient and Outpatient Surgery
Covered at 100% - no copay
Emergency Room
$50 per visit (waived if admitted)
Prescription Drug
Retail up to 30-day supply: Mail Order up to 90 day supply:
Tier 1: $10 Tier 1: $20
Tier 2: $25 Tier 2: $50
Tier 3: $50 Tier 3: $110
Who is Eligible?
Retirees, GIC Retired Municipal Teachers (RMTs), Elderly Governmental Retirees (EGRs), Survivors, and their eligible dependents with Medicare Part A and Part B are eligible.
Where You Live Determines Which Plan You May Enroll In:
The Harvard Pilgrim Medicare Enhance Plan is available throughout the United States.
FY13 Harvard Pilgrim Medicare Enhance Handbook
file size 1MB
FY13 Harvard Pilgrim Medicare Enhance Handbook
Harvard Pilgrim Medicare Enhance Schedule of Benefits
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Harvard Pilgrim Medicare Enhance Prescription Drug Coverage
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This information provided by the Group Insurance Commission.


