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 doc format of    HarvardMedicareEnhanceFY13.doc  file size 1MB

FY13 Harvard Pilgrim Medicare Enhance Handbook pdf format of    HarvardMedicareEnhanceFY13.pdf

Harvard Pilgrim Medicare Enhance Schedule of Benefits doc format of    HPHCMedicareenhanceSOBFY11.doc  pdf format of HPHCMedicareEnhanceSOBFY11.pdf  PDF

Harvard Pilgrim Medicare Enhance Prescription Drug Coverage doc format of    HPHCMedicareEnhanceRXFY11.doc  pdf format of HPHCMedicareEnhanceRxFY11.pdf  PDF


This information provided by the Group Insurance Commission.