Harvard pilgrim formulary 2024

The Pharmacy and Therapeutics Committee reviews and revises the formulary on a monthly basis. Certain drugs processed under the medical benefit are available through specialty pharmacies. Please refer to the Office-Administered Medical Drugs policies for more information ( Harvard Pilgrim Health Care commercial; Tufts Health Direct; Tufts ...

Must be currently enrolled in Harvard Pilgrim at the time of reimbursement for at least four months within a calendar year. Restrictions apply. Reimbursement may be considered taxable income. Members should consult their employer or tax advisor. Effective January 1, 2024. 1106984340-0523Glossary. 1. What is a drug class? Drug class is a group of medicines used to treat a particular medical condition. 2. What is plan coverage status? Plan coverage status provides information about whether a particular medicine is listed on your pharmacy benefit plan. 3. What are plan coverage requirements?6 Explorer POS — Summary of Benefits July 1, 2024–June 30, 2025 In-Network Out-of-Network Deductible $500 per member/$1,000 per family $500 per member/$1,000 per family Out-of-Pocket Maximum $5,000 per member/$10,000 per family (All in-network medical, prescription drug and mentalHarvard Pilgrim makes regular changes based on the FDA approval process and decisions made by the Harvard Pilgrim Pharmacy & Therapeutics Committee. Therefore, this list is subject to change at any time. Created: November 1, 2023. Last Update: April 15, 2024. Next Update: May 15, 2024.Feb. 1, 2024: Respiratory Inhalers: Cyclosporine 0.05% ophthalmic emulsion, Cequa: ... Non-Formulary Exceptions: Harvard Pilgrim Health Care commercial, Tufts Health ...OMB Approval 0938-1051 (Expires: February 29, 2024) January 1 – December 31, 2022 Evidence of Coverage: Your Medicare Health Benefits and Services and Prescription Drug Coverage as a Member of Stride℠ Basic Rx (HMO). This booklet gives you the details about your Medicare health care and prescription drug Call your dedicated Member Advocate team at 866-623-0194. They can answer questions about medical benefits and claims, help you find care, connect you with a lifestyle coach and much more. Hours are: Monday, Tuesday, Thursday: 8 a.m.-6 p.m.; Wednesday: 10 a.m.-6 p.m.; and Friday: 8 a.m. – 5:30 p.m. Learn more and download the convenient app.

Harvard Pilgrim Stride Value Rx (HMO) is a Medicare Advantage (Part C) Plan by Harvard Pilgrim Health Care of New England, Inc.. Premium: $49.00. Enroll Now. This page features plan details for 2024 Harvard Pilgrim Stride Value Rx (HMO) H6750 – 013 – 0 available in All Counties Except Coos and Carroll. IMPORTANT: This page has been updated ...Effective Oct. 1, 2023, the following generic inhaler products will not be covered in the formularies for Harvard Pilgrim Health Care commercial, Tufts Health Plan commercial and Tufts Health Direct. Alternative NDCs for the same drug, and similar agents, are covered on our formularies. * Flovent HFA and Flovent Diskus will be discontinued on ...Harvard Pilgrim’s formulary is a list of therapeutically safe and effective medications for treating most common medical conditions. The list is continually updated to incorporate …landing | Optum RX: Manage Your Prescriptions Online Anytime2023 Transition of Care. The Centers for Medicare and Medicaid Services (CMS) require Part D Plan Sponsors, like Harvard Pilgrim Health Care, to have a transition of care drug coverage process. Members taking Part D drugs that are either not on our formulary (list of covered drugs) or have restrictions can get a temporary supply of their …questions or would like information about the formulary (list of covered drugs), call the CVS SilverScript customer relations department at (877) 876-7214 or visit gic.silverscript.com. 5 Harvard Pilgrim Medicare Enhance Medicare Enhance — Summary of Benefits July 1, 2024–June 30, 2025 1318820069-0424landing | Optum RX: Manage Your Prescriptions Online Anytime

Nov 30, 2023 · 2023 Low Income Subsidy (LIS) Premium Summary. This chart shows the monthly plan premiums for people who get extra help from Medicare to help pay for their prescription drug costs. CMS’s Policy on Best Available Evidence. The Centers for Medicare & Medicaid Services provides guidance on ways to substantiate your eligibility for Extra Help. The 2024-2025 plan year for Harvard Pilgrim/GIC products begins July 1. BH Performance Specifications now on the Point32Health website. Tufts Health One Care ... MassHealth recently announced the following updates to their Unified Formulary. Upcoming training opportunities. All products. Your Harvard Pilgrim Health Care Plan Information. ... Important information about receiving care in Connecticut in 2024. Learn more. Prescription Drug Info. To learn more about Harvard Pilgrim’s Medicare Supplement Plan, we invite you to review the enclosed materials or call your local licensed Agent/Broker for additional information so they can further explain the Plan options and or answer your questions. Thank you for considering Harvard Pilgrim’s Medicare Supplement Plan. Sincerely, Patty Blake Harvard Pilgrim Health Care Stride℠ (HMO) 2024 Formulary (List of Covered Drugs) Note to existing members: This formulary has changed since last year. Please review this document to make sure that it still contains the drugs you take. When this drug list (formulary) refers to “we,” “us,” or “our,” it means Harvard Pilgrim Health ...

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Must be currently enrolled in Harvard Pilgrim at the time of reimbursement for at least four months within a calendar year. Restrictions apply. Reimbursement may be considered taxable income. Members should consult their employer or tax advisor. Effective January 1, 2024. 1106984340-0523Language Assistance. Language assistance services are available, free of charge. Please call 1-888-609-0692 (TTY: 711) Have Questions? Contact Member Services. Harvard Pilgrim is an HMO/HMO-POS plan with a Medicare contract. Enrollment in Stride SM (HMO) depends on contract renewal.Winter edition. In this issue we introduce our newest products, Point32Health Dental & Point32Health Vision, now available for quoting. Learn the latest updates to our Wellness Reimbursement Program, plus tools and resources for new employees to get started with their health plan. View the February email newsletter. Point32Health.Welcome North Country Healthcare employees & families! Thank you for your membership with Harvard Pilgrim Health Care. Here you will find details on your plans, programs and other key information.

questions or would like information about the formulary (list of covered drugs), call the CVS SilverScript customer relations department at (877) 876-7214 or visit gic.silverscript.com. 5 Harvard Pilgrim Medicare Enhance Medicare Enhance — Summary of Benefits July 1, 2024–June 30, 2025 1318820069-0424We are excited to share that OptumRx will be Harvard Pilgrim Health Care’s new specialty pharmacy provider, effective January 1, 2023. OptumRx already serves as Harvard Pilgrim Health Care’s retail and mail order provider, and with this change all Harvard Pilgrim Health Care employer groups and their employees will now have access to a fully integrated pharmacy benefit manager (PBM).HarvardPilgrim HealthCare Preventive Drug Benefit for HSA Plans EffectiveJanuary1, 2024 Premium formulary Your coverage includes a preventive drug benefit.OMB Approval 0938-1051 (Expires: February 29, 2024) January 1 – December 31, 2023. ... Stride℠ Basic Rx (HMO), is offered by Harvard Pilgrim Health Care of New England, Inc. (When this . Evidence of Coverage says “we,” “us,” or “our,” it means ... 2024. The formulary, pharmacy network, and/or provider network may change at any ...This formulary was updated on For more recent information or other questions, please contact Harvard Pilgrim’s Member Services at 1-888-609-0692 or, for TTY users 711, October 1 - March 31, 8 a.m. - 8 p.m., 7 days a week, and April 1 - September 30, 8 a.m. - 8 p.m., Monday - Friday, or visitNov 30, 2023 · 2023 Low Income Subsidy (LIS) Premium Summary. This chart shows the monthly plan premiums for people who get extra help from Medicare to help pay for their prescription drug costs. CMS’s Policy on Best Available Evidence. The Centers for Medicare & Medicaid Services provides guidance on ways to substantiate your eligibility for Extra Help. All products. Effective for dates of service beginning Jan. 1, 2024, Point32Health has developed some new Medical Necessity Guidelines (MNGs), and made updates to existing ones. New MNG for Noncovered Investigational Services. In the interest of our ongoing integration work as a combined organization, Point32Health is continually assessing ...Formulary Lookup. Review a list of covered drugs. 2022 Formulary; For All Stride℠ (HMO) Members ... Links on this page may take you away from the Harvard Pilgrim Health Care website. H6750_22139 Last Update: 12/5/2022 . Point32Health is the parent organization of Harvard Pilgrim Health Care and Tufts Health Plan. ... ©2024 …Form No.: 2024NH003. Dear Friend: We’re delighted that you’re interested in Harvard Pilgrim’s Medicare Supplement Plan. The enclosed materials will explain how our plan …InterContinental Chantilly - Château Mont Royal is the newest luxury hotel to IHG Hotels & Resorts in France, scheduled to open in 2024. We may be compensated when you click on pro...

Harvard Pilgrim Explorer POS is a Point of Service (POS) plan that covers preventive and medically necessary health care services and supplies that you need to help stay healthy and to help you get healthy when you’re sick. How this plan works: How this plan works • Full network — any provider on Harvard Pilgrim is part of the Harvard ...

Harvard Pilgrim makes regular changes based on the FDA approval process and decisions made by the Harvard Pilgrim Pharmacy & Therapeutics Committee. Therefore, this list is subject to change at any time. Created: November 1, 2023 Last Update: April 15, 2024 Next Update: May 15, 2024. Select a plan2024 Elevate Health HSA HMO. Welcome NHADA members! This plan uses the Elevate Health network in New Hampshire and members are required to select a PCP (Primary Care Provider) and obtain referrals. The Health Savings Account (HSA) allows members to use pre-tax funds to pay medical expenses, and the funds are owned by the member. While ...Harvard Pilgrim makes regular changes based on the FDA approval process and decisions made by the Harvard Pilgrim Pharmacy & Therapeutics Committee. Therefore, this list is subject to change at any time. Created: November 1, 2023 Last Update: April 15, 2024 Next Update: May 15, 2024. Select a planlanding | Optum RX: Manage Your Prescriptions Online AnytimeWinter edition. In this issue we introduce our newest products, Point32Health Dental & Point32Health Vision, now available for quoting. Learn the latest updates to our Wellness Reimbursement Program, plus tools and resources for new employees to get started with their health plan. View the February email newsletter. Point32Health. About Harvard Pilgrim’s formulary Harvard Pilgrim’s formulary is a list of therapeutically safe and effective medications for treating most common medical conditions. The list is continually updated to incorporate the most recent decisions of Harvard Pilgrim’s Pharmacy Services Department and our Pharmacy & Therapeutics Committee. Harvard ... Or, you can call us at (866) 750-2068. Care management support is available at no cost to members and is included with Harvard Pilgrim benefits. Our Care Team works as an educational resource to support our members’ health and wellness goals. At Harvard Pilgrim, our goal is to provide you with detailed plan information to help guide you ...Harvard Pilgrim Health Care Stride℠ (HMO)/(HMO-POS) 2023 Formulary (List of Covered Drugs) PLEASE READ: This document contains information about the drugs we cover in this planHarvard Pilgrim Health Care Stride℠ (HMO)/(HMO-POS) 2023 Formulary (List of Covered Drugs) PLEASE READ: This document contains information about the drugs we cover in this plan

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The reimbursement form for Wallet benefit 2022 eligible costs needs to be received by Harvard Pilgrim Health Care by March 31, 2023. The 2023 Wallet Benefit reimbursement form ... The 2022 formulary had 5 tiers and the 2023 formulary will have 6 tiers. New – Tier 6 provides $0 for tier 6 vaccines used to treat the flu, shingles, pneumonia ...You can search for providers without logging in. You will need to select a plan name to search for participating providers. Select a plan. If you can't locate your provider or are unsure of their availability, please call Member Services at the number on your ID card.This formulary was updated on For more recent information or other questions, please contact Harvard Pilgrim’s Member Services at 1-888-609-0692 or, for TTY users 711, October 1 - March 31, 8 a.m. - 8 p.m., 7 days a week, and April 1 - September 30, 8 a.m. - 8 p.m., Monday - Friday, or visitHarvard Pilgrim makes regular changes based on the FDA approval process and decisions made by the Harvard Pilgrim Pharmacy & Therapeutics Committee. Therefore, this list is subject to change at any time. Created: November 1, 2023 Last Update: April 15, 2024 Next Update: May 15, 2024. Select a planThe formulary, pharmacy network, and/or provider network may change at any time. You will receive notice when necessary. Y0098_21074_C . OMB Approval 0938-1051 (Expires: December 31, 2021) 2021 Evidence of Coverage for …This secure self-service GIC portal allows you to enroll in or update your benefits and view additional resources available through the GIC. MyGICLink. 2024- ... 2024 Premium 4-Tier prescription drug coverage. Harvard Pilgrim Health Care works with OptumRx for pharmacy benefit management services. Find an OptumRx network pharmacy near you. Thanks to your Harvard Pilgrim StrideSM (HMO) plan, you have access to tremendous savings through TruHearing®. Your 2024 hearing benefit covers up to two TruHearing Advanced or Premium hearing aids per year with low copayments. Rechargeable battery option is available on select styles for an additional $50 per hearing aid.Oct 3, 2023 · Links on this page may take you away from the Harvard Pilgrim Health Care website. H6750_24007 Last updated: 10/03/2023 Financial well-being means peace of mind. In 2024, Americans are prioritizing finances–saving more, spending less and paying off debts. Health savings accounts (HSAs), offered through qualified high-deductible health plans, allow members to save untaxed money to put toward medical expenses or compound by investing. And balances roll …About Harvard Pilgrim’s formulary Harvard Pilgrim’s formulary is a list of therapeutically safe and effective medications for treating most common medical conditions. The list is continually updated to incorporate the most recent decisions of Harvard Pilgrim’s Pharmacy Services Department and our Pharmacy & Therapeutics Committee. Harvard ...Harvard Pilgrim Health Care StrideSM Basic Rx (HMO), StrideSM Value Rx (HMO), StrideSM ValueRxPlus (HMO),and StrideSM Choice Rx (HMO-POS) Prior Authorization Requirements Effective 05/01/2024. Harvard Pilgrim Health Care includes Harvard Pilgrim Health Care and Harvard Pilgrim Health Care of New England. H6750_24059_C . 1 . … ….

StrideSM (HMO)/(HMO-POS) Medicare Advantage Plan “I’m in Step With Coverage Needs”. StrideSM (HMO)/(HMO-POS) Medicare Advantage Plan “I’m in Step With My Health Care Coverage Needs”. New Hampshire 2024. Call or visit us online for more information: 1-866-256-5340 (TTY: 711) Welcome Letter 3 Introduction to Medicare Basics 4 StrideSM ...Feb. 1, 2024: Respiratory Inhalers: Cyclosporine 0.05% ophthalmic emulsion, Cequa: ... Non-Formulary Exceptions: Harvard Pilgrim Health Care commercial, Tufts Health ...Netflix's anime reboot of "Scott Pilgrim" will feature Michael Cera, Aubrey Plaza, Brie Larson, Mary Elizabeth Winstead and others. Netflix is adapting the “Scott Pilgrim” comic bo...About Harvard Pilgrim’s formulary Harvard Pilgrim’s formulary is a list of therapeutically safe and effective medications for treating most common medical conditions. The list is continually updated to incorporate the most recent decisions of Harvard Pilgrim’s Pharmacy Services Department and our Pharmacy & Therapeutics Committee. Harvard ...Welcome North Country Healthcare employees & families! Thank you for your membership with Harvard Pilgrim Health Care. Here you will find details on your plans, programs and other key information.OMB Approval 0938-1051 (Expires: February 29, 2024) January 1 – December 31, 2024. Evidence of Coverage: Your Medicare Health Benefits and Services and Prescription Drug Coverage as a Member of . Stride℠ Value Rx Plus (HMO) This document gives you the details about your Medicare health care and prescription drugA Point32Health company. Point32Health is the parent organization of Harvard Pilgrim Health Care and Tufts Health Plan. Together, we're delivering ever-better health care experiences to everyone in our diverse communities.To see if you qualify for getting “Extra Help,” call 24 hours a day/7 days a week: 1-800-MEDICARE ( 1-800-633-4227) TTY users should call (877) 486-2048. You can also apply at the Social Security Office (800) 772-1213, between 8 a.m. to 7 p.m., Monday through Friday.OMB Approval 0938-1051 (Expires: February 29, 2024) January 1 – December 31, 2022 Evidence of Coverage: Your Medicare Health Benefits and Services and Prescription Drug Coverage as a Member of Stride℠ Basic Rx (HMO). This booklet gives you the details about your Medicare health care and prescription drug2024 Evidence of Coverage for Stride℠ Choice Rx (HMO-POS) 7 Chapter 1 Getting started as a member . The contract is in effect for months in which you are enrolled in Stride℠ Choice Rx (HMO-POS) between January 1, 2024 and December 31, 2024. Each calendar year, Medicare allows us to make changes to the plans that we offer. This means Harvard pilgrim formulary 2024, Additionally, pharmacy trends continue to put upward pressure on overall claim trend, and this is expected to continue in 2024. Effective January 1, 2021, the New Hampshire Insurance Department began operating a reinsurance program with the goal of lowering insurer liability for Individual Plans. HPHC’s rates reflect the impact of this program., Jul 1, 2023 · Harvard Pilgrim Explorer POS is a Point of Service (POS) plan that covers preventive and medically necessary health care services and supplies that you need to help stay healthy and to help you get healthy when you’re sick. How this plan works: How this plan works • Full network — any provider on Harvard Pilgrim is part of the Harvard ... , 2024 Evidence of Coverage for Stride℠ Choice Rx (HMO-POS) 7 Chapter 1 Getting started as a member . The contract is in effect for months in which you are enrolled in Stride℠ Choice Rx (HMO-POS) between January 1, 2024 and December 31, 2024. Each calendar year, Medicare allows us to make changes to the plans that we offer. This means, The Medical Drug Medical Necessity Guidelines below detail coverage criteria for medical benefit drugs for Harvard Pilgrim Health Care and Tufts Health Plan lines of business. We encourage you to use the drop-down menu to filter applicability by product. We note line of business under the guideline name; however, the policy may not apply to […], Select the year and the plan (e.g., 2024 Core NH 5-Tier) to: See which drugs are covered Look up drug prices Find nearby in-network pharmacies Get details on home delivery, and more! All Harvard Pilgrim plans offer access to comprehensive and high-quality care including some of these great benefits, programs and services. Acupuncture and ..., Jan 12, 2024 · View or Download a PDF of Your Provider Directory. These directories are sorted by the provider’s location for ease of use. Stride℠ (HMO) Medicare Advantage members can access any provider in the network regardless of location. Providers of Medical Services in New Hampshire, Maine or Vermont (PDF updated 3/2024) Providers of Medical ... , This page features plan details for 2024 Harvard Pilgrim Stride Basic Rx (HMO) H6750 – 005 – 0 available in All Counties Except Coos and Carroll. ... (HMO) provides the following cost-sharing on drugs. Please check the plan’s formulary for specific drugs covered. Drug Deductible: $0.00: Initial Coverage Limit: $5,030.00: Catastrophic ..., Provider Training and Events. Learn about upcoming webinars and office manager meetings, watch 3-minute video training sessions, and access training guides and resources. Plus share your feedback to help us create new events and tools geared to your needs. View training and events., Harvard Pilgrim Health Care StrideSM Basic Rx (HMO), StrideSM Value Rx (HMO), Stride. SM . Value Rx Plus (HMO),and Stride. SM . Choice Rx (HMO-POS) Prior Authorization Requirements . Effective . 01/01/2024. Harvard Pilgrim Health Care includes Harvard Pilgrim Health Care and Harvard Pilgrim Health Care of New England. H6750_24059_C, Welcome North Country Healthcare employees & families! Thank you for your membership with Harvard Pilgrim Health Care. Here you will find details on your plans, programs and other key information., 2023 Low Income Subsidy (LIS) Premium Summary. This chart shows the monthly plan premiums for people who get extra help from Medicare to help pay for their prescription drug costs. CMS’s Policy on Best Available Evidence. The Centers for Medicare & Medicaid Services provides guidance on ways to substantiate your eligibility for Extra …, NH Stride. Plan Selected: 2024 Harvard Pilgrim Health Care Stride HMO/HMO-POS formulary Zip Code: 03101 (Manchester, NH), Effective: January 1, 2024 Guideline Type ☒ Prior Authorization ☐ Non-Formulary ☐ Step-Therapy ☐ Administrative Applies to: Commercial Products ☒ Harvard Pilgrim Health Care Commercial products; Fax 617-673-0988 ☒ Tufts Health …, Point32Health Medicare Advantage/Senior Products. As the annual election period for Medicare Advantage is underway, we want to update you on 2024 benefit changes related to our various Harvard Pilgrim Health Care and Tufts Health Plan Medicare Advantage/Senior Products plans, which are effective for dates of service …, Once you have your Harvard Pilgrim ID# and have set up your online member account, be sure to call our Care Management team at (866) 750-2068, ext. 33523 . We’ll contact you soon after to talk about your specific needs and get you lined up with the right care team member. This dedicated nurse will help you access and make full use of the ..., The mascot for Harvard University, as of 2014, is the pilgrim John Harvard. John Harvard was the first benefactor of the university. Harvard University’s school color is crimson, w..., Provider Training and Events. Learn about upcoming webinars and office manager meetings, watch 3-minute video training sessions, and access training guides and resources. Plus share your feedback to help us create new events and tools geared to your needs. View training and events. , The Pharmacy and Therapeutics Committee reviews and revises the formulary on a monthly basis. Certain drugs processed under the medical benefit are available through specialty pharmacies. Please refer to the Office-Administered Medical Drugs policies for more information ( Harvard Pilgrim Health Care commercial; Tufts Health Direct; Tufts ..., Harvard Pilgrim Health Care Stride℠ (HMO) 2024 Formulary (List of Covered Drugs) Note to existing members: This formulary has changed since last year. Please review this document to make sure that it still contains the drugs you take. When this drug list (formulary) refers to “we,” “us,” or “our,” it means Harvard Pilgrim Health ..., Final Merged Market Rates Effective for 2024. The following table depicts the final overall weighted average premium increase for the merged (individual and small employer) market filed by insurance carriers as part of the Massachusetts Division of Insurance rate review process (for rates effective in 2024). 2024 Final Rate Filing Summary., 03-Oct-2023 ... Point32Health is the parent organization of Harvard Pilgrim Health Care and Tufts Health Plan. Together, we're delivering ever-better health ..., GIC non-Medicare health insurance plans have a fiscal year Rx deductible of $100 individual/$200 family. The prescription drug deductible is separate from your health insurance deductible. Once you’ve paid your prescription deductible, your covered prescription drugs will be subject to a copayment. GIC Medicare health insurance plans do not ..., Harvard Pilgrim Health Care Stride℠ (HMO) 2024 Formulary (List of Covered Drugs) Note to existing members: This formulary has changed since last year. Please review this document to make sure that it still contains the drugs you take. When this drug list (formulary) refers to “we,” “us,” or “our,” it means Harvard Pilgrim Health ..., This formulary was updated on 09/01/2022. For more recent information or other questions, please contact Member ... 2024, and from time to time during the year. What is the Harvard Pilgrim Stride℠ HMO/HMO-POS Formulary? A formulary is a list of covered drugs selected by a team of health care providers, which represents the, Harvard Pilgrim Explorer POS is a Point of Service (POS) plan that covers preventive and medically necessary health care services and supplies that you need to help stay healthy and to help you get healthy when you’re sick. How this plan works: How this plan works • Full network — any provider on Harvard Pilgrim is part of the Harvard ..., Medicare Advantage Stride SM (HMO) Harvard Pilgrim’s Medicare Advantage Plan offers benefits beyond what Original Medicare covers. Our plans in NH include both health and drug coverage. 2024 info for current members. Looking for coverage?, Formularies & drug lists. Refer to our pharmacy formularies and access preventive drug lists. View formularies., (e.g., 2024 Value 5-Tier) to: See which drugs are covered Look up drug prices Find nearby in-network pharmacies Get details on home delivery and more! TIER 1 VALUE 5-TIER All Harvard Pilgrim plans offer access to comprehensive and high-quality care including some of these great benefits, programs and services. Core Health Plan Benefits 2 Tier 5 , To learn more about Harvard Pilgrim’s Medicare Supplement Plan, we invite you to review the enclosed materials or call your local licensed Agent/Broker for additional information so they can further explain the Plan options and or answer your questions. Thank you for considering Harvard Pilgrim’s Medicare Supplement Plan. Sincerely, Patty Blake , Providers can start the exception process by completing a formulary exception request form and faxing it to our pharmacy benefits manager, OptumRx, at 844-403-1029. They can also call OptumRx customer service at 855-258-1561. OptumRx will need a statement from your provider explaining why an exception is medically necessary, including why a ..., Visit us online at hpforlife.org or call 1-877-909-4742 TTY users dial 711 for more information. October 1 –March 31, 8 a.m. – 8 p.m. 7 days a week, April 1 – September 30, 8 a.m. – 8 p.m. Monday through Friday. *Except for Plan F, all HPHC plans and Original Medicare require that you pay the $198 Part B Deductible before, Effective: January 1, 2024 Guideline Type ☐ Prior Authorization ☐ Non-Formulary ☐ Step-Therapy ☒ Administrative Applies to: Commercial Products ☒ Harvard Pilgrim Health Care Commercial products; Fax: 617-673-0988 ☒ Tufts Health Plan …, 2024 Health Connector for Business plans: Standard Platinum – Flex. Standard High Gold. HMO 2000 Low – Flex. Standard Silver. Standard Low Silver HSA - Flex. Standard High Bronze HSA - Flex. PPO HSA 2000 - Flex. HMO 3500 – Flex.