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Harvard Pilgrim Health Care is a non-profit health services company based in Canton, Massachusetts serving the New England region of the United States. On August 14, 2019, the boards of Harvard Pilgrim Health Care and Tufts Health Plan announced plans for the two insurers to merge their organizations into a new company.
Tufts Health Plan was a Massachusetts-based non-profit health insurance company under Tufts Associated Health Plans, Inc. with headquarters in Watertown, Massachusetts. [1] It completed a merger with Harvard Pilgrim Health Care on January 1, 2021, making the then unnamed company the second-largest health insurer in Massachusetts.
In 2025, WellSense Health Plan will have "zero dollar" HMO and PPO Advantage plans, which include access to Northeast Delta Dental's network of 900 providers in the state, according to Paul Wingle ...
A formulary is a list of pharmaceutical drugs, often decided upon by a group of people, for various reasons such as insurance coverage or use at a medical facility. [1] Traditionally, a formulary contained a collection of formulas for the compounding and testing of medication (a resource closer to what would be referred to as a pharmacopoeia ...
Harvard Pilgrim is an insurance company that sells Medicare Advantage plans and Medicare supplement (Medigap) plans. It sells these plans to people who live in Massachusetts, Maine, and New Hampshire.
Unlike traditional indemnity insurance, an HMO covers care rendered by those doctors and other professionals who have agreed by contract to treat patients in accordance with the HMO's guidelines and restrictions in exchange for a steady stream of customers. HMOs cover emergency care regardless of the health care provider's contracted status.
Harvard Vanguard Medical Associates (HVMA) was an American non-profit multi-specialty group medical practice operating in eastern Massachusetts. It was founded in the late 1960s as part of Harvard Community Health Plan (now Harvard Pilgrim Health Care). The two organizations split in 2001.
In the United States, health insurance providers often hire an outside company to handle price negotiations, insurance claims, and distribution of prescription drugs. Providers which use such pharmacy benefit managers include commercial health plans , self-insured employer plans, Medicare Part D plans , the Federal Employees Health Benefits ...
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