Point32Health (Formerly Harvard Pilgrim)

Overview

Alma’s Insurance Program is partnered with Point32 Health, formerly Harvard Pilgrim Health Care,  to provide behavioral health services. Point32 Health is a regional insurer formed from the merger between Harvard Pilgrim Health Care and Tufts Health Plan, two of Massachusetts’s largest health plans. 

Harvard Pilgrim Health Care was previously managed by Optum/United Healthcare. As of November 1, 2023, Harvard Pilgrim Health Care is no longer utilizing Optum/United Behavioral Health’s services; Point32Health is now the parent company managing behavioral health services for both Harvard Pilgrim Health Care and Tufts Health Plan.

In response to this shift, Alma has established a direct group partnership with Point32Health as of  November 1, 2023. However, some individual Alma providers may have chosen not to be credentialed with Harvard Pilgrim Health Care through Alma’s Insurance Program. 

Note: To receive care using your Point32Health, Harvard Pilgrim Health Care, or Tufts Health Plan insurance with a credentialed provider, you must be located in one of the following states during your sessions: Massachusetts, Maine, New Hampshire, Rhode Island, and Vermont.

If your provider has chosen not to participate in Point32Health, you may no longer be able to use your in-network benefits with Harvard Pilgrim Health Care to cover the cost of sessions.

What are my options if my provider is not working with Harvard Pilgrim Health Care?

  • If your provider is not opted into participating in Point32Health’s network, you will not be able to see that provider as in-network at this time.
  • If your provider cannot accept your insurance as in-network, you will need to either discuss an out-of-pocket rate with your provider or connect with our care team to find a new provider by completing this form

Additional information and resources

To add your insurance details to the Alma portal, you can find the full instructions here.

If you have additional questions, the Point32Health resources below may help you determine your provider’s participation, and support your transition:

  • Visit Harvard Pilgrim’s Provider Directory to check your provider’s participation in the network.
  • Contact Harvard Pilgrim’s member services team at 888-333-4742 to check provider participation and for assistance with transitions of care. They can also connect you with the Service Navigation team to support you in finding the right behavioral health provider and making a first appointment.
  • Visit Tufts Health Plan’s Provider Directory to check your provider’s participation in the network.
  • Contact Harvard Pilgrim’s member services team at 888-257-1985 to check provider participation and for assistance with transitions of care. They can also connect you with the Service Navigation team to support you in finding the right behavioral health provider and making a first appointment.

Harvard Pilgrim Health Care and Tufts Health Plan are part of the parent organization, Point32Health.

 

 

 

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