Provider Network Information
What is a Preferred Provider?
A Preferred Provider is a doctor, hospital or other health care provider that participates regionally in the Harvard Pilgrim Health Care Network or nationally in the UnitedHealthcare Options PPO Network. The advantage to using a Preferred Provider is that these providers have contracted to provide specific medical care at negotiated prices. Out-of-Network providers have not agreed to any prearranged fees. Consequently, when insured students use Preferred Providers, their out-of-pocket expenses will generally be lower because any applicable cost sharing will be based on a Preferred Allowance.
The insured person should be aware that Preferred Provider hospitals may be staffed with Out-of-Network providers. Receiving services or care from an Out-of-Network provider at a Preferred Provider hospital does not guarantee that all charges will be paid at the Preferred Provider level of benefits. However, if a Covered Medical Expense is incurred due to a Medical Emergency, benefits will be paid at the Preferred Provider level of benefits.
How do I find a Preferred Provider?
To find a provider in MA, NH, or ME:
Click here to access the United Behavioral Health Network:
Network participation is subject to change, so please verify with the provider that they are participating in the network when making an appointment or at the time of service.
When the College's Health Service is available, students need to obtain a referral before seeking care or treatment from an off-campus provider.
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