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.
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