Harvard Pilgrim Health Care
HPHC Member Login Instructions – HPHConnect
Presentation – AVOID Costly Trips to the Emergency Room
HPHC Active Plan Summaries of Benefits and Coverage (SBC’s)
Effective July 1, 2026
HPHC HMO
HPHC PPO
HPHC HMO HSA Qualified Plan
HPHC PPO HSA Qualified Plan
High Deductible Plan Preventative Prescription Drug List – Deductible does not apply
Effective July 1, 2025
HPHC HMO
HPHC PPO
HPHC HMO HSA Qualified Plan
HPHC PPO HSA Qualified Plan
High Deductible Plan Preventative Prescription Drug List – Deductible does not apply
HPHC Retiree Plan – Medicare Enhance – 2026
HPHC Medicare Enhance – Supplement plan
Aetna Prescription Benefit Summary
Aetna Formulary CY26
New Pharmacy Benefit Manager
• CVS Caremark will become the new pharmacy benefit manager
• New ID cards and member communications will be mailed in June
For questions:
• Visit: https://www.caremarkrxplaninfo.com/capecodmunicipalhealth.html
• Call: 833-823-2278
Other Information
-ER, Urgent Care or Minute Clinic?
–HPHC Wellness Benefit Reimbursement Flyer
–HPHC Wellness Benefit Reimbursement Form
–HPHC Preventative Care Information
–HPHC Retaining Coverage for a Disabled Dependent
-HPHC CVS Prescription benefits
-HPHC Specialty Pharmacy
-HPHC Healthy Weight Loss Program