Back to Insights and Updates for ProvidersDecember 2023

Connecticut market exit reminder

Harvard Pilgrim Health Care Commercial

As we’ve announced previously, Point32Health has made the difficult decision to withdraw Harvard Pilgrim Health Care fully insured commercial products in Connecticut, and these products will no longer be active as of Jan. 1, 2024.

We will continue selling and servicing fully insured and self-insured Harvard Pilgrim plans in the rest of our service area of Maine, Massachusetts, New Hampshire, and Rhode Island, including those who have members living in and/or accessing care in Connecticut (as defined by their 2024 plan designs and coverage options). In Connecticut, we will continue to expand our growing Medicare Advantage business through CarePartners of Connecticut, a not-for-profit company.

Impact to providers

  • The majority of Connecticut-based providers who are contracted directly with Harvard Pilgrim will be impacted by this change.
  • Connecticut providers who are affected by this change have received written notification that they will no longer be a Harvard Pilgrim contracted provider as of Jan. 1, 2024.
  • Connecticut providers who participate in the UnitedHealthcare network, Harvard Pilgrim’s national network partner, may continue to provide care to members whose health plans support access to UnitedHealthcare providers.

Impact to members

Member impact will be dependent on plan type:

  • Members on HMO plans will no longer have access to the majority of Connecticut-based providers. Harvard Pilgrim commercial members who are seeking care from Connecticut-based providers have also been notified of these changes, and their options for seeking future care.
  • Members on PPO/POS plans will have access to CT-based providers through our partnership with UnitedHealthcare.

As a reminder, when making referrals for Point32Health members, please continue to review our Harvard Pilgrim and Tufts Health Plan provider directories to ensure that you are referring the member to an in-network provider.

Audrey Kleinberg,
Director, Provider Relations & Communications

Annmarie Dadoly,
Senior Manager, Provider Communications

Joseph O’Riordan, Susan Panos, Ryan Francis, Stephen Wong,

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Production Coordinator

Kristina Cicelova,
Graphic Designer