Plans and Products for New England Based Companies

HPI specializes in employee health benefit administration for self-funded employers with 50+ employees including benefit design and administration, medical, dental, vision and ancillary claims adjudication, health management, network access, pharmacy benefits management, reporting and analysis and dedicated customer service. 

Custom-designed Benefit Plan Administration

  • PPO/EPO plans incorporate employer’s preferred vendors or HPI’s best-in-class vendors
  • Consumer-driven health plans (CDHPs) include HRA, HSA, FSA
  • Value-based benefit designs include incentives that steer members toward high-quality, high-efficiency healthcare providers
  • Outcome-based plans tie premium reduction incentives to targeted health measures
  • Southcoast Health Plan Employer Solutions for employers located in Southeastern Massachusetts
  • 123 level funding plan  for employers with 51-99 employees
  • Specialized Markets:  Municipalities, Hospitals and Healthcare Systems, Captives
  • Guardian DentalGuard® plans   

Provider Network Flexibility

  • Harvard Pilgrim and UnitedHealthcare alliance offers a seamless 50 state network experience
    • Harvard Pilgrim in New England with 28,000+ providers and 150+ hospitals
    • UnitedHealthcare Options PPO or UnitedHealthcare Choice Plus outside New England
  • Harvard Pilgrim and Private Healthcare Systems Healthy Directions
  • Elevate Health a high-performance network partnership of Dartmouth-Hitchcock Health care System, Elliot Health System and Harvard Pilgrim Health Care
  • Most other top national and regional provider networks

Pharmacy Benefit Management (PBM) focused on lowering drug trend

  • Most major PBMs including Caremark, Express Scripts and MedImpact
  • Southern Scripts PBM offers 100% pass-through pricing with custom plan design options that lower drug costs on average by 25% to reverse upward trend.

Preferred A-Rated Stop-Loss Carriers

A wide selection of contract and product options enable us to best meet the unique needs of your client’s company.