Maine plan offerings

2027 plan offerings

Get details on benefits, cost sharing and more in our product guide.

• 2027 Maine product guide

HMO and HMO HSA

Choose a primary care provider (PCP) from Harvard Pilgrim’s HMO network. They’ll coordinate your care with participating specialists and hospitals.

Plan details:

• PCP required
• Referrals to most kinds of specialists required
• Must receive care for covered services from providers in the HMO directory (exceptions include medical emergencies)
• Includes Core ME 5-Tier prescription drug coverage

Maine’s Choice Plus HMO and Maine’s Choice Plus HMO HSA

Flexible plans that can help you save money with two networks of providers and hospitals.

Expanded Network:

Harvard Pilgrim Health Care has expanded its Maine Choice network, bringing coverage across the state. As part of this expansion, Northern Light Health hospitals will be designated as Preferred providers in the Maine Choice Plus HMO network. This enhancement improves statewide access to high-quality care and strengthens our commitment to providing choice and affordability.

Plan details:

• Two networks: Preferred Network (lower cost sharing) and Standard Network (higher cost sharing)
• PCP required
• Referrals to most kinds of specialists required
• Must receive care for covered services from providers in the Maine’s Choice Plus HMO directory (exceptions include medical emergencies)
• Includes Core ME 5-Tier prescription drug coverage

NEW for 2027: National Access

Our new National Access plans provide affordable, high-quality care through an extensive regional and national network — no referrals, no primary care physician required

The National Access plan network offers members:

• A robust regional network of 152 hospitals and 74,000+ doctors and specialists throughout Massachusetts, Rhode Island, New Hampshire, Vermont and Maine
• A nationwide network with more than 950,000 doctors and specialists and 4,300 hospitals
• And the great benefits, programs, and services offered by Harvard Pilgrim