$1,500/$3,000
Annual Deductible
$3,000/$6,000
Out-of-Pocket Maximum
No charge, no deductible
Primary Care/Office Visit
$50 copay
Specialist Visit
This is a place where you can add some text if you need to describe something related to the plans. Set this to Display: None if you don't need it.
$1,500/$3,000
Annual Deductible
$3,000/$6,000
Out-of-Pocket Maximum
No charge, no deductible
Primary Care/Office Visit
$50 copay
Specialist Visit
HSA-Powered High Deductible Plan.
This plan offers coordinated care through a network of providers with a low deductible and fixed copays for office visits.
It's a cost-effective choice for those who prefer predictable out-of-pocket costs and are comfortable choosing a primary care provider to manage referrals. You’ll enjoy lower premiums compared to the PPO and solid coverage for routine and preventive care.
Preventive
Covered at 100%
Tier 1 (Retail/Mail Order)
$5 / $10 after deductible
Tier 2 (Retail/Mail Order)
$45 / $90
Tier 3 (Retail/Mail Order)
$60 / $120
Tier 4 (Retail/Mail Order)
$100 / $300
$2,000/$4,000
Annual Deductible
$5,000/$10,000
Out-of-Pocket Maximum
$25 copay
Primary Care/Office Visit
$25 copay
Specialist Visit
HSA-Powered High Deductible Plan.
This plan offers flexibility to see in-network and out-of-network providers without referrals.
While it has higher premiums and a larger deductible than the HMO plan, it provides broader access and convenience for those who want more freedom in choosing their healthcare providers. It’s a strong option if you prefer provider choice or anticipate needing care while traveling.
Preventive
Covered at 100%
Tier 1 (Retail/Mail Order)
$5 / $10
Tier 2 (Retail/Mail Order)
$45 / $90
Tier 3 (Retail/Mail Order)
$60 / $120
Tier 4 (Retail/Mail Order)
$100 / $300
$2,500/$5,000
Annual Deductible
$5,000/$10,000
Out-of-Pocket Maximum
20% after deductible
Primary Care/Office Visit
You pay 20% after deductible
Specialist Visit
HSA-Powered High Deductible Plan.
This high-deductible health plan is paired with the option to contribute to a Health Savings Account (HSA), offering triple tax advantages.
It comes with the lowest premiums but requires you to pay more upfront before the plan begins sharing costs. It’s ideal for those who want to save for future healthcare needs, are comfortable managing costs, and want to take advantage of HSA benefits.
Preventive
Covered at 100%
Tier 1 (Retail/Mail Order)
$5 / $10 after deductible
Tier 2 (Retail/Mail Order)
$45 / $90 after deductible
Tier 3 (Retail/Mail Order)
$60 / $120 after deductible
Tier 4 (Retail/Mail Order)
$100 / $300 after deductible
Included with your medical plan.
Triple tax savings for health expenses now and later.
Stretch your dollars on everyday medical expenses.
Extra savings for dental and vision care.
Pre-tax savings for daycare, after-school care & more.
A Piper Jordan Advocate is ready to help you with your benefits.
$75 (I) / $225 (F)
Annual Deductible
$1,000/person
Calendar Year Maximum
You pay 40% after deductible
Basic Services
Orthodontic Services
Basic Care, Lowest Cost
This plan covers preventive care in full and offers minimal coverage for additional services. It’s a good choice if you expect to need only cleanings and checkups and want the lowest bi-weekly premiums.
$50 (I) / $150 (F)
Annual Deductible
$1,500/person
Calendar Year Maximum
You pay 10% after deductible
Basic Services
You pay 50% after deductible | Coverage for dependents up until age 19
Orthodontic Services
Comprehensive Protection for Dental Needs
With stronger coverage for basic and major services and partial orthodontic benefits, this plan balances affordability and protection. It’s ideal for families or individuals who want broader coverage without the highest premiums.
$50 (I) / $150 (F)
Annual Deductible
$2,000/person
Calendar Year Maximum
You pay 10% after deductible
Basic Services
You pay 50% after deductible | Coverage for dependents up until age 19
Orthodontic Services
Comprehensive Protection for Dental Needs
This plan provides the highest annual maximum, the best cost-sharing for services, and the most orthodontic coverage. It’s best for those who expect regular dental work or have orthodontic needs.
$5 copay
Eye Exam Copay
Lenses
Eye Plus $200 | INN $150 | OON up to $120
Frames
$0 copay up to $150 allowance
Contacts
Essential Vision at a Great Price
This plan offers great value for basic vision needs. With affordable premiums, solid coverage for eye exams, lenses, and frames, and a generous in-network allowance, it’s a smart pick for routine vision care with low out-of-pocket costs.
$0 copay
Eye Exam Copay
Lenses
Eye Plus $300 | INN $250 | OON up to $200
Frames
$0 copay up to $200 allowance
Contacts
Upgraded Benefits for Sharper Savings
This plan is ideal for those who want maximum vision benefits, including no-cost exams, lower lens copays, and a higher allowance for frames and contacts. It’s a great fit if you prioritize premium eyewear options or use both glasses and contacts regularly.
Core coverage your family can count on.
Income protection for life's temporary detours.
Extra protection for what matters most.
.webp)
Protect your income with coverage that provides financial support
Get cash support when the unexpected hits.
A financial cushion during life’s biggest curveballs.
Cash benefits for hospital stays and recovery.
Peace of mind for your furry (or feathery) family.
Free, confidential support for mental health, legal, and financial guidance.
Invest in your future, one paycheck at a time.
.webp)
Sometimes, it PAYS to be active
Whether you like to work up a sweat at the gym or find your flow at a yoga studio, Harvard Pilgrim will reimburse you for fees you pay toward a fitness facility or other qualified membership.1 You can even use your reimbursement toward a virtual fitness class subscription.
Sign up
Sign up for a participating gym, fitness facility or virtual fitness class subscription.
Be active
Be active and get fit, then submit your reimbursement!
Get reimbursed
Submit your form to get money back.
How do I qualify for fitness reimbursement?
Save on vision services & products
Discounts on hearing aids
Discounts on dental products
Tuition discounts on an online mindfulness course
Save on mindfulness and self-compassion courses
Save on mindfulness and self-compassion courses
Access Ompractice virtual yoga and meditation at a discounted rate.
Start today and receive up to $200 in food savings!
Customized meal plans that fit your dietary restrictions
Access virtual health care in minutes 24/7 by phone, web or mobile app!
Perks and savings on brands you love.
.webp)
Learn the basics of Medicare and explore coverage choices so you can make informed decisions about your healthcare.
The person(s) you choose to receive certain benefits (like life insurance or 401(k) funds) if you pass away.
A flat dollar amount you pay when you receive certain healthcare services, such as a doctor visit or prescription.
The amount you pay out of pocket for healthcare before your insurance starts to share costs.
A free and confidential program that provides support for personal, family, and work-related issues — such as counseling, legal or financial advice, and other life resources.
A statement from your insurance company showing what was paid for a healthcare service, what you may owe, and what the provider billed. An EOB is not a bill.
Tax-advantaged accounts you can use to pay for eligible healthcare expenses. HSAs are paired with high-deductible health plans and can roll over year to year.
Healthcare providers and facilities that contract with your insurance plan — using them typically costs you less.
The most you’ll pay in a plan year for covered services. After you reach this limit, your plan pays 100% of covered costs.
The amount you pay (usually through payroll deductions) to have coverage under an insurance plan.
Routine care — like checkups, screenings, and vaccines — designed to help you stay healthy. Covered at 100% in-network on most plans.
A life change — like marriage, birth of a child, or loss of other coverage — that allows you to update your benefits outside of the annual enrollment period.
Optional extras you can elect (often at a group rate), like accident insurance, legal services, identity theft protection, or pet insurance.
Summary of Benefits and Coverage (SBC)
TPS Group Holdings HMO HandbookTPS Group Holdings HMO HandbookHelpful Documents
Harvard Pilgrim Member AuthorizationHarvard Pilgrim Member AuthorizationGeneral Documents (Medical, Dental, Vision, etc.)
The Paperstore 401(k) SPDThe Paperstore 401(k) SPDShort-term Disability
STD Class 2 (All Active Office EEs) CertificateSTD Class 2 (All Active Office EEs) CertificateShort-term Disability
STD Class 1 (All FT EEs) CertificateSTD Class 1 (All FT EEs) CertificateCertificates
Subscriber Certificate Rider Dependent AgeSubscriber Certificate Rider Dependent AgeGeneral Documents (Medical, Dental, Vision, etc.)
Prescription Drug ListPrescription Drug List
