Insured members can opt to pay less in out-of-pocket expenses for procedures and tests — and get cash rewards.
With Harvard Pilgrim’s voluntary Reduce My Costs program, if you’re scheduled to receive outpatient procedures or diagnostic tests, this voluntary program can help you find lower-cost providers. Plus, you’ll be rewarded for choosing to save money.
How Reduce My Costs works
- Call (855) 772-8366 whenever your doctor recommends an outpatient test or procedure. Available Monday through Friday from 8 a.m. — 6 p.m. Or, log in to your Harvard Pilgrim member account to chat with Reduce My Costs.
- You’ll speak with an experienced nurse who will compare provider costs and inform you of the lower-cost providers in your area. They will also assist with scheduling or rescheduling your appointment and help with any paperwork.
- If you’re already seeing a lower-cost provider, you’ll receive a reward just for calling.
- If you decide to receive care from a lower-cost provider, you will earn a cash reward, depending on the service and the associated cost savings.
Outpatient tests & procedures include:
- Radiology (e.g., MRI and CT scan)
- Lab work
- Bone density study
- Other non-emergency outpatient tests and procedures
Potential savings per service:
Colonoscopy Price range: $1,060 — $3,500
Potential savings: $2,440
Potential reward: $75
MRI lumbar spine (without dye):
Price range: $299 — $1,657
Potential savings: $1,358
Potential reward: $50
Common routine lab:
Price range: $84 — $911
Potential savings: $827
Potential reward: $25
Ranges are based on Harvard Pilgrim’s data. Actual service prices vary by provider type and location.
- Your health plan may require a referral and/or prior authorization before you receive services from the lower-cost provider.
- To ensure the services will be covered, please refer to your plan documents or contact Harvard Pilgrim at 888-333-4742.
- Rewards are considered taxable income; please consult with your tax advisor.
We are always happy to explain more about these and other benefits to our members. Please email me directly at email@example.com or call 603-224-2369 for further details.