Enrolled - Healthy Kids Silver
Medical Benefits
Healthy Kids Silver medical benefits are provided in partnership with Harvard Pilgrim Health Care. Some of the benefits include:
- Well child visits and immunizations
- Routine physical exams
- Emergency Room care
- Urgent Care services
- Annual eye exam
For a summarized list of the medical benefits covered by Healthy Kids Silver, click here. The Healthy Kids Silver Benefit Handbook includes a complete list of medical benefits covered.
Effective July 1, 2010, the co-payments for some of the Healthy Kids Silver benefits increased. Click here for a summary of these changes.
Common Questions — Medical Benefits
Your Benefit Handbook includes information on how to access care and details on:
- Determining the urgency of care and how to obtain services
- Making appointments
- How to obtain vision services
If you have specific questions about how to access your medical benefits, please call Harvard Pilgrim at 1-888-333-4742.
How do I access vision care for my child?
Under the Healthy Kids program, your child can go to any contracted Harvard Pilgrim eye provider for a routine vision examination. However, eyeglasses are not a covered benefit on the Healthy Kids Silver or Buy-In programs.
Harvard Pilgrims members who have their eye exam conducted at Sears Optical or Cambridge Eye Doctors, can choose a free pair of eyeglasses from a selection at those optician offices. Harvard Pilgrim members can also qualify for discounts at other eyewear providers.
To find out more about these savings and find a list of participating providers, please visit www.harvardpilgrim.org/healthykids and click the “Member Savings” link or call Harvard Pilgrim Member Services at 1-888-333-4742.
To cancel your account, mail a written request to
NH Healthy Kids
1 Pillsbury Street, Suite 300
Concord, NH 03301-3556or call 1-877-464-2447 ext. 235 and leave a message in the cancellation voicemail box. In order to cancel for the next month, we must receive your request by the last day of the current month. For example, if you would like to cancel for August 1st, you must notify us by July 31st.
What are the prescription co-payments for the Healthy Kids Silver program?
Harvard Pilgrim offers a three tier precription drug benefit with low, medium and high levels of co-payments. Under the Healthy Kids Silver program, for up to a 30-day retail supply, the prescription co-pays are: Tier 1 $10, Tier 2 $20 and Tier 3 $30.
For more information, please visit www.harvardpilgrim.org/healthykids or call Harvard Pilgrim Member Services at 1-888-333-4742.
Dental Benefits
Healthy Kids Silver dental benefits are provided in partnership with Northeast Delta Dental. Some of the benefits include:
- Regular dental check-ups
- Cleaning and fluoride treatments
- X-Rays
- Sealants
- Fillings
- Simple extractions
Healthy Kids Silver dental services are covered up to a maximum of $600 per calendar year per child. Some limitations apply. Please refer to the Silver Dental Plan Summary for details.
Common Questions — Dental Benefits
For a list of dentists that take Healthy Kids Silver, please visit http://www.nedelta.com/ or call Delta Dental at 1-800-537-1715.
The plan will pay 100% of the cost of routine preventive services such as:
- Checkups
- X-rays/Cleanings
- Fluoride treatments
- Simple extractions
- Space maintainers
- Sealants and fillings
Healthy Kids Silver dental services are covered up to a maximum of $600 per calendar year per child. Some limitations apply. Please refer to your Dental Plan Summary for details.
Eligible teens are covered up to their 19th birthday. Check out our Resources page for what’s available after they turn 19.
Has your child been to the doctor lately? Benefits such as well-child visits and immunizations, routine physical exams and preventive dental cleanings are covered at no cost.