Harvard Pilgrim Health Care, a Point32Health company, is collaborating with GRAIL on a pilot program to provide access to the Galleri test at no cost*† to all eligible Maine Harvard Pilgrim Health Care Plan HMO members* who meet the following eligibility requirements for the test.
Eligibility requirements
- Must reside in the United States
- Age 50 years or older
- Insurance purchased on the Maine Health Insurance Marketplace (CoverME.gov) or directly from Harvard Pilgrim*
- Not currently pregnant
- Not currently undergoing active cancer treatment. Must have completed cancer treatment at least 5 years ago.
AND also meet at least one of the following clinical criteria:
- First-degree relative (biological parent or sibling) with cancer**
- Cancer survivor** who has completed treatment at least 5 years ago
- Currently smokes or quit smoking fewer than 10 years ago
- Elevated BMI
- Female ≥ 30 kg/m2
- Male ≥ 35 kg/m2
* Members who select and receive their Harvard Pilgrim health plans and coverage from their employer are not eligible to participate in this pilot program today.
** excludes basal or squamous cell carcinoma of the skin
† Please note, under the pilot program, the Galleri test is provided at no cost. The blood draw is also at no cost, if it is completed at a GRAIL partner lab (i.e. Quest, ExamOne and NorDx). If you choose to complete the blood draw at another lab, including your primary healthcare provider’s office, you will be responsible for the blood draw fee.
The program does not cover or pay for follow-up diagnostic procedures (e.g., imaging, biopsies, other laboratory tests, etc.). You may incur cost-share expenses such as co-pays, deductibles, and co-insurance. Please contact Members Services via the phone number listed on the back of your Harvard Pilgrim member ID card to determine covered expenses and your potential costs related to follow-up procedures that your provider may recommend.