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Health Insurance Plan Options
Please be advised that changes to your benefits can only be made during the first 30 days after a life event (birth, death, adoption, marriage, divorce, etc.) or during open enrollment. Newly hired benefit eligible employees have 30 days from their start date to make benefit selections.
FY21 Health Insurance Rates
Plan Comparison Documents & Pre-Tax Plan Savings Options
Benchmark Plan comparison (FSA/HRA eligible) | High Deductible Health Plan (HSA eligible) |
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FY21 Benchmark Plan Comparison Chart | FY21 HDHP Comparison Chart |
Flexible Spending Account (FSA) Information | Health Savings Account (HSA) Information |
Health Reimbursement Account (HRA) Info | HSA Qualified High Deductible Health Plan Video |
*Transition of Care Application - eligible applicants are defined as those who are actively undergoing treatment for a serious, life threatening medical condition whose primary specialist is not covered in the Fallon Network.
**Health Insurance Opt Out Application - to be eligible for the Health Insurance opt out option, employees must have had a Town of Wellesley health insurance plan for two consecutive years prior to opting out.
Benchmark (low deductible) manual open enrollment packet
HSA eligible (high deductible) manual open enrollment packet
Fallon Select Care - www.fchp.org
Fallon Direct Care - www.fchp.org
Fallon Direct offers a limited network of providers and hospitals. Please check with your Dr.'s office to make sure they accept Fallon Direct specifically before selecting this plan.
Fallon Benchmark Plan (FSA/HRA eligible) | Fallon High Deductible Health Plan (HSA eligible) |
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Fallon Health Benchmark Plan Summary | Fallon Health High Deductible Plan Summary |
Fallon Direct Benchmark Plan Summary | Fallon Direct HDHP Plan Summary |
Fallon Direct Participating Hospitals | Fallon Direct Participating Hospitals |
Fallon ID Card Mobile App | Fallon ID Card Mobile App |
CVS Extra Care Card Savings | CVS Extra Care Card Savings |
Naturally Well Alternative Health Care | Naturally Well Alternative Health Care |
Right Care, Right Place, Right Time | Right Care, Right Place, Right Time |
It Fits Reimbursement | It Fits Reimbursement |
Fallon DC Benchmark Enrollment Form | Fallon Direct HDHP Enrollment Form |
CanRx Program - click the Fallon button | CanRx Program - click the Fallon button - NEW for FY21 |
Fallon Prescription Formulary | Fallon Prescription Formulary |
Good Health Gateway Diabetes Program | Fallon Health Preventative Drug List - medications at co-pay level (deductible does not apply) |
Harvard Pilgrim Health Care (HPHC HMO) - www.harvardpilgrim.org
HPHC Benchmark Plan (FSA/HRA eligible) | HPHC High Deductible Health Plan (HSA eligible) |
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HPHC Benchmark Plan Summary | HPHC High Deductible Plan Summary |
HPHC Benchmark Enrollment Form | HPHC HDHP Enrollment Form |
CanRx Program - click the HPHC button | CanRx Program - click the HPHC button - NEW for FY21 |
Good Health Gateway Diabetes Program | Good Health Gateway Diabetes Program |
HPHC Hospital Tier Listing | HPHC Preventative Drug List - medications at co-pay level (deductible does not apply) |
Tufts Health Plan - www.tuftshealthplan.com
Tufts Benchmark Plan (FSA/HRA eligible) | Tufts High Deductible Health Plan (HSA eligible) | ||
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Tufts Benchmark Plan Summary | Tufts HDHP Plan Summary | ||
Tufts Benchmark Enrollment Form | Tufts HDHP Enrollment Form | ||
CanRx Program - click the Tufts button | CanRx Program - click the Tufts button - NEW for FY21 | ||
Tufts Prescription Formulary | Tufts Prescription Formulary | ||
Good Health Gateway Diabetes Program | Good Health Gateway Diabetes Program | ||
Tufts Health Plan Preventative Drug List - medications at co-pay level (deductible does not apply) | |||
THP Overview | Pharmacy Info | Cost Estimator | Discounts |
Acupuncture | Fitness Rewards | Eye Care | CVS Extracare |
Blue Cross Blue Shield (BCBS) - www.home.bluecrossma.com
BCBS Benchmark Plan (FSA/HRA eligible) | BCBS High Deductible Health Plan (HSA eligible) |
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BCBS Benchmark Plan Summary | BCBS High Deductible Plan Summary |
BCBS Benchmark Enrollment Form | BCBS HDHP Enrollment Form |
CanRx Program - click the BCBS button | CanRx Program - click the BCBS button - NEW for FY21 |
Blue Cross Prescription Formulary | Blue Cross Prescription Formulary |
Good Health Gateway Diabetes Program | Good Health Gateway Diabetes Program |
BCBS Preventative Drug List - medications at co-pay level (deductible does not apply) | |
$9 Generic Drug List | |
Harvard Pilgrim PPO (HPHC PPO) - www.harvardpilgrim.org
HPHC PPO Enrollment Form | HPHC PPO Plan Summary |