Non-Medicare Eligible Retiree Health Plans

The Town of Wellesley offers two different health plan designs to Non-Medicare Eligible retirees.  Information on the plan designs offered is below.  To help assist in the process of picking the plan that is right for you, please consider reviewing one or both of the following documents.  

Fallon will no lonIMPTger be offered after 6/30/2022. If you are a non-Medicare eligible retiree who is currently on a Fallon plan, click HERE to see the contents of a recent mailing that was sent to you and what you need to do for open enrollment.

If you are a non-Medicare eligible retiree that does not have a Fallon plan, no action is required to keep your current health plan for 7/1/2022.  Click HERE to see the recent mailing sent to non-Medicare eligible retirees who are not on a Fallon plan.

Choosing a Health Plan - this document will walk you through some of the basic considerations when choosing a health plan.
What is a deductible? - starting on July 1, 2018, health plans offered by the Town of Wellesley will be deductible plans. This document explains what they are and how they work.


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. 

FY23 Retiree Heath Insurance Rates

FY22 Retiree Health Insurance Rates


Plan Comparison Documents & Pre-Tax Plan Savings Options

FY23 Comparison Chart - ALL PLANS 

Benchmark Plan comparison (HRA eligible)High Deductible Health Plan (HSA eligible)
FY23 Benchmark Plan Comparison Chart FY23 HDHP Comparison Chart 
Health Reimbursement Account (HRA) Info
Health Savings Account (HSA) Information

Winning with an HSA


Blue Cross Blue Shield (BCBS) - www.home.bluecrossma.com

Network coverage area includes MA, RI, CT, NH, ME & VT

For questions about BCBS coverage/participating doctors, retirees may call the dedicated Account Education Line any Tuesday night during the month of May between 5-7pm at 1-888-258-7908

BCBS Benchmark Plan (HRA eligible)
Group Number 00-4053588
BCBS High Deductible Health Plan (HSA eligible)
Group Number 00-4062729
BCBSBCBS Benchmark Enrollment Form
BCBSBCBS HDHP Enrollment Form
BCBS Benchmark Plan SummaryBCBS High Deductible Plan Summary
CanRx ProgramBCBS Preventative Drug List - medications at co-pay level (deductible does not apply)

$9 Generic Drug List
Blue Cross Prescription FormularyBlue Cross Prescription Formulary
Good Health Gateway Diabetes Program
Good Health Gateway Diabetes Program

CanRx Program
Find a Doctor*
Tool Requires Dr. name, zip code and network
Plan Name = Network Blue New England Deductible HMO
Network = Network Blue New England with Hospital Choice Cost Share Feature

Customer Service #: 800-262-2583
Find a Doctor*
Tool requires Dr. name, zip code and network
Plan Name = Access Blue New England Saver
Network = HMO Blue New England

Customer Service #: 800-262-2583  

*When searching the BCBS website for a doctor, be sure to use all the credentials listed above for the specific plan you are interested in.  If your doctor does not appear in the online search tool, please call the customer service number listed above, give the group number of the BCBS option you are interested in and ask the representative to assist you in your doctor search. 


Harvard Pilgrim Health Care (HPHC HMO) - www.harvardpilgrim.org

Network coverage area includes MA, RI, CT, NH, ME & VT

HPHC Benchmark Plan (HRA eligible)
Group Number 028848-0030
HPHC High Deductible Health Plan (HSA eligible)
Group Number 018992-0018
HPHCHPHC Benchmark Enrollment Form
HPHCHPHC HDHP Enrollment Form
HPHC Benchmark Plan SummaryHPHC High Deductible Plan Summary
CanRx Program CanRx Program
Good Health Gateway Diabetes Program
HPHC Preventative Drug List - medications at co-pay level (deductible does not apply)
HPHC Hospital Tier ListingGood Health Gateway Diabetes Program
Find a Doctor
Plan Type = HMO
Plan Category = Tiered/Limited Plans
Tiered/Limited Plans = ChoiceNet HMO-2022
Find a Doctor
Plan Type = HMO
Plan Category = Standard Plans
Standard Plans = HMO or HMO Open Access 


Tufts Health Plan - www.tuftshealthplan.com

Network coverage area includes MA, RI, NH, and extended service areas in Southern ME, Eastern VT and just over the CT border

Tufts Benchmark Plan (HRA eligible)
Group Number 45843-130
Tufts High Deductible Health Plan (HSA eligible)
Group Number 57527-130
TUFTS logoTufts Benchmark Enrollment Form
TUFTS logoTufts HDHP Enrollment Form
Tufts Benchmark Plan SummaryTufts HDHP Plan Summary
CanRx Program Tufts Health Plan Preventative Drug List - medications at co-pay level (deductible does not apply)
Tufts Prescription FormularyTufts Prescription Formulary
Good Health Gateway Diabetes Program
Good Health Gateway Diabetes Program

CanRx Program
Find a Doctor - Tufts Benchmark PlanFind a Doctor - Tufts HDHP


Harvard Pilgrim PPO (HPHC PPO) - www.harvardpilgrim.org

HPHC PPO Enrollment FormHPHC PPO Plan Summary


Fallon Select Care - no longer available after 6/30/2022www.fchp.org

Fallon Benchmark Plan (HRA eligible)Fallon High Deductible Health Plan (HSA eligible)
Fallon Select Comparison ChartFallon Select Comparison Chart
Fallon Health Benchmark Plan SummaryFallon Health High Deductible Plan Summary
Fallon Select Benchmark Plan SummaryFallon Select HDHP Plan Summary
Fallon Select Participating HospitalsFallon Select Participating Hospitals
Fallon ID Card Mobile AppFallon ID Card Mobile App
CVS Extra Care Card SavingsCVS Extra Care Card Savings
Naturally Well Alternative Health CareNaturally Well Alternative Health Care
Right Care, Right Place, Right TimeRight Care, Right Place, Right Time
It Fits ReimbursementIt Fits Reimbursement
Fallon SC Benchmark Enrollment FormFallon Select HDHP Enrollment Form
CanRx ProgramCanRx Program
Fallon Prescription FormularyFallon Health Preventative Drug List - medications at co-pay level (deductible does not apply)
Good Health Gateway Diabetes ProgramFallon Prescription Formulary

Good Health Gateway Diabetes Program


Fallon Direct Care - no longer available after 6/30/2022www.fchp.org

Fallon Benchmark Plan (HRA eligible)Fallon High Deductible Health Plan (HSA eligible)
Fallon Health Benchmark Plan SummaryFallon Health High Deductible Plan Summary
Fallon Direct Benchmark Plan SummaryFallon Direct HDHP Plan Summary
Fallon Direct Participating HospitalsFallon Direct Participating Hospitals
Fallon ID Card Mobile AppFallon ID Card Mobile App
CVS Extra Care Card SavingsCVS Extra Care Card Savings
Naturally Well Alternative Health CareNaturally Well Alternative Health Care
Right Care, Right Place, Right TimeRight Care, Right Place, Right Time
It Fits ReimbursementIt Fits Reimbursement
Fallon DC Benchmark Enrollment FormFallon Direct HDHP Enrollment Form
CanRx ProgramCanRx Program
Fallon Prescription FormularyFallon Health Preventative Drug List - medications at co-pay level (deductible does not apply)
Good Health Gateway Diabetes Program
Fallon Prescription Formulary

Good Health Gateway Diabetes Program