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.

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

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

BCBS Benchmark Plan (HRA eligible) Group Number 00-4053588	BCBS High Deductible Health Plan (HSA eligible) Group Number 00-4062729
BCBS Benchmark Enrollment Form	BCBS HDHP Enrollment Form
BCBS Benchmark Plan Summary	BCBS High Deductible Plan Summary
CanRx Program	BCBS Preventative Drug List - medications at co-pay level (deductible does not apply)
	$9 Generic Drug List
Blue Cross Prescription Formulary	Blue 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
HPHC Benchmark Enrollment Form	HPHC HDHP Enrollment Form
HPHC Benchmark Plan Summary	HPHC 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 Listing	Good 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 Benchmark Enrollment Form	Tufts HDHP Enrollment Form
Tufts Benchmark Plan Summary	Tufts HDHP Plan Summary
CanRx Program	Tufts Health Plan Preventative Drug List - medications at co-pay level (deductible does not apply)
Tufts Prescription Formulary	Tufts Prescription Formulary
Good Health Gateway Diabetes Program	Good Health Gateway Diabetes Program
	CanRx Program
Find a Doctor - Tufts Benchmark Plan	Find a Doctor - Tufts HDHP