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.


FY23 Heath Insurance Rates

FY22 Health Insurance Rates


Plan Comparison Documents & Pre-Tax Plan Savings Options

FY23 Comparison Chart - ALL PLANS

Benchmark Plan comparison (FSA/HRA eligible)High Deductible Health Plan (HSA eligible)
FY23 Benchmark Plan Comparison Chart FY23 HDHP Comparison Chart 
Flexible Spending Account (FSA) InformationHealth Savings Account (HSA) Information
Health Reimbursement Account (HRA) InfoWinning with an HSA

*FY23 Transition of Care program - eligible applicants are defined as those who are currently receiving a transition allowance and who are actively undergoing treatment for a serious, life threatening medical condition whose primary specialist is not covered in the Blue Cross Blue Shield 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.

***Additional Insurance Opt Out form - to be eligible for the Additional Insurance opt out option, employees must have a Town of Wellesley insurance plan and must opt out of both Hospital and Accident insurance and/or dental insurance.  Forms must be received by the HR office in Town Hall within 30 days of your initial eligibility date to be eligible for this program.

Blue Cross Blue Shield (BCBS)

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

BCBS Benchmark Plan (FSA/HRA eligible)
Network Blue New England Deductible HMO 
Group Number 00-4053588
BCBS High Deductible Health Plan (HSA eligible)
Access Blue New England Saver
Group Number 00-4062729
BCBS Opens in new windowBCBS Benchmark Enrollment Form
BCBS Opens in new windowBCBS HDHP Enrollment Form
BCBS Benchmark Plan SummaryBCBS High Deductible Plan Summary
CanRx Program CanRx Program
Blue Cross Prescription FormularyBlue Cross Prescription Formulary
Good Health Gateway Diabetes ProgramGood Health Gateway Diabetes Program

BCBS Preventative Drug List - medications at co-pay level (deductible does not apply)
BCBS Benchmark Hospital Tiering List
$9 Generic Drug List
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 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 with your doctor search. 

Harvard Pilgrim Health Care (HPHC HMO)

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

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


Tufts Health Plan

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 (FSA/HRA eligible)
Group Number 45843-130
Tufts High Deductible Health Plan (HSA eligible)
Group Number 57527-130
TUFTS logo Opens in new windowTufts Benchmark Enrollment Form
TUFTS logoTufts HDHP Enrollment Form
Tufts Benchmark Plan Summary
Tufts HDHP Plan Summary
CanRx ProgramCanRx Program 
Tufts Prescription FormularyTufts 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)
Find a Doctor - Tufts Benchmark PlanFind a Doctor - Tufts HDHP
THP OverviewPharmacy InfoCost EstimatorDiscounts
AcupunctureFitness RewardsEye CareCVS Extracare


Fallon Select Care - no longer available after 6/30/2022

Fallon Benchmark Plan (FSA/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 Prescription Formulary
Good Health Gateway Diabetes Program
Good Health Gateway Diabetes Program

Fallon Health Preventative Drug List - medications at co-pay level (deductible does not apply)


Fallon Direct Care - no longer available after 6/30/2022

be awareFallon 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)
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 Prescription Formulary
Good Health Gateway Diabetes Program
Good Health Gateway Diabetes Program

Fallon Health Preventative Drug List - medications at co-pay level (deductible does not apply)


Harvard Pilgrim PPO (HPHC PPO)

HPHC PPO Enrollment FormHPHC PPO Plan Summary


Mass Health Connector Notice