Health Insurance Plan Options

Please be advised that changes to your benefits can only be made during the first 30 days after a qualifying 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.

Plan Comparison Documents & Pre-Tax Plan Savings Options


FY23 Heath Insurance Rates

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.

new

Introducing PinnacleCare as an additional resource for employees who have health insurance through the Town of Wellesley who experience a life-changing medical diagnosis.  Learn more about the services PinnacleCare offers HERE.

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 FormBCBS 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

Member Service #:  800-782-3675

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

Member Service #:  800-782-3675

Customer Service #:  800-262-2583

A Healthy Me - BCBS extras!A Healthy Me- BCBS extras!
Mental Health ResourcesMental Health Resources

*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 FormHPHC Opens in new windowHPHC HDHP Enrollment Form
HPHC Benchmark Plan SummaryHPHC High Deductible Plan Summary
CanRx Program CanRx Program  
Good Health Gateway Diabetes ProgramGood 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
Mental Health ResourcesMental Health Resources


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 FormTUFTS logoTufts HDHP Enrollment Form
Tufts Benchmark Plan SummaryTufts HDHP Plan Summary
CanRx ProgramCanRx Program 
Tufts Prescription FormularyTufts Prescription Formulary
Good Health Gateway Diabetes ProgramGood 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
Mental Health ResourcesMental Health Resources


Harvard Pilgrim PPO (HPHC PPO)

HPHC PPO Enrollment FormHPHC PPO Plan Summary
Mental Health Resources
Mental Health Resources


Mass Health Connector Notice