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)
FY20 Benchmark Plan Comparison ChartFY20 HDHP Comparison Chart
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 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 Program - click the Fallon buttonCanRx Program - click the Fallon button - NEW for FY21
Fallon Prescription FormularyFallon Prescription Formulary
Good Health Gateway Diabetes ProgramFallon Health Preventative Drug List - medications at co-pay level (deductible does not apply)


Fallon Direct Care - www.fchp.org

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 Program - click the Fallon buttonCanRx Program - click the Fallon button - NEW for FY21
Fallon Prescription FormularyFallon Prescription Formulary
Good Health Gateway Diabetes ProgramFallon 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)
HPHC Benchmark Plan SummaryHPHC High Deductible Plan Summary
HPHC Benchmark Enrollment FormHPHC HDHP Enrollment Form
CanRx Program - click the HPHC buttonCanRx Program - click the HPHC button - NEW for FY21
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)


Tufts Health Plan - www.tuftshealthplan.com

Tufts Benchmark Plan (FSA/HRA eligible)Tufts High Deductible Health Plan (HSA eligible)
Tufts Benchmark Plan SummaryTufts HDHP Plan Summary
Tufts Benchmark Enrollment FormTufts HDHP Enrollment Form
CanRx Program - click the Tufts buttonCanRx Program - click the Tufts button - NEW for FY21
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)
THP OverviewPharmacy InfoCost EstimatorDiscounts
AcupunctureFitness RewardsEye CareCVS Extracare


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

BCBS Benchmark Plan (FSA/HRA eligible)BCBS High Deductible Health Plan (HSA eligible)
BCBS Benchmark Plan SummaryBCBS High Deductible Plan Summary
BCBS Benchmark Enrollment FormBCBS HDHP Enrollment Form
CanRx Program - click the BCBS buttonCanRx Program - click the BCBS button - NEW for FY21
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)

$9 Generic Drug List


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

HPHC PPO Enrollment FormHPHC PPO Plan Summary