Medical Insurance

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.


FY24 Health Insurance Rates

FY24 Comparison Chart - ALL PLANS


Benchmark Plan comparison (FSA/HRA eligible)High Deductible Health Plan (HSA eligible)
FY24 Benchmark Plan Comparison Chart FY24 HDHP Comparison Chart 
Flexible Spending Account (FSA) InformationHealth Savings Account (HSA) Information
Health Reimbursement Account (HRA) InfoWinning with an HSA


BCBSBlue Cross Blue Shield (BCBS) 

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

Member Service #:  800-782-3675  Customer Service #:  800-262-2583


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 Benchmark Enrollment FormBCBS HDHP Enrollment Form
BCBS Benchmark Summary of Benefits and CoverageBCBS High Deductible Summary of Benefits and Coverage
BCBS Benchmark Plan SummaryBCBS High Deductible Plan Summary

BCBS Preventative Drug List - medications at co-pay level (deductible does not apply)
Find a Doctor*
Tool requires Dr. name, zip code and Network
Plan Name = Network Blue New England Deductible HMO
Network = HMO Blue New England Network with Hospital Choice Cost Sharing Feature
Find a Doctor*
Tool requires Dr. name, zip code and Network 
Plan Name = Access Blue New England Saver
Network = HMO Blue New England

*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.


Limited Network Plans (BCBS)

Network coverage area includes MA ONLY**

**Before selecting this plan, be sure your doctors are covered by using the "Find a Doctor" tool with the credentials specified below

BCBS Benchmark Select Plan (FSA/HRA eligible)
Network Blue® Select $300 Deductible with HCCS
Group Number 00-4069885
BCBS High Deductible Select Health Plan (HSA eligible)
Network Blue® Select Saver
Group Number 00-4070369
BCBS Benchmark Select Enrollment Form BCBS HDHP Select Enrollment Form
BCBS Benchmark Select Summary of Benefits and CoverageBCBS High Deductible Select Summary of Benefits and Coverage
BCBS Benchmark Select Plan Summary BCBS High Deductible Select Plan Summary
Find a Doctor*
Tool requires Dr. name, zip code and Network
Plan Name = Network Blue New England Deductible HMO
Network = HMO Blue Select

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 Select 

Member Service #:  800-782-3675

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.

All BCBS Plans Include:

Blue Cross Prescription Formulary
BCBS Benchmark Hospital Tiering List
$9 Generic Drug List
BCBS 24 Hour Nurse Line
A Healthy Me
Mental Health Resources
BCBS Fitness Reimbursement Form
Weight Loss Reimbursement Form

ALL OF OUR MEDICAL PLANS INCLUDE:

goodhealth 

Save on Diabetes Medication

canarx

Prescription Drug Savings


pinnacle

Support for serious medical conditions


optimed

FREE Delivery of All Medications & Supplies
Proactive REFILL Calls & Care Coordination
Administration Options & Infusion Services

OPT OUT BENEFIT

*Medical Insurance Opt Out Application- to be eligible for the Medical Insurance opt out option, employees must have had a Town of Wellesley medical insurance plan for two consecutive years prior to opting out.

PLEASE NOTE:  This form will be processed only with an email to benefits@wellesleyma.gov indicating you are dropping your medical insurance and when.  Submitting the form on its own is not sufficient to stop coverage or deductions when it comes to opting out of medical insurance.


Mass Health Connector Notice