Retiree Benefits

Health Insurance Benefits for Town of Wilbraham Retirees Their Spouses and Dependents

Massachusetts Municipal Health Reform: Medicare

MGL Chapter 32 B Section 18 and 18A, which were local option sections, have been replaced by a New Section 18A which is mandatory. Governmental units are no longer allowed to enroll Medicare A and B eligible retirees and spouses into active plans and must enroll them in a Medicare Health Plan. (An exception is a retiree and/or spouse who may have an eligible child, in this case they may be able to ensure through a family plan option, however, they are required to enroll in Medicare Part B.) View more information on how to apply for Medicare Part B.

Medicare Eligible

Retirees, and their spouses, who are turning 65 should reach out to Gloria Congram in advance of their 65th Birthday to learn more about elibility and requirements for continuing health insurance. To learn more about planning ahead, click here.

Retirees and their spouses and dependents who are on Medicare and Medicare Supplement or Advantage Plans will be on a calendar year plan year (January 1 to December 31) and participate in Open Enrollment in October/November.

Medicare Plan Rates 2023

More information on Open Enrollment and Premium Rates for January 1, 2023 - December 31, 2023 for Retirees on Medicare and their Spouses can be viewed in the Open Enrollment packet here

Blue Cross Blue Shield

For more information on Blue Cross Blue Shield plan coverage, please review the following documents:

Summary of Benefits for Blue MedicareRX (PDP) can be found here.

Blue Medicare RX (PDP) Medicare Prescription Drug Plan Enrollment form can be found here

Summary of Benefits for Managed Blue for Seniors can be found here.

Summary of Benefits for Medex 2 can be found here.

Summary of Benefits for Medicare HMO Blue can be found here.

Summary of Benefits for BCBS Dental Insurance can be found here.

To enroll, or make changes to your BCBS Plan, please complete this form.

To learn more about how BCBS processes claims, please review the Summary of Health Plan Payments found here.

Health New England

For more information on Health New England plan coverage, please review the following documents:

Medicare Secure Freedom HMO-POS Enrollment Kit can be found here

Medicare Secure Freedom Plan overview chart can be found here

Medicare Secure Freedom changes for 2023 can be found here

HMO MedPlus Plan Enrollment Kit can be found here

HMO MedPlus Benefit Chart can be found here

Retiree Prescription Analysis - Humana Drug Coverage Comparison information can be found here

Humana Enrollment Form can be found here

Retiree First Insurance Cancellation Request Form can be found here

Tufts

For more information on Tufts plan coverage, please review the following documents:

Preferred HMO Prime RX Plan Highlight Sheet can be found here.

Preferred PDP Plus Plan Highlight Sheet can be found here.

Preferred HMO Formulary Covered Drugs can be found here.

Preferred PDP Formulary Covered Drugs can be found here.

Medicare Preferred Supplement Plan Highlights can be found here.

Enrollment forms: Tufts Medicare Preferred and Tufts Medicare Preferred Supplement PDP

Comparison Charts

To help compare plan coverage for all SVRHT Retiree plans, please review the following comparison charts:

Retiree Supplement Plan Comparison Chart can be found here

Retiree Medicare Replacement Plan Comparison Chart can be found here

Non-Medicare Eligible

Retirees and their spouses and dependents who are not on Medicare and are enrolled in active plans will continue on a fiscal year plan year and participate in Open Enrollment in April/May along with active employees. For more information, please view the Employee Benefits section of the website.