Retiree Health Insurance Information

Message to all Retirees currently on Harvard Pilgrim Enhanced:

Effective July 1, 2017, the Mayflower Municipal Health Group(MMHG)/Town of Hanover will be switching the current HPHC Medicare Enhance plan to a new retiree plan through Blue Cross Blue Shield of Massachusetts (BCBSMA).

The new plans being offered:

Medex 2 (Medical plan) with Blue Medicare Rx (Prescription drug plan PDP)

The Medex 2 medical plan provides the same coverage for medical services as you currently receive. The Blue Medicare RX is a prescription plan that includes standard Medicare Part D benefits supplemented with coverage provided by Town of Hanover.

Enrollment Information:

You will need to completely fill out the Medex 2 enrollment form enclosed and mail to us as soon as possible and before May 26, 2017. If you wish to cancel and not be enrolled in the new plans, you will need to complete a disenrollment form by May 26, 2017 which is available by contacting this office. If you choose not to stay with our plan then please note you will not be able to join at a later date unless you have a valid qualifying event or wait until next year’s open enrollment.

Message to all Retirees currently on BC Medex:

Effective July 1, 2017, the Mayflower Municipal Health Group (MMHG)/ Town of Hanover will be switching your current Medex 3 plan to a new retiree plan through Blue Cross Blue Shield of Massachusetts (BCBSMA).

The new plans to be offered:

Medex 2 (Medical Plan) with Blue Medicare Rx (Prescription drug plan PDF)

The Medex 2 medical plan provides the exact same coverages for medical services as you currently receive.   The Blue Medicare RX is a prescription plan that includes Medicare Part D benefits supplemented with coverage provided by MMHG/ The Town of Hanover.

Enrollment Information:

As a current BCBSMA member, you do not have to complete any enrollment forms and you will automatically be transferred into the new plans.   If you wish to cancel and not be enrolled in the new plans, you will need to complete a disenrollment form by May 26, 2017, which is available by contacting this office.   If you choose not to stay with our plan then please note you will not be able to join at a later date unless you have a valid qualifying event or wait until next year's open enrollment.

Mailings you will receive:

Caution:  Mailings will have return addresses from CVS/ Caremark and Blue Cross Blue Shield so please don't discard them as junk mail.

Within the next month you will be receiving a mailing directly from Blue Cross Blue Shield of Massachusetts containing the list of covered medications called a Formulary guide, plan summaries, and required notification of this change.

Expect three mailings during the month of June.   You will receive two mailings from CVS/Caremark that will contain your Blue Medicare RX (prescription coverage) ID card and other important information.   You will also receive a mailing from Blue Cross Blue Shield of Massachusetts containing your new Medex 2 (medical coverage) ID card.

PLEASE BEGIN USING YOUR NEW CARDS ON JULY 1, 2017

What you need to know/ expect regarding your prescriptions:

Mail order prescriptions:  If you currently have mail order prescriptions then you will need to obtain new prescriptions from your doctor for these medications as the mail order pharmacy provider will change effective July 1, 2017 from Express Scripts to CVS/ Caremark.

Prior authorizations/ coverage determination:   If your doctor filed prior authorization/ coverage determination for the prescriptions you are currently taking, then your doctor will most likely have to file new prior authorization/ coverage determination for these prescriptions.

Some drugs you are currently taking may be coveraged at a different tier, so it may be a higher or lower co-payment or out of pocket cost.

Certain categories of drugs are covered (by law) so when you receive your packet from Blue Cross Blue Shield please look up your prescriptions in the formularly guide booklet for coverage details.

Please note:  You can use your current retail pharmacy for your prescriptions.

Blue Cross Medex Informational Meetings:

There are several upcoming informational meetings that will explain the new prescription drug benefit.   We encourage you to attend one of these meetings or perhaps send a representative.   The morning presentation will be from 9:00 a.m. to 10:00 a.m. and the afternoon presentation will be from 2:00 p.m. to 3:00 p.m.  Representatives from Blue Cross Blue Shield will be available after each session to answer any individual questions.

Below is a link to the schedule of meetings:

/payrollbenefits-office/files/calendar-of-bc-medex-meetings

We urge you to attend one of the meetings listed on the attached schedule to listen to the presentation and have your questions answered.   If you are unable to attend one of the meetings, we are planning to have the presentation available on-line.   There are also phone numbers you can call after May 1, 2017 to get answers to your questions regarding your prescriptions.

Phone support will be available, beginning on May 1, 2017 for prescription drug related questions.   If you have any prescription (Blue Medicare Rx) related questions, effective May 1, please contact CVS/Caremark at 1-866-832-9775.   Please note, there will be resources at all meetings to answer any prescription questions you may have prior to July 1.

Medex 2 Medical Benefits Questions:   All medical (Medex 2) benefit questions should be addressed by calling Blue Cross Blue Shield directly at 1-800-782-3675 and speak with a Blue Cross Blue Shield Representative.  Please identify yourself as a Mayflower Municipal Health Group Retiree.   Please note that your medical benefits will not change and you will have the exact same medical coverage as you currently receive.