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Retiree Benefits

Benefits for Town of Wilbraham Retirees and Their Spouses and Dependents
New Plan Year effective January 1, 2014

Effective January 1, 2014, all Scantic Valley Regional Health Trust Medicare Plans will renew annually on January 1. An Annual Open Enrollment will be held for these senior plans in October/November. There will not be any rate changes in July, and no open enrollment in May.
Click here for open enrollment form

Retirees 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 May along with active employees.  

Annual Open Enrollment for Calendar Year 2014

The Annual Open Enrollment Period for Town of Wilbraham retirees and their spouses and dependents who are on Medicare A and B for calendar year 2014 health care coverage is from Tuesday, October 15 to Friday, November 15, 2013.

Informational Meeting: October 30, 2013 at 10:00 am
Retirees and their spouses are invited to an informational meeting at the Wilbraham Town Office Building at 240 Springfield Street, Wilbraham, MA 01095 on Wednesday, October 30, 2013 at 10:00 am in the Selectmen's Meeting Room. Health Plan Representatives will provide an overview of important plan changes and answer any questions you may have. Additional meetings will offered by other member communities of the Scantic Valley Regional Health Trust according to this schedule.

2014 Monthly Medicare Plan Premiums: 
(January 1, 2014 to December 31, 2014)


Retiree Pays
BCBS 100% 60% 40%
NEW: Medex II with BlueMedicareRX $312.00 $187.20 $124.80
Managed Blue for Seniors $280.58 $168.35 $112.23
Medicare HMO Blue $237.97 $142.78 $ 95.19
HNE 100% 60% 40%
HNE Medplus $378.00 $226.80 $151.20
 
HNE Secure Freedom POS $226.00 $135.60 $ 90.40
Tufts 100% 60% 40%
Tufts Medicare SupplemntPrime  $334.00 $200.40 $133.60
Tufts Medicare Preferred HMO $252.00 $151.20 $100.80


Massachusetts Municipal Health Reform: Medicare
Sections 18 and 18A, which were local option sections, have been replaced by a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. (The only exception is a retiree 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.) For more information on how to apply for Medicare Part B, please click here.

Medicare D:  Prescription Coverage
In 2003, Federal Legislation crated the Medicare Part D precription drug program. Some of the health plans have incorporated Medicare Part D into their benefits, and some have operated outside of Medicare Part D. These plans have offered prescription drug coverage that is at least as good as Medicare Part D provides and subscribers received an annual "Creditable Coverage Notice."

Two BCBS plans, Medex III Enhanced with OBRA and Managed Blue for Seniors, have until now operated outside of Medicare Part D. On January 1, 2014 Medex and Managed Blue for Seniors will begin to provide the prescription drug benefit through a government-approved Medicare Part D plan called Blue MedicareRx.

For retirees and their spouses who have not been enrolled in a Medicare approved Part D plan during 2013, we provided the required "Creditable Coverage Notice" which can be accessed here.  


Active Plans Monthly Premiums FY2014
(July 1, 2013 to June 30, 2014)


100%

Retiree pays 40%

Town pays 60%

BC/BS 

Ind

Double

Family 

Ind

Double

Family 

Ind

Double

   Family 

Blue Care Elect PPO

$1,596.10

 

$3,493.60

$638.44

 

$1,397.44

$957.66 

  

$2,096.16

Network Blue HMO

$610.70

 

$1,514.45

$244.28

 

$605.78

$366.42 

 

$908.67

                   

HNE 

Ind

Double

Family 

Ind

Double

Family 

Ind

Double

Family 

Scantic Valley HMO

$539.62

$1,097.32

$1,478.81

$215.85

$438.93

$591.52

$323.77

$658.39 

$887.29

                   

Tufts 

Ind

Double

Family 

Ind

Double

Family 

Ind

Double

Family 

Tufts EPO

$656.98

 

$1,642.45

$262.79

 

$656.98

$394.19

 

$985.47

 
Annual Open Enrollment for retirees and their spouses and dependents who are not eligible for Medicare and are enrolled in active plans is in April/May for a July 1 effective date.