Health Insurance Employee and Retiree FY23, FY24 Information

Below is information for the health, dental and vision plans that will be effective from July 1, 2022 to June 30, 2023. If you have any questions in regards to your insurance please contact Kaleigh Gauvin at KGauvin@winchendon-MA.gov or call (978)297-0152.

You may also visit our website for information on the new plans. https://planinfo.bluecrossma.com/customblue/2021/miiatownofwinchendon

Attachment	Size
Health and Dental Enrollment Form ALL	210.79 KB
Active Employee Vision Plan Enrollment Form	108.58 KB
Active Employee Vision Plan - FY23	186.85 KB
Medex 2 - 2023	1.18 MB
Managed Blue for Seniors 2023	751.66 KB
Memo re: Open Enrollment for Health, Dental, Vision FY24	184.63 KB
Health Insurance Opt-Out Policy - new for FY24	203.11 KB
Dental Blue Freedom Summary of Benefits FY24	700.25 KB
Dental Blue Value Summary of Benefits FY24	752.92 KB
Network Blue N.E. $500 Deductible with Hospital Choice Cost Sharing Summary of Benefits - FY24	756.25 KB
Network Blue N.E. $500 Deductible with Hospital Choice Cost Sharing Summary of Benefits and Coverage - FY24	1.24 MB
Blue Care Elect $500 Deductible with Hospital Choice Cost Sharing Summary of Benefits and Coverage - FY24	1.24 MB
Blue Care Elect $500 Deductible with Hospital Choice Cost Sharing Summary of Benefits - FY24	771.74 KB
Network Blue Select $500 Deductible Summary of Benefits and Coverage - FY24	1.24 MB
Network Blue Select $500 Deductible Summary of Benefits - FY24	730.98 KB