Retiree Benefits
RETIREE INSURANCE BENEFITS
RATES, INFORMATION AND ENROLLMENT FORMS
RATES, INFORMATION AND ENROLLMENT FORMS
Blue Cross Blue Shield Options
HEALTH INSURANCE - RETIREE WITHOUT MEDICARE
BCBS HMO Blue New England Options (Deductible $500/$1000)
BCBS HMO Blue New England Options Hospital List
BCBS HMO Blue New England Enhanced Value (No Deductible)
BCBS Access Blue New England Saver (Deductible $2000/$4000)
BCBS Blue Care Elect PPO (Deductible $250/$750)
Retiree Health Insurance Enrollment Form
HEALTH INSURANCE - RETIREE WITH MEDICARE
BCBS Medicare HMO Blue
BCBS Medicare HMO Blue Enrollment Form
BCBS Medicare HMO Blue List of Covered Drugs 2025
BCBS Managed Blue for Seniors (*)
Managed Blue for Seniors Enrollment Form
BCBS Medex 2 (*)
Medex 2 Enrollment Form
BCBS MedicareRX (PDP)
MedicareRX (PDP) Enrollment Form
BCBS Medicare PDP List of Covered Drugs 2025
Medicare Supplemental Plan Comparison
* Please note, when enrolling in either the BCBS Managed Blue for Seniors or the BCBS Medex 2 plans you will also need to submit an enrollment form for the BCBS MedicareRX plan as it is the prescription drug plan portion of those benefits.
DENTAL INSURANCE
BCBS Dental Blue Program 1
BCBS Dental Blue Program 2
Retiree Dental Blue Enrollment Form
VISION PLAN
BCBS Blue 20/20 Vision Plan
Retiree Blue 20/20 Enrollment Form
Please print out enrollment forms, complete, sign, date and return to Central Office attn: Insurance Benefits.
If you have any questions or need assistance, please contact Jillian DiPilla at jillian_dipilla@wrsd.net or 508-829-1670 ext. 231