Benefit Information for Retired Employees

Open enrollment for senior plans are held during the month of November with plans, rates and changes being effective January 1st.                                                                                                                                                Welcome to the benefit information page for retired Town of Pembroke employees. Enrollment forms, rate information and plan material for the two senior plans offered, BCBS Medex 2/Blue Medicare Rx and the Medicare FreedomRx PPO can be found below. Please contact the Treasurer's Office at 781-293-3893 or email Jennifer Grasso at jgrasso@townofpembrokemass.org with requests to enroll, cancel or change your coverage. 

Availability of Summary Health Insurance

As an employee, the health benefits available to you represent a significant component of your compensation package. They also provide important protection for you and your family in the case of illness or injury. Your plan offers a series of health coverage options. Choosing a health coverage option is an important decision. To help you make an informed choice, your plan makes available a Summary of Benefits and Coverage (SBC), which summarizes important information about any health coverage option in a standard format, to help you compare options. The SBC's are available on this page below or you can request one free of charge by calling the Treasurer's Office at 781-293-3893.

 
Senior Plan Information 
Disclosure Notices 

Senior Plan Option 1:
 
Additional important information for the Medex 2 with Blue Medicare Rx PDP plan:
  • Medex 2 w/Blue Medicare Rx (PDP) subscribers will receive two ID cards - one for medical & one for prescriptions
  • Dental coverage is not available if enrolled in the Medex 2 plan, please contact Delta Dental at 1-800-872-0500, to inquire about enrolling in a comparable self paid dental plan 
  • Do not voluntarily enroll in another Medicare Part D plan or cancel Medicare Parts A & B, as this will cancel your coverage with the Town & Mayflower Municipal Health Group
  • If you have questions about your medical portion of your benefits on Medex 2, please contact 1-800-782-3675
  • If you have questions about your prescription drug coverage, please call BlueMedicare Rx at 1-888-543-4917

Senior Plan Option 2:
 
Additional information for Medicare Freedom Rx PPO enrollment:
  • Group Medicare Advantage plan combines medical and pharmacy benefits in one plan - subscribers will be issued one ID card
  • Do not voluntarily enroll in another Medicare Part D plan or cancel Medicare Parts A & B, as this will cancel your coverage with the Town & Mayflower Municipal Health Group