Mayflower Municipal  
Health Group


Summary of Benefits/SBC/Subscriber Certificates/Member services #

 Important Reminder: The MMHG offers the following health insurance plans to all member units and each member unit decides which plans they offer to their employees/retirees.
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*Please note that beginning July 1, 2013 (FY2014) all active plan summaries have been replaced with Summary of Benefits and Coverage (SBC) as required by the Affordable Care Act. Paper copies are available upon request. Additional plan information is available on this page.

New*2018 Calendar Year Plan Information for Medex 2/Blue Medicare RX PDP

2018 Blue Medicare RX PDP Summary of Benefits
2018 Blue Medicare RX PDP Formulary(covered drugs)
2018 Blue Medicare RX PDP Top formulary changes
(not inclusive of all changes)

2018 Medex 2 Summary of Benefits
*Information regarding change to Medicare Health Insurance claim number



FY18 BLUE CROSS BLUE SHIELD
COMPLETE BENEFIT EKITS/SUMMARY/SBC:


NETWORK BLUE HMO TRADITIONAL COMPLETE EKIT
SUMMARY SBC   *(Includes limited Dental Benefit) (Directory of Providers update pending) 

NETWORK BLUE NEW ENGLAND (NE) HMO RATE SAVER 
SUMMARY SBC

NETWORK BLUE NE HMO BENCHMARK
SUMMARY SBC

BLUE CARE ELECT PPO TRADITIONAL 
SUMMARY SBC

BLUE CARE ELECT VALUE PPO RATE SAVER
SUMMARY SBC

BLUE CARE ELECT PREFERRED PPO BENCHMARK
SUMMARY SBC

MEDEX 2 SUMMARY BLUE MEDICARERX SUMMARY/FORMULARY

FY18 HARVARD PILGRIM SUMMARY/SBC:

HMO TRADITIONAL=   SUMMARY SBC

     HMO RATE SAVER=   SUMMARY SBC

     HMO BENCHMARK=   SUMMARY SBC


CY2017 (EFFECTIVE JULY 1, 2017-DECEMBER 31, 2017) MEDEX 2 & BLUE MEDICARE RX PDP 
INFORMATION
:


MEDEX 2 SUMMARY
BLUE MEDICARE RX SUMMARY/FORMULARY


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FY18 Harvard Pilgrim Handbooks:
    
            HP HMO TRADITIONAL AND RATE SAVER 

            HP HMO BENCHMARK
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FY18 MMHG DELTA DENTAL PLAN SUMMARY AND INFORMATION

(Effective 7-1-17)


Delta Dental PPO Plus Premier Summary of Benefits

Delta Dental PPO Plus Premier subscriber certificate

Delta Dental PPO network savings

Delta Dental Mobile app information 

Delta Dental Web access information- create your account and view benefits, eligibility and more!

Roll Over Max Information 

Roll Over Max Example

Preventing Cavities 

Gum Disease

Early Childhood Dental Care

Sealants 

Nutrition Brochure

MY Dental Score

FIND A DENTIST LINK

PROVIDER DIRECTORIES- PPO Directory or  Premier Directory (or www.DeltaDentalMA.com)




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Blue Cross Blue Shield Subscriber Certificates (detailed): (FY2017-2018)
Please read the following information carefully and pay attention to riders that modify. The certificates are for all member units in the MMHG.
 (Caution: Files are large and may take up to a minute to load) You must have Adobe Reader to view these files. Free download available:
http://get.adobe.com/reader/

Network Blue HMO Traditional 
Network Blue New England Rate Saver
Network Blue New England Benchmark

Blue Care Elect PPO Traditional 
Blue Care Elect PPO Rate Saver
Blue Care Elect PPO Benchmark

Medex 2 
 
 

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Toll Free Customer Service for Subscribers and Dependents:
Available for:
Benefits questions~Claims problems~Order I.D.cards~Participating Provider questions~


Blue Cross Blue Shield:
800-782-3675

Harvard Pilgrim:
888-333-4742

Delta Dental:
800-872-0500

Please check Websites


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*Files may take up to a minute to appear on your screen. Please note that all documents are in pdf format and you need Adobe Reader to view. See home page for link to download.  

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