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.
__________________________________________________

*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* 2019 Calendar Year Plan Information for Medex 2/Blue Medicare RX PDP


2019 Blue Medicare RX PDP Summary of Benefits
2019 Blue Medicare RX PDP Formulary (covered drugs)
2019 Blue Medicare RX PDP Top formulary changes (not inclusive of all changes)
2019 Medex 2 Summary of Benefits


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



FY19 BLUE CROSS BLUE SHIELD COMPLETE BENEFIT EKITS/SUMMARIES/SBCs:

NETWORK BLUE HMO TRADITIONAL:
SUMMARY SBC  EKIT
 
*(Includes limited Dental Benefit) (limited providers- check BCBS website)

NETWORK BLUE NEW ENGLAND HMO RATE SAVER: 
SUMMARY SBC  EKIT

NETWORK BLUE NE HMO BENCHMARK:
SUMMARY SBC  EKIT

BLUE CARE ELECT PPO TRADITIONAL: 
SUMMARY SBC  EKIT

BLUE CARE ELECT VALUE PPO RATE SAVER:
 SUMMARY SBC  EKIT

BLUE CARE ELECT PREFERRED PPO BENCHMARK:
SUMMARY SBC  EKIT


   FY19 HARVARD PILGRIM SUMMARIES/SBCs:

                       HMO TRADITIONAL SUMMARY  SBC

                    HMO RATE SAVER=     SUMMARY SBC

                    HMO CHOICENET BENCHMARK=  SUMMARY SBC




~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~


FY19 Harvard Pilgrim Handbooks:

            HP HMO TRADITIONAL AND RATE SAVER 

           HP HMO BENCHMARK

~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

 FY 19 MMHG DELTA DENTAL PLAN SUMMARY (EFFECTIVE 7-1-18)

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 FOR THE DELTA DENTAL PPO PLUS PREMIER PLAN



~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~


Blue Cross Blue Shield Subscriber Certificates (detailed): (FY2018-2019)
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 
 
 

~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
~New~ January 1, 2019
Blue 20/20 Vision plan (Voluntary)
(member unit participation varies - check with your Benefit personnel for more information)
Summary of benefits
Member Brochure




SHIELDS SIMPLY SAVE PROGRAM INFORMATION

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


~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

*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.  

Website Builder