Retired Employees (Senior Plans)

Open Enrollment for Medicare Eligible retirees runs until Tuesday, November 15, 2016.  

The Benefits Fair will be held on Tuesday, November 1, 2016 from 10:00 am to 12:00 pm in the Selectmen’s Meeting Room, Town Hall.  This gives you and your family members or advisors the opportunity to meet with representatives from the insurance companies. You can ask questions, get explanations of the benefits, and compare differences between the Senior plans.  The representatives are there to help you make an informed decision on which plan best meets your needs.  

What Changes Are Effective On January 1, 2017?

  1. Rates are changing for all Senior plans except Harvard Pilgrim.  A copy of the new rate schedule can be found below.
  2. Fallon Senior
    Inpatient hospital co-pay:  from $125 to $250 per hospital stay
    Outpatient Surgery copay:  from $75 to $125
    Skilled Nursing Facility copay:  from $25 days 1-5 to $20 days 1-10

 Plan comparison charts can be found below.  

What Do You Need To Do?

  1. If you are enrolling in a new plan you need to complete an insurance company application and a Payroll Agreement, and provide a photocopy of your Medicare Part A & B card for the insurance company to me by Tuesday, November 15, 2016.
  2. If you are voluntarily cancelling your health insurance through the Town and will be receiving your coverage elsewhere you must complete an insurance company cancellation form to end your Town sponsored coverage. 
  3. If you are not planning to attend the Open Enrollment Fair but will be making a change please contact Christine Fowler, Benefits Administrator, to obtain all of the necessary forms. 
  4. If you are not making any changes at all you do not need to do anything.   
All forms and documents must be returned to me, Christine Fowler, in the Treasurer’s Office, by no later than Tuesday November 15, 2016.     

**** If you are not making any changes you do not need to do anything. ****