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SVRHT Health Plans
Active Employees
SVRHT/Network Blue
Summary of Benefits
SVRHT/Network Blue/Deductible
Summary of Benefits
(Above plans are effective 7/01/23)
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SVRHT/Blue Care Elect
Summary of Benefits
SVRHT/Blue Care Elect Deductible
Summary of Benefits
(Above plans are effective 7/01/23)
Medicare/ Seniors
SVRHT Senior Plan
CY24 Rates
Retiree Supplemental Plan Benefits
Retiree Replacement Plan Benefits
SVRHT Medicare-Part D Limited Income Subsidy
Blue Medicare Rx (PDP)
Managed Blue for Seniors
Medex 2
Medicare HMO Blue
Blue Medicare Rx
(Above plans are effective 1/01/24)
SVRHT Senior Plan
CY23 Rates
Retiree Supplemental Plan Benefits
Retiree Replacement Plan Benefits
Blue Medicare Rx (PDP)
Managed Blue for Seniors
Medex 2
Medicare HMO Blue
Blue Medicare Rx
Blue Medicare Rx Changes
(Above plans are effective 1/01/23)
BC/BS Fitness Benefit-
Fact Sheet
BC/BS
Weight Loss Reimbursement Benefit Info
Fitness Reimbursement Form
(Effective 7/01/21)
BCBS Members: Avoid Costly Trips to the ER – HOW?
Non-Hospital Imaging Centers List- BCBS
(SVRHT waives co-pays if obtaining MRI/CT/PET scans at these
locations)
Emergency Room Alternatives
(Quicker, less expensive options for non-life threatening
situations)
Active Employees
Tufts
EPO
Tufts
EPO Deductible
(Above plans are effective 7/01/23)
Medicare/Seniors
Tufts Medicare
Preferred PDP Plus Plan Summary
Tufts Medicare
Preferred PDP Plus Plan- Rx Formulary
Tufts Medicare Preferred Supplemental Plan
Highlights
Tufts Medicare HMO
Prime Plan
Tufts Medicare
HMO Prime Rx Forumulary
(Above plans are effective 1/01/24)
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Tufts Medicare
Preferred PDP Plus Plan Summary
Tufts Medicare
Preferred PDP Plus Plan- Rx Formulary
Tufts Medicare Preferred Supplemental Plan
Highlights
Tufts Medicare HMO
Prime Plan
Tufts Medicare
HMO Prime Rx Forumulary
(Above plans are effective 1/01/23)
Active Employees
SVRHT HNE HMO
SVRHT HNE HMO
(Deductible)
Chart of Benefits
HNE HMO
HNE HMO Deductible
(Above plans are effective 7/01/23)
Medicare/ Seniors
HNE Medicare Secure Freedom
HNE MedPlus
2024 Humana Formulary
(Above plans are effective 1/01/24)
HNE Medicare Secure Freedom
HNE MedPlus
2023 Humana Formulary
(Above plans are effective 1/01/23)
Non-Hospital Laboratories and Imaging Centers
Choosing the Correct Care Facility
Here to There Care Program
Member Portal- Your Online Health Plan Resource
HNE-Wellness Reimbursement Form
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