Health Insurance

Helpful Links from Blue Cross Blue Shield of Massachusetts

Health Insurance Forms

  1. BCBS Enrollment and Change Form (PDF)
  2. Health Insurance PEC Agreement 2017 (PDF)
  3. Blue Cross Mobile App (PDF)
  4. HMO Quick Start Guide (PDF)
  5. PPO Quick Start Guide (PDF)
  6. Health Insurance Opt Out Form (PDF)
  7. BCBS Member Appeal & Grievance Form (PDF)
  8. Maternity Member Fact Sheet (PDF)

Cost Share Assistance

  1. Cost Share Assistance Member Fact Sheet (PDF)
  2. Cost Share Assistance Medication List (PDF)

Reimbursement Forms

  1. Childbirth Class Reimbursement Form (PDF)
  2. Fitness and Weight-Loss Reimbursement Submission Form (PDF)
  3. Fitness Reimbursement Fact Sheet (PDF)
  4. Weight Loss Reimbursement Fact Sheet (PDF)

Health Plan Offerings

  1. Health Insurance Rates 2025-2026 (PDF)

Access Blue & Health Savings Account (HDHC)

  1. Access Blue New England Saver Summary HDHC (PDF)
  2. Access Blue New England Saver Summary (PDF)
  3. Health Savings Account (HSA) (PDF)
  4. Health Savings Account (HSA) Brochure (PDF)
  5. HealthEquity HDHP-HSA Comparison (PDF)
  6. HealthEquity Health Savings Account Flyer (PDF)
  7. HealthEquity Retirement HSA Guide (PDF)
  8. North Attleborough Plainville Health Group Access Saver Plan 2025 (PDF)

Blue Care Elect (PPO)

  1. Blue Care Elect - Summary of Benefits and Coverage (PDF)
  2. Blue Care Elect Flyer (PDF)

Network Blue New England (HMO)

  1. Network Blue New England - Summary of Benefits and Coverage (PDF)
  2. Network Blue New England Flyer (PDF)