Senior Open Enrollment

The 2024 Senior Open Enrollment Period is scheduled for November 13 through November 24, 2023!

open enrollment

Medicare Supplement Plans

Rate Sheet & Enrollment Forms

  1. 2024 Retiree Insurance Update Flyer
  2. 2024 Retiree Insurance Rate Sheet
  3. Retiree Plan Comparison 2024
  4. BCBS Enrollment Form
  5. Blue MedicareRX - Enrollment Form 2024

2024 Plan Summaries

  1. Medex 2 - Summary of Benefits 2024
  2. Managed Blue for Seniors - Summary of Benefits 2024

Blue MedicareRX - Prescription Drug Plan

  1. Blue MedicareRx - Changes to Formulary (Drug List) 2024
  2. Blue MedicareRX - Formulary 2024

Additional Forms

  1. MyBlue Fact Sheet
  2. 24-7 Nurse Line Fact Sheet
  3. Fitness Reimbursement
  4. Weight Loss Reimbursement
  5. Managed Blue for Seniors - Fitness Claim Form 2024
  6. Managed Blue for Seniors - Weight Loss Form 2024

The Personnel Department invites you to our Annual Retiree Insurance Update Meeting!


Date: Monday, November 13, 2023

Time: 10:00 AM

Location: Agawam Senior Center, Dining Room (954 Main Street, Agawam, MA 01001)


BCBSMA representatives and HUB will also be present to discuss any changes to the plans for 2024 and will be able to answer any questions you may have about our plans!

We look forward to seeing you there!

Visit our Town of Agawam enrollment site here! View plan information, use the Find a Doctor tool, Wellness resources, and more!

Medicare HMO - A Medicare Advantage Plan

Medicare HMO is a Medicare Advantage Plan offered by the Town of Agawam. Below are the Summary of Benefits, the Enrollment Form, and additional forms for this plan:

  1. Medicare HMO Blue - Summary of Benefits 2024
  2. Medicare HMO - Plan Changes 2024
  3. Medicare HMO Blue - Group Enrollment Form 2024
  4. Medicare HMO Blue - Formulary 2024