Hampshire County
Group Insurance Trust

Supplemental Plan Information - EFFECTIVE JANUARY 1, 2024 (5 files)

•    2024 Medex 2 - Summary of Benefits .pdf
•    2024 Blue Medicare RX PDP - Summary of Benefits OPT26 .pdf
•    2024 Blue Medicare RX PDP - Enrollment Form.pdf
•    2024 PDP 3 Tier Drug Formulary Book .pdf
•    PDP CVS Caremark Mail Service Order Form.pdf