Hampshire County
Group Insurance Trust

Supplemental Plan Information - EFFECTIVE JANUARY 1, 2025 (5 files)

•    2025 Medex 2 - Summary of Benefits .pdf
•    2025 Blue Medicare Rx PDP - Summary of Benefits .pdf
•    2025 Blue MedicareRx PDP Enrollment Form.pdf
•    2025 BMRX PDP 3 Tier Drug Formulary Book.pdf
•    BMRX PDP CVS Caremark Mail Service Order Form.pdf