Fallon Health

Please be advised that Fallon Health has announced that, moving forward, it will be focusing on providing plans for individuals enrolled in government-sponsored programs like Medicare and Medicaid. This means that Fallon Health will be discontinuing certain employer-sponsored health insurance plans over the next year and a half.     

The Fallon Health plan offerings will be offered until June 30, 2022.     There is nothing you need to do now. We will let you know of your health insurance coverage offerings in the future and will communicate that information to you as we near that date.    Fallon Health has been a longstanding partner and will be available to assist members with the transition of care for June 30, 2022.       

Fallon Health Website
Healthy Health Plan – Click here for your one-stop resource for information about Fallon’s health and wellness programs and benefits

FH Summaries of Benefits & Coverage (SBC’s)
(as required by the Affordable Care Act)

Effective June 1, 2021
FH Direct Care Benchmark
FH Select Care Benchmark

HSA Qualified Health Plans for June 1, 2021
FH Direct Care HSA Qualified Plan
FH Select Care HSA Qualified Plan

FH Benefit Summaries
FH Direct Care
FH Select Care

Effective June 1, 2020
FH Direct Care Benchmark 
FH Select Care Benchmark

HSA Qualified Health Plans for June 1, 2020
FH Direct Care HSA Qualified Plan
FH Select Care HSA Qualified Plan

FH Benefit Summaries
FH Direct Care
FH Select Care

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FH Senior Plan Benefit Summaries for CY21 – Medicare Advantage Plans
Fallon Medicare Plus Premier HMO & Central Plan Highlights
Fallon Medicare Plus Premier HMO (formally Fallon Senior Plan)
Premier HMO or Central HMO??? Click here for differences

FH Find a Doctor
FH Senior Plan Rx On-line Formulary click on Fallon Senior Plan Premier HMO in the dropdown menu

FH Senior Plan Benefit Summaries for CY20 – Medicare Advantage Plans
Fallon Medicare Plus Premier HMO & Central Plan Highlights
Fallon Medicare Plus Premier HMO (formally Fallon Senior Plan)
Fallon Medicare Plus Premier Central HMO – New for 2020 – Members MUST reside in Worcester County and receive care from a tailored group of local providers
Premier HMO or Central HMO??? Click here for
 differences

FH Find a Doctor
FH Senior Plan Rx On-line Formulary click on Fallon Senior Plan Premier HMO in the dropdown menu

Other Information:
CVS Prescription Mail Order Form
CVS Extra Care Card – Rx Savings
Fallon Health Dental Benefit – Limited physician network, click here http://fchp.org/findphysician/ and towards the bottom click “Dentist” for ” Find a Dentist portal”
Health & Wellness
How Your Deductible Plan Works
Fallon Health “It Fits” Fitness Reimbursement Information 
Fallon Health “It Fits” Reimbursement Form