Am I eligible for Fallon Senior Plan?
Eligibility for Fallon Senior Plan HMO and PPO plans
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Would you like more information about Fallon Senior Plan? |
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To join our HMO and PPO plans you:
- Must be enrolled in Medicare Part A and B
- Must continue to pay your Medicare Part B premium if it’s not paid for by Medicaid or another third party
- Must live in the Fallon Senior Plan service area (see below for service area information)
Eligibility for
Fallon Senior Plan Value 1 and
Fallon Senior Plan Value 2
Fallon Senior Plan Value 1 and Fallon Senior Plan Value 2 have different eligibility requirements.
You are eligible to enroll in Fallon Senior Plan Value 1 if you:
- Are enrolled in Medicare Part A and Part B
- Receive partial or full assistance from either Medicaid or a Medicare Savings Program
- Live in the Fallon Senior Plan Value 1 service area (see service area information below for Fallon Senior Plan Value 1)
You are eligible to enroll in Fallon Senior Plan Value 2 if you:
- Are enrolled in Medicare Part A and Part B
- Receive full assistance from Medicaid
- And live in the Fallon Senior Plan Value 2 service area (see service area below for Fallon Senior Plan Value 2)
Service areas
For Fallon Senior Plan HMO plans (Saver, Standard and Plus plans)
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Franklin County* Erving New Salem North New Salem Orange Warwick Wendell Wendell Depot
Hampden County** Agawam Blandford Bondsville Brimfield Chester Chicopee East Longmeadow Feeding Hulls Granville Hampden Holland Holyoke Indian Orchard Longmeadow Ludlow Monson Palmer Russell Southwick Springfield Thorndike Three Rivers Wales West Springfield Westfield Wilbraham Woronoco
Hampshire County* Ware
Middlesex County* Acton Ashby Ashland Ayer Bedford Billerica Boxborough Carlisle Chelmsford Concord Dracut Dunstable Framingham Groton Hanscomb AFB Holliston Maynard Natick North Billerica North Chelmsford Nutting Lake
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Middlesex County* (continued) Pepperell Pinehurst Sherborn Shirley Shirley Center Stow Sudbury Tewksbury Townsend Hopkinton Hudson Littleton Lowell Marlborough Tyngsboro Village of Nagog Woods Wayland West Groton West Townsend Westford Woodville
Norfolk County* Bellingham Franklin Medway Millis Norfolk Sheldonville Wrentham
Worcester County** Ashburnham Athol Auburn Baldwinville Barre Berlin Blackstone Bolton Boylston Brookfield Charlton Charlton City Charlton Depot Cherry Valley Clinton Douglas Dudley East Brookfield East Princeton East Templeton Fayville Fiskdale Fitchburg Gardner Gilbertville Grafton Hardwick Harvard Holden
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Worcester County** (continued) Hopedale Hubbardston Jefferson Lancaster Leicester Leominster Linwood Lunenburg Manchaug Mendon Milford Millbury Millville Morningdale New Braintree North Brookfield North Grafton North Oxford North Uxbridge Northborough Northbridge Oakdale Oakham Oxford Paxton Petersham Phillipston Princeton Rochdale Royalston Rutland Shrewsbury South Barre South Grafton South Lancaster Southborough Southbridge Spencer Sterling Sterling Junction Still River Sturbridge Sutton Templeton Upton Uxbridge Warren Webster West Boylston West Brookfield West Millbury West Upton West Warren Westborough Westminster Wheelwright Whitinsville Wilkinsonville Winchendon Winchendon Springs Worcester * Partial county ** Full county |
For Fallon Senior Plan Preferred PPO and Fallon Senior Plan Value 1 plans
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Franklin County* Erving New Salem North New Salem Orange Warwick Wendell Wendell Depot
Hampden County* Bondsville Brimfield Holland Monson Palmer Thorndike Three Rivers Wales
Hampshire County* Ware
Middlesex County* Acton Ashby Ashland Ayer Bedford Billerica Boxborough Carlisle Chelmsford Concord Dracut Dunstable Framingham Groton Hanscomb AFB Holliston Hopkinton Hudson Littleton Lowell Marlborough Maynard Natick North Billerica North Chelmsford Nutting Lake Pepperell Pinehurst Sherborn Shirley Shirley Center Stow Sudbury Tewksbury Townsend |
Middlesex County* (continued) Tyngsboro Village of Nagog Woods Wayland West Groton West Townsend Westford Woodville
Norfolk County* Bellingham Franklin Medway Millis Norfolk Sheldonville Wrentham
Worcester County** Ashburnham Athol Auburn Baldwinville Barre Berlin Blackstone Bolton Boylston Brookfield Charlton Charlton City Charlton Depot Cherry Valley Clinton Douglas Dudley East Brookfield East Princeton East Templeton Fayville Fiskdale Fitchburg Gardner Gilbertville Grafton Hardwick Harvard Holden Hopedale Hubbardston Jefferson Lancaster Leicester Leominster Linwood Lunenburg Manchaug |
Worcester County** (continued) Mendon Milford Millbury Millville Morningdale New Braintree North Brookfield North Grafton North Oxford North Uxbridge Northborough Northbridge Oakdale Oakham Oxford Paxton Petersham Phillipston Princeton Rochdale Royalston Rutland Shrewsbury South Barre South Grafton South Lancaster Southborough Southbridge Spencer Sterling Sterling Junction Still River Sturbridge Sutton Templeton Upton Uxbridge Warren Webster West Boylston West Brookfield West Millbury West Upton West Warren Westborough Westminster Wheelwright Whitinsville Wilkinsonville Winchendon Winchendon Springs Worcester * Partial county ** Full county |
For Fallon Senior Plan Value 2
Worcester County Ashburnham Athol Auburn Baldwinville Barre Berlin Blackstone Bolton Boylston Brookfield Charlton Charlton City Charlton Depot Cherry Valley Clinton Douglas Dudley East Brookfield East Princeton East Templeton Fayville Fiskdale Fitchburg Gardner Gilbertville Grafton Hardwick Harvard Holden Hopedale
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Worcester County (continued) Hubbardston Jefferson Lancaster Leicester Leominster Linwood Lunenburg Manchaug Mendon Milford Millbury Millville Morningdale New Braintree North Brookfield North Grafton North Oxford North Uxbridge Northborough Northbridge Oakdale Oakham Oxford Paxton Petersham Phillipston Princeton Rochdale Royalston Rutland Shrewsbury
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Worcester County (continued) South Barre South Grafton South Lancaster Southborough Southbridge Spencer Sterling Sterling Junction Still River Sturbridge Sutton Templeton Upton Uxbridge Warren Webster West Boylston West Brookfield West Millbury West Upton West Warren Westborough Westminster Wheelwright Whitinsville Wilkinsonville Winchendon Winchendon Springs Worcester |
Call us toll-free at 1-888-340-5504 (TDD/TTY: 1-877-608-7677), 8 a.m. to 8 p.m., seven days a week.