2009

Am I eligible for Fallon Senior Plan?

Eligibility for Fallon Senior Plan HMO and PPO plans

Would you like more information about Fallon Senior Plan?

To join our HMO and PPO plans you:

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)

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

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

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

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

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

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.

CMS Approval Code