About Fallon Community Health Plan
Founded in 1977, Fallon Community Health Plan provides health care services designed to meet the unique and changing needs of all we serve. FCHP is the only health plan in Massachusetts that is both an insurer and provider of care.
Health insurance products
Our insurance and self-insurance product portfolio includes a variety of group and non-group health plan options (HMO, POS and PPO, as well as Medicaid and Medicare Advantage plans) featuring flexible and innovative benefit designs. Our uniquely developed provider networks offer high-quality, cost-effective, coordinated care and give our members access to physicians and hospitals throughout Massachusetts. We also offer a broad spectrum of health and wellness services and programs to ensure our members, at every stage of life, remain as healthy and productive as possible.
More about FCHP's plans and products
Senior Care Services
Our community's aging population is growing in numbers, diversity, and their demand for more customized health care services.
FCHP's strong brand reputation in the senior market and our commitment to offering innovative health insurance solutions makes us uniquely positioned to respond to the needs of the growing and influential senior population. For this purpose, FCHP has created a specialized Senior Care Services division.
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Provider of care
As a provider of care, FCHP operates Summit ElderCare®, an advanced and completely integrated program that offers seniors and their caregivers an alternative to nursing home placement.
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Quality
Our continued commitment to deliver high-quality health care and exceptional customer service has earned FCHP consistent ratings as one of the nation’s top health plans. Both our commercial HMO and Medicare Advantage plans have been awarded “Excellent” accreditation by the National Committee for Quality Assurance. We continue to receive “Best in Class” designations from HEDIS® for a number of quality measures, including pediatric immunizations, well-child visits and prenatal care. For 2009, FCHP was among the top 10 commercial, Medicare and Medicaid health plans in America, according to a joint ranking by U.S. News & World Report and the National Committee for Quality Assurance (NCQA)*. Based on the rankings, FCHP also is the highest-ranked Medicare and Medicare health plan in Massachusetts.
More about FCHP's quality services
Product and service milestones
- $0 copayments for routine physicals and well-child care (first health plan in the state to offer)
- It Fits! fitness reimbursement program - FCHP was the first health plan in Massachusetts to reimburse members for school and town sports league fees.
- Fallon Senior Plan™, America’s first Medicare risk product
- Summit ElderCare, one of only 61 PACE (Program of All-inclusive Care for the Elderly) programs nationwide
- Qualified high-deductible HMO plans (first in Massachusetts to offer)
- First federally qualified HMO in central Massachusetts
- Only health plan in Massachusetts to offer HMO products with specialized, high-performance provider networks
- Care services programs in which nurses interact regularly with members to coordinate their care
- Worksite wellness programs
HEDIS® is a registered trademark of the National Committee for Quality Assurance.
* NCQA is a private, non-profit organization dedicated to improving health care quality.