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. FCHP also offers plans through the Commonwealth Choice and Commonwealth Care programs. In addition, FCHP offers a Program of All-inclusive Care, called Summit ElderCare®, and a Medicare Advantage Special Needs Plan/Senior Care Options program, called NaviCare.
Our uniquely developed provider networks offer high-quality, cost-effective, coordinated care and give our members access to physicians and hospitals throughout Massachusetts and southern New Hampshire. 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.
More about Senior Care Services
Provider of care
As a provider of care, FCHP offers Summit ElderCare®, an innovative and completely integrated home- and community-based nursing home alternative for older adults. In addition, FCHP and the VNA Care Network & Hospice jointly own Worcester-based Home Staff, LLC, a home supportive services agency that provides a variety of in-home and health care-related services.
More about Summit ElderCare
Our continued commitment to deliver high-quality health care and exceptional customer service has earned FCHP consistent rankings from the National Committee for Quality Assurance (NCQA) as one of the nation’s top health plans. FCHP maintains “Excellent” Accreditation with NCQA for our commercial, Medicare and Medicaid products, and is the only Massachusetts health plan to be accredited across all three product lines.
More about FCHP's quality services
Product and service milestones
NaviCare, a Medicare Advantage Special Needs Plan/Senior Care Options program
- Family Fun program, offering discounts to family- and health-oriented attractions throughout Massachusetts and southern New Hampshire
- First health plan in Massachusetts to offer health insurance products through eHealthInsurance.com
- $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, the only PACE (Program of All-inclusive Care for the Elderly) program to be offered by a health plan
- Qualified high-deductible HMO plans (first in Massachusetts to offer)
- First federally qualified HMO in central Massachusetts
- First health plan in Massachusetts to offer a limited network product featuring access to high-quality, cost-efficient doctors and hospitals
- Care services programs in which nurses interact regularly with members to coordinate their care
- Worksite wellness programs
* NCQA is a private, non-profit organization dedicated to improving health care quality.