Information for providers

EMC employees use one network of doctors, but have difference cost-sharing between two distinct Fallon Health plan options: Select Care and The Advantage Plan.

The Advantage Plan: Tiering

  • Tier 1:  This tier includes local doctors and hospitals like UMass Memorial, Saint Vincent Hospital, Tri-River Family Health Center, Tri-County Medical Associates, Southboro Medical Group, CentMass Association of Physicians (CMIPA) and Reliant Medical Group (formerly Fallon Clinic). Members will have lower out-of-pocket costs when they see a provider in Tier 1.

  • Tier 2: This tier includes all other providers and hospitals in The Advantage Plan network.

Look up your tier:

Select Care

Search using our Provider Look-up tool

Provider Tools

Our web-based tools reduce paperwork, save valuable time, and improve communication—and they’re available at no cost to you!

For access to:

  • Eligibility verification
  • Claims metric report
  • Secure file transfers
  • PCP panel report
  • Referral monitoring report

please visit the Providers' section on www.fchp.org.