Shop, compare and earn incentives with Fallon SmartShopper

The Fallon SmartShopper tool, powered by Vitals, provides real-time health care cost comparisons and incentive rewards for Fallon Health members! Now you can shop for the right health care providers for you based on cost and location AND save money on your health care choices.

How do I save money?

SmartShopper iconJust search for your procedure or service in the Fallon SmartShopper tool and you'll get a list of cost-efficient options where you can go to receive care and qualify for an incentive reward.*

To give you a sneak peek, we’ve listed some of the most commonly requested procedures and services and the respective incentive rewards for each in the table below. "$$$" provides the largest incentive rewards and "$" the lowest. All levels offer comparable quality.

How do I get started?

self-service portal iconTo begin shopping smarter, visit the Fallon SmartShopper website and register today.


 

 

Top services and procedures

Service or procedure $$$ $$ $

Bariatric surgery (lap band)

$250 $100 $50

Bariatric surgery – laparoscopic gastric bypass

$500 $250 N/A

Bone density study

$50 $25 N/A

Bone imaging

$50 $25 N/A

Cardiac echocardiogram

$75 $50 $25

Carpal tunnel

$250 $100 $50

Cataract removal

$250 $100 $50

Colonoscopy

$150 $75 $50

CT scan

$150 $75 $50

Ear, nose and throat (ENT) – adenoidectomy (adenoid removal)

$150 $75 $50

Gallbladder removal (laparoscopic)

$250 $100 $50

Hip replacement

$500 $250 N/A

Knee replacement

$500 $250 N/A

Knee surgery (arthroscopic)

$250 $100 $50

Lab/blood work

$25 N/A N/A

Low back surgery

$250 $100 $50

Mammogram

$50 $25 N/A

MRI

$150 $75 $50

PET scan

$150 $75 $50

Remicade infusion therapy

$500 $250 N/A

Shoulder surgery (arthroscopic)

$250 $100 $50

Ultrasounds (non-maternity)

$50 $25 N/A

Ultrasound – thyroid

$50 $25 N/A

Upper GI endoscopy

$250 $100 $50

* The Fallon SmartShopper cost transparency tool is available to all Fallon Commercial members. Eligibility for the incentive rewards varies by employer, plan and product.

Certain services require prior authorization. Call 1-866-344-4442 for more information.

Receiving a cost with Fallon SmartShopper does not mean your service or procedure is authorized. You must shop at least 24 hours prior to receiving service or procedure and use a cost-effective selection to be eligible for an incentive reward. Allow up to 8 weeks after you receive your service or procedure to receive your reward incentive check. Incentive rewards are taxable income and Fallon Health will provide year-end information for members to claim their incentives on their personal tax returns.