Fallon Senior Plan™ Medicare Supplement

With Fallon Senior Plan Medicare Supplement plans, you have the freedom to see who you want to see when you want to see them. There are no network restrictions and little to no out-of-pocket expenses. You can see any provider that accepts Medicare, and the services are covered. No PCP. No referrals. No copays. No hassles and practically no paperwork!

  • 2018
  • 2019

2018 plan details

Fallon Senior Plan Medicare Supplement Core Fallon Senior Plan
Medicare Supplement 1
Monthly plan premium
(You could qualify for a 15% discount. See the Outline of Coverage for details.)		 $126 $229
Benefit Fallon Senior Plan
Supplement Core
Copayment		 Fallon Senior Plan
Supplement 1
Copayment
Hospitalization $0 after you meet your $1,340 Part A deductible $0
Home health care $0 $0
Doctor office visits $0 after you meet your $183 Part B deductible $0
Specialist office visits $0 after you meet your $183 Part B deductible $0
Emergency room visits $0 after you meet your $183 Part B deductible $0
Same-day surgery $0 after you meet your $183 Part B deductible $0
Diagnostic tests
(X-rays, MRI, CT, PET and nuclear studies)		 $0 after you meet your $183 Part B deductible $0
Physical and speech therapy $0 after you meet your $183 Part B deductible $0
SilverSneakers® Fitness program
Includes a free basic membership at participating fitness facilities throughout the U.S.		 $0 $0
Nurse Connect
Free telephone access to registered nurses 24 hours a day, seven days a week, 365 days a year.		 $0 $0
Quit to Win program
Smoking cessation program offers one-on-one telephone coaching and text support with individualized stop-smoking plans.		 $0 $0
Naturally Well
Discounts on acupuncture, chiropractic care and massage therapy.		 $0 $0
Eyewear discount program
Includes one routine eye exam every year and up to $150 allowance toward first pair of eyeglasses or contact lenses per calendar year.		 $0 $0
Foreign travel Not covered $0
Non-Part B drugs Not covered Not covered

Helpful documents

2019 plan details (pending DOI approval)

Fallon Senior Plan Medicare Supplement Core Fallon Senior Plan
Medicare Supplement 1
Monthly plan premium
(You could qualify for a 15% discount. See the Outline of Coverage for details.)		 $126 $229
Benefit Fallon Senior Plan
Supplement Core
Copayment		 Fallon Senior Plan
Supplement 1
Copayment
Hospitalization $0 after you meet your $1,340 Part A deductible* $0
Home health care $0 $0
Doctor office visits $0 after you meet your $183 Part B deductible** $0
Specialist office visits $0 after you meet your $183 Part B deductible** $0
Emergency room visits $0 after you meet your $183 Part B deductible** $0
Same-day surgery $0 after you meet your $183 Part B deductible** $0
Diagnostic tests
(X-rays, MRI, CT, PET and nuclear studies)		 $0 after you meet your $183 Part B deductible** $0
Physical and speech therapy $0 after you meet your $183 Part B deductible** $0
SilverSneakers® Fitness program
Includes a free basic membership at participating fitness facilities throughout the U.S.		 $0 $0
Nurse Connect
Free telephone access to registered nurses 24 hours a day, seven days a week, 365 days a year.		 $0 $0
Quit to Win program
Smoking cessation program offers one-on-one telephone coaching and text support with individualized stop-smoking plans.		 $0 $0
Naturally Well
Discounts on acupuncture, chiropractic care and massage therapy.		 $0 $0
Eyewear discount program
Includes one routine eye exam every year and up to $150 allowance toward first pair of eyeglasses or contact lenses per calendar year.		 $0 $0
Foreign travel Not covered $0
Non-Part B drugs Not covered Not covered

Helpful documents

* In 2018 the annual Part A deductible amount was $1,340 and may change for 2019.
** In 2018 the annual Part B deductible amount was $183 and may change for 2019.

Healthy extras

With Fallon Senior Plan Medicare Supplement plans, you have access to extras at no additional cost, like:

  • SilverSneakers® Fitness program—includes a free basic membership at participating fitness facilities throughout the U.S.
  • Nurse Connect 24-hour nurse call line
    Free telephone access to registered nurses 24 hours a day, seven days a week, 365 days a year.
  • Vision care
    One routine eye exam every year. Up to $150 allowance toward first pair of eyeglasses (prescription lenses and frames) or contact lenses every calendar year.
  • Naturally Well discounts on alternative and complementary health care
    Discounts on acupuncture, chiropractic care and massage therapy. Health and wellness products also are available at a reduced rate through ChooseHealthy™.
  • Healthwise Knowledgebase health encyclopedia
    The Healthwise Knowledgebase is an online health encyclopedia which features information on diseases, conditions, medications and other health topics.
  • Fitness center discounts
    In addition to SilverSneakers, members can receive reduced rates on memberships to several health club facilities in Massachusetts.
  • Smoking cessation program
    Our tobacco treatment program, Quit to Win, offers telephone counseling and text support.

Contact us

1-866-330-6380 (TRS 711)
Monday through Friday 8:00 a.m. to 6:00 p.m.

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Fallon Health & Life Assurance Company, Inc., is a wholly owned subsidiary of Fallon Community Health Plan. The benefit information provided herein is a brief summary, not a comprehensive description of benefits. For more information, contact the plan.

SilverSneakers® is a registered trademark of Healthways.

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