Fallon Medicare Plus™ Supplement (Medigap) options

With Fallon Medicare Supplement (Medigap) 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 copayments.

  • 2019
  • 2020

2019 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 $1,364 Part A deductible $0
Home health care $0 $0
Doctor office visits $0 after you meet your $185 Part B deductible $0
Specialist office visits $0 after you meet your $185 Part B deductible $0
Emergency room visits $0 after you meet your $185 Part B deductible $0
Same-day surgery $0 after you meet your $185 Part B deductible $0
Diagnostic tests
(X-rays, MRI, CT, PET and nuclear studies)		 $0 after you meet your $185 Part B deductible $0
Physical and speech therapy $0 after you meet your $185 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

2020 plan details

Fallon Medicare Plus Supplement Core Fallon Medicare Plus Supplement 1A
Monthly plan premium
(You could qualify for a 15% discount. See the Outline of Coverage for details.)		 $126 $215
Benefit Fallon Medicare Plus Supplement Core
Copayment		 Fallon Medicare Plus Supplement 1A
Copayment
Hospitalization $0 after you meet your $1,364 Part A deductible* $0
Home health care $0 $0
Doctor office visits $0 after you meet your $185 Part B deductible** $0 after you meet your $185 Part B deductible**
Specialist office visits $0 after you meet your $185 Part B deductible** $0 after you meet your $185 Part B deductible**
Emergency room visits $0 after you meet your $185 Part B deductible** $0 after you meet your $185 Part B deductible**
Same-day surgery $0 after you meet your $185 Part B deductible** $0 after you meet your $185 Part B deductible**
Diagnostic tests
(X-rays, MRI, CT, PET and nuclear studies)		 $0 after you meet your $185 Part B deductible** $0 after you meet your $185 Part B deductible**
Physical and speech therapy $0 after you meet your $185 Part B deductible** $0 after you meet your $185 Part B deductible**
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 at a plan provider and up to $150 allowance toward first pair of eyeglasses or contact lenses per calendar year.		 $0 $0
Foreign travel
Emergency services while traveling outside the U.S.		 Not covered $0
Non-Part B drugs Not covered Not covered

Pending DOI approval.
* In 2019, the annual Part A deductible amount was $1,364 and may change for 2020.
** In 2019, the annual Part B deductible amout was $185 and may change for 2020.

Helpful documents

Healthy extras

With Fallon Medicare Plus 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 at a plan provider. 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.
  • 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)
8 a.m.–5 p.m., Monday–Friday

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SilverSneakers® is a registered trademark of Healthways, Inc. Fallon Health & Life Assurance Company, Inc., is a wholly owned subsidiary of Fallon Community Health Plan.


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Supplement plan ►

If you turn 65 before 12/31/2019, you can also apply for Fallon Medicare Plus Supplement 1. This plan has no Part B deductible for outpatient services and a monthly premium of $229. Call us for details.