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Fallon MassHealth members

At Fallon Health, we care about your health. With our MassHealth plans, you get top doctors near where you live and work, healthy extras such as discounts from CVS and a free online health encyclopedia, and access to quality care.

New! Talk to a doctor when you need one, no matter where you are. Learn more ...

Learn more about your Fallon MassHealth membership:

Your plan and benefit information

Highlights of Fallon MassHealth

Member Handbook and Covered Services Lists

Your Member Handbook and Covered Services List show you the benefits and services that are covered by Fallon MassHealth. You can find the Member Handbook and Covered Services List for your plan type below.

Do you have questions about your benefits or services?

  • You can call a member of our customer service team at: 1-800-341-4848 (TTY: TRS 711), Monday through Friday, from 8 a.m. to 6 p.m.
  • You can also manage your account and check your benefits and coverage online. Just log into "myFallon" using the login box at the top right of this page.

Your doctors

Doctors and specialists

With Fallon MassHealth, you can see top doctors near where you live or work. Your network includes doctors from:

  • Edward M. Kennedy Community Health Center
  • Harrington Memorial Hospital
  • Lahey Health
  • Lawrence General Hospital
  • Lowell Community Health Center
  • MetroWest Medical Center and affiliated physicians
  • Reliant Medical Group
  • Saint Vincent Hospital

You can use our online Find a doctor tool to find a doctor near you.

Download the MassHealth provider directory (pdf) This directory is current as of November 13, 2017.

Behavioral health providers

Beacon Health Strategies manages behavioral health benefits for our MassHealth members. On their site you'll be able to look for behavioral health providers and find helpful information about behavioral health topics. To find a provider, click the "Find a behavioral health provider" link below. On the Beacon search page, enter “Massachusetts” as your state and “Fallon Health” as your health plan.

  • Find a behavioral health provider (This link brings you to Beacon's website.)
    Also on Beacon's website you can search for Children's Behavioral Health Initiative (CBHI) providers. CBHI providers help children and youth (under age 21) with behavioral health, emotional, and mental health needs get the necessary services to do well at home, in school, and in the community.
  • Emergency Service Program (ESPs)
    If you or a family member are experiencing a mental health or substance use disorder crisis, the Emergency Services Program/Mobile Crisis Intervention (ESP/MCI) is available 24 hours a day, 7 days a week, 365 days a year. Anyone may contact ESP/MCI for assistance.

NEW! Talk to a doctor when you need one, no matter where you are

Now you can get help from a doctor 24 hours a day, seven days a week with Teladoc by phone or video chat.  The call with a Teladoc doctor is free!

When you should call Teladoc:

  • If your primary care doctor isn’t available
  • If you feel sick, but it’s not an emergency. Call Teladoc instead of going to the ER.
  • If you’re on vacation or far away from your doctor’s office

Teladoc physicians can treat health issues like cold and flu symptoms, skin problems, respiratory, sinus and urinary tract infections and more. They can write short-term prescriptions for you as well.

To create an account with Teladoc:

  • Go to and click “Set up account.”
  • Call 1-800-Teladoc (1-800-835-2362).

Renewing and making changes to your coverage

Making changes to your coverage

As of January 1, 2017, MassHealth has a Fixed Enrollment period, which means that you can only change your MassHealth plan if you have a special reason (listed on the MassHealth Fixed Enrollment Period webpage.)

When you first join Fallon MassHealth, you will have 90 days to switch to a different plan if you change your mind. Learn more about MassHealth’s Plan Selection Period on their webpage.

Renewing your MassHealth coverage

You must renew your MassHealth coverage each year to continue to be a Fallon Health member.

  • If you received renewal paperwork by mail and need help, call the MassHealth Customer Service Center at 1-800-841-2900
    (TTY/TDD: 1-800-497-4648).
  • The fastest and easiest way to renew MassHealth coverage for individuals and families is through the Health Connector’s online application. Use the online ID you used last year or register for one on the site.

Frequently asked questions about renewing your coverage

Why do I need to renew my benefits with MassHealth?

MassHealth is required by law to review your eligibility every year. This process must be completed or you could lose your MassHealth benefits and Fallon will not be able to pay for your medical services.

What do I need to do?

You will receive a renewal application and a form in the mail telling you that you must renew your benefits. You must complete a renewal to keep health coverage for yourself and for any members of your household.

How do I renew my coverage?

  • Online
    The fastest way to renew coverage is online at
  • If you have applied for or renewed your coverage online before, your username will be printed on the renewal letter. Please use this username to log into website. Do not create a new account.
  • If you have never applied for or renewed coverage online, your renewal letter will have an invitation code in that you will use to create a new account on website.
  • You must complete all the screens in the renewal application.
  • By mail
    You can mail your completed paper application to:

    Commonwealth of Massachusetts
    Health Insurance Processing Center
    P.O. Box 4405
    Taunton, MA 02780  

    If you lose your renewal application, you can call the MassHealth Customer Service Center at 1-800-841-2900
    (TTY/TDD: 1-800-497-4648) to ask for another copy.

How do I get help with my renewal application?

  • You can call the MassHealth Customer Service Center at
    1-800-841-2900 (TTY/TDD: 1-800-497-4648).
  • You can call Fallon Health Customer Service at: 1-800-341-4848 (TTY: TRS 711), Monday through Friday, from 8 a.m. to 6 p.m.
  • You can find a Navigator or Certified Application Counselor at Just enter your ZIP code.
  • In person: you can visit one of the MassHealth Enrollment Centers listed below.
  • Chelsea Enrollment Center
    45-47 Spruce Street
    Chelsea, MA 02150
  • Springfield Enrollment Center
    333 Bridge Street
    Springfield, MA 01103
  • Taunton Enrollment Center
    21 Spring Street, Suite 4
    Taunton, MA 02780
  • Tewksbury Enrollment Center
    367 East Street
    Tewksbury, MA 01876

What information will I need to complete the renewal application?

The form you receive from MassHealth will contain all of the information that was submitted on your last application. You will need to report any changes in the past year. Here are some changes to consider:

  • Taxes
  • A change in employment
  • A change in income
  • A change in address
  • A change in immigration status
  • A new loan
  • A new credit card

Where do I send my completed paper application?

  • By mail to:
    Commonwealth of Massachusetts
    Health Insurance Processing Center
    P.O. Box 4405
    Taunton, MA 02780

  • By phone:
    You can complete your application over the phone. Call the MassHealth Customer Service Center at 1-800-841-2900
    (TTY/TDD: 1-800-497-4648).

  • By fax to:

What happens next?

Your current household coverage will continue until the date your benefits will terminate. The due date will be printed on the renewal notice letter from MassHealth. The head of household must respond within the 45 day period stated on the form. Once you complete the application and it is processed by MassHealth, you will receive a letter from MassHealth letting you know if you qualify for health coverage or not.

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