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Understanding Medicare

Whether you are just turning 65, or you have been on Medicare for years, the Medicare program can be confusing. There is a lot to know—and it’s important to understand all of your options so you can choose the coverage that’s right for you.

Fallon Health has created this site to help answer your questions about the Medicare program. If you have more questions or would like more information, call us. We’re here to help.

What is Medicare?

Medicare is a federal health insurance program that covers medical and hospital expenses.

Am I eligible?

You are eligible for Medicare if you are:

  • Age 65 or older
  • Under age 65 with certain disabilities
  • Any age with End-Stage Renal Disease (ESRD), which is permanent kidney failure requiring dialysis or a kidney transplant

Not sure if you qualify?

Contact the Social Security Administration (SSA) to find out if you’re eligible for Medicare coverage.

1-800-772-1213
TTY: 1-800-325-0778
ssa.gov
(This link takes you away from the Fallon Health website.)

 

Planning to retire?

Some employers and union groups offer health care coverage to their retired employees. You should always check in with your employer/union group to see what options are available to you.

Fallon Health is an HMO/HMO-POS plan with a Medicare contract and a contract with the Massachusetts Medicaid program. Enrollment in Fallon Senior Plan and NaviCare depends on contract renewal.

NaviCare is a voluntary program in association with MassHealth/EOHHS and CMS.

H9001_F_2017_21_r3 Pending
H9001_N_2017_16_r2 Pending
The information on this page was last updated on 3/27/2017.