Fallon Health announces member-focused improvements to Medicare plans

Changes take effect beginning in 2020

Worcester, Mass., October 1, 2019 ― Fallon Health, a nationally recognized, not-for-profit health care services organization, announced today its 2020 Medicare offerings will include the introduction of new member-focused features, including a card-based solution that can be used for certain wellness-related expenses*. Also part of these changes, effective January 1, 2020, its Medicare plans currently called Fallon Senior Plan will be renamed Fallon Medicare Plus.

The changes to the plan announced today are intended to help members save money, provide better services and make the health care system easier to navigate. For the first time, certain Fallon Medicare Advantage members will have access to a Benefit Bank – a convenient card that can be used to pay for fitness memberships, dental services and/or eyewear up to $1,000*. Members can use the card for one item or service, or a combination.

“As we enter Medicare’s Annual Election Period that begins on October 15, Fallon is pleased to offer an innovative way for members to take more control of their wellness by providing them a choice in what health-related activities or items are important to them,” said Richard Burke, President and CEO for Fallon Health. “Our goal is to help members stay healthy.”

The name change to Fallon Medicare Plus better reflects the sentiment of members, many of whom don’t see themselves as “seniors”, as well as Fallon’s expertise in serving Medicare beneficiaries.

“We listened to feedback from our older members, many of whom are active members of the community, and they feel that Fallon Medicare Plus better represents who they are,” said Dave Przesiek, Senior Vice President and Chief Sales Officer for Fallon Health. “Fallon’s Medicare members can also be assured that they can continue to see their local doctor and will receive the exceptional level of care and commitment we’ve offered for over 40 years. Additionally, we’re pleased to offer them more choices with Reliant Medical Group in network beginning January 1.”

Other changes to Fallon’s Medicare Advantage plans include:

  • The creation of a new provider network called Fallon Medicare Plus Central HMO, which consists of a tailored collection of providers designed with Worcester County residents in mind. Members who choose this network will have a richer Benefit Bank and may pay a lower monthly premium. Fallon Medicare Plus Central is an alternative to the Fallon Medicare Plus HMO network, which includes providers located throughout the state, including those in Central Mass.
  • The simplification and streamlining of plan options which includes Orange, which has premiums that start at $0/month and the highest Benefit Bank; Green, which has lower premiums and higher Benefit Bank; and Blue, which has the highest premiums and lowest Benefit Bank.

*Benefit is specific to the Orange, Green and Blue plans.

*Benefit Bank amounts vary between $125 and $1,000 by plan.

Melissa Randall
Corporate Communications Manager, Fallon Health

About Fallon Health
Founded in 1977, Fallon Health is a leading health care services organization that supports the diverse and changing needs of those we serve. In addition to offering innovative health insurance solutions and a variety of Medicaid and Medicare products, we excel in creating unique health care programs and services that provide coordinated, integrated care for seniors and individuals with complex health needs. Fallon has consistently ranked among the nation’s top health plans and is accredited by the National Committee for Quality Assurance for its HMO, Medicare Advantage and Medicaid products.

Fallon Health is an HMO plan with a Medicare contract. Enrollment in Fallon Health depends on contract renewal. Other providers are available in our network.