Tier 1, 2 and 3 measurements of plan physician quality and efficiency
Fallon Community Health Plan is committed to giving all our members access to a network of high-quality, cost-efficient plan physicians. The tiering works as follows:

***Tier 1 (excellent): Plan physicians practicing at an excellent level of quality and efficiency. You will pay the lowest copayment when you see a Tier 1 plan physician.

**Tier 2 (good): Plan physicians practicing at a good level of quality and efficiency. Also included in this tier’s copayment are providers that didn’t have sufficient data with which to rate them, and providers that belong to a specialty or subspecialty that is not being tiered by the health plan.

*Tier 3 (standard): Plan physicians practicing at a standard level of quality and efficiency. You will pay a higher copayment when you see a Tier 3 plan physician.

Also, please be aware that the tiering level of plan physicians will be re-evaluated on an annual basis. The re-evaluation may result in a change to a plan physician’s tiering level. You should check the annual provider directory or the "Find a doctor" tool for annual tiering level changes.

The plan physician quality and efficiency measures are only one factor you should consider when selecting a primary care physician or specialty physician. Tier 1 plan physicians may not be available in certain areas.

Find a doctor in the FCHP network