What’s covered?
As a Fallon 365 Care member, you are covered for many important health care services, including behavioral health services, plus more.
Medical services coverage
Fallon 365 Care covers:
- Doctor office visits
- Vision care
- Hospital stays
- X-rays, labs and tests
- Early intervention services
- Therapy services
- Much more
Download your covered services list for a complete list of benefits:
Standard/CommonHealth | Family Assistance | CarePlus
Behavioral health (mental health and substance use disorder) coverage
Fallon 365 Care covers:
- Counseling
- Medication visits
- Hospital stays
- Treatment for substance use disorder
- Much more
Download your covered services list for a complete list of benefits:
Standard/CommonHealth | Family Assistance | CarePlus
To find a behavioral health provider, click the link below. Then choose “Massachusetts” as your state, and “Fallon Health” as your plan.
Find a behavioral health provider
Emergency and urgent care coverage
Fallon 365 Care covers:
- Visits to urgent care centers
- Emergency medical and behavioral health care
- Emergency transportation services
- Much more
Download your covered services list for a complete list of benefits:
Standard/CommonHealth | Family Assistance | CarePlus
Medication and pharmacy coverage
Fallon 365 Care covers prescription medications and some over-the-counter drugs with a prescription. Most members will pay either $1 or $3.65 for each prescription, depending on the type of prescription. You can fill prescriptions at thousands of pharmacies, including CVS, Rite Aid, Walgreens, Wal-Mart and many others.
Learn more about your medication and pharmacy coverage
Healthy extras
|
Healthwise Knowledgebase |
Free online health encyclopedia with information on diseases, conditions, medications, and other topics. Go to the Healthwise Knowledgebase. |
|
Oh Baby! new parent program |
Car seat, home safety kit and more for new parents. Learn more or enroll. |
|
Mobile ID card app |
View your ID card using an app on your smartphone. |
|
Teladoc |
|
|
Disease management |
Free programs for people with chronic conditions such as asthma, diabetes, cancer, COPD, depression and heart disease, with: |
|
Quit smoking |
Free counseling by phone or text. Call us at 1-508-368-9540 or 1-888-807-2908. You can also email QuitToWin@fallonhealth.org for more information. |
|
CVS discount |
20% off certain items at CVS pharmacy |
|
Nurse Connect |
24 hour, 7 days a week access to nurses who can answer health questions. They can also help you decide if you should go to the emergency room. Call Nurse Connect at 1-877-219-0874 (TDD/TTY: 1-800-848-0160). |
