Monthly plan premiums for people who get Extra Help from Medicare to help pay for their prescription drug costs

If you get Medicare's Extra Help to help pay for your Medicare prescription drug plan costs, your monthly plan premium will be lower than what it would be if you did not get Medicare's Extra Help. The amount of Extra Help you get will determine your total monthly plan premium as a member of our plan.

View a PDF version of these charts Opens in a new window (pdf)

Residents of Worcester County

Your level of extra help Fallon Medicare Plus Orange Fallon Medicare Plus Central Orange Fallon Medicare Plus Green Fallon Medicare Plus Central Green Fallon Medicare Plus Blue Fallon Medicare Plus Central Blue Fallon Medicare Plus Super Saver
100% $0 $0 $70.40 $0.80 $203.60 $94.40 $5.20
75% $0 $0 $78.80 $8.80 $212.20 $102.80 $13.90
50% $0 $0 $87.20 $16.90 $220.80 $111.20 $22.60
25% $0 $0 $95.60 $24.90 $229.40 $119.60 $31.30

 

Residents of Bristol, Middlesex and Norfolk Counties

Your level of extra help Fallon Medicare Plus Orange Fallon Medicare Plus Green Fallon Medicare Plus Blue Fallon Medicare Plus Super Saver
100% $0 $39.40 $121.10 $5.20
75% $0 $47.80 $129.30 $13.90
50% $0 $56.20 $137.50 $22.60
25% $0 $64.60 $145.80 $31.30

 

Residents of Essex, Plymouth and Suffolk Counties

Your level of extra help Fallon Medicare Plus Orange Fallon Medicare Plus Green Fallon Medicare Plus Blue Fallon Medicare Plus Super Saver
100% $0 $39.40 $141.10 $5.20
75% $0 $47.80 $149.30 $13.90
50% $0 $56.20 $157.50 $22.60
25% $0 $64.60 $165.80 $31.30

 

 Residents of Franklin County

Your level of extra help Fallon Medicare Plus Orange Fallon Medicare Plus Green Fallon Medicare Plus Blue Fallon Medicare Plus Super Saver
100% $0 $70.40 $203.60 $5.20
75% $0 $78.80 $212.20 $13.90
50% $0 $87.20 $220.80 $22.60
25% $0 $95.60 $229.40 $31.30

 

 Residents of Hampden and Hampshire County

Your level of extra help Fallon Medicare Plus Orange Fallon Medicare Plus Green Fallon Medicare Plus Blue Fallon Medicare Plus Super Saver
100% $0 $17.40 $67.10 $1.00
75% $0 $25.80 $75.30 $6.00
50% $0 $34.20 $83.50 $11.00
25% $0 $42.60 $91.80 $16.00

 

Residents of Barnstable County

Your level of extra help Fallon Medicare Plus Orange Fallon Medicare Plus Green Fallon Medicare Plus Blue Fallon Medicare Plus Super Saver
100% $0 $79.40 $192.20 $11.20
75% $4.70 $87.80 $200.90 $19.90
50% $9.50 $96.20 $209.60 $28.60
25% $14.20 $104.60 $218.30 $37.30

 

Residents of Berkshire County

Your level of extra help Fallon Medicare Plus Orange Fallon Medicare Plus Green Fallon Medicare Plus Blue Fallon Medicare Plus Super Saver
100% $0 $60.40 $174.10 $5.20
75% $4.70 $68.80 $182.30 $13.90
50% $9.50 $77.20 $190.50 $22.60
25% $14.20 $85.60 $198.80 $31.30

*This does not include any Medicare Part B premium you may have to pay.

The above premiums include coverage for both medical services and prescription drug coverage.

If you aren’t currently receiving any Extra Help from Medicare, you can see if you qualify by calling:

  • 1-800-MEDICARE (1-800-633-4227) (24 hours a day/seven days a week) . 
    TTY users call 1-877-486-2048.
  • Massachusetts Medicaid office: 
    1-800-841-2900 (TTY: 1-800-497-4648)
  • Social Security Administration: 1-800-772-1213 
    (TTY: 1-800-325-0778), 7 a.m. to 7 p.m., Monday through Friday.

You can also call the numbers above to check on your Extra Help status or level.

Massachusetts has a State Pharmaceutical Assistance Program called Prescription Advantage. (This link takes you away from the Fallon Medicare Plus website.) This program may also provide assistance in helping you pay for your prescription drug costs. To find out if you qualify for Prescription Advantage, call 1-800-AGE-INFO (1-800-243-4636), TTY: 1-877-610-0241.

For information about the Centers for Medicare & Medicaid Services (CMS) Best Available Evidence (BAE) policy, visit the CMS website. (This link takes you away from the Fallon Medicare Plus website.)

Call us toll-free at 1-888-340-5504 (TRS 711), 8 a.m.–8 p.m., seven days a week. 

H9001_200086_C | The information on this page was last updated on 10/1/2019.

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