Fallon Senior Plan™ Medicare Supplement

With Fallon Senior Plan Medicare Supplement plans, you have the freedom to see who you want to see when you want to see them. There are no network restrictions and little to no out-of-pocket expenses. You can see any provider that accepts Medicare, and the services are covered. No PCP. No referrals. No copays. No hassles and practically no paperwork! Plus, you could qualify for a 15% discount off your monthly premium for your first two years of coverage.

	Fallon Senior Plan Supplement Core	Fallon Senior Plan Supplement 1
Monthly plan premium (You could qualify for a 15% discount. See the Outline of Coverage for details.)	$103	$187
Benefit	Fallon Senior Plan Supplement Core Copayment	Fallon Senior Plan Supplement 1 Copayment
Hospitalization	$0 after you meet your $1,156 Part A deductible*	$0
Home health care	$0	$0
Doctor office visits	$0 after you meet your $140 Part B deductible*	$0
Specialist office visits	$0 after you meet your $140 Part B deductible*	$0
Emergency room visits	$0 after you meet your $140 Part B deductible*	$0
Same-day surgery	$0 after you meet your $140 Part B deductible*	$0
Diagnostic tests (X-rays, MRI, CT, PET and nuclear studies)	$0 after you meet your $140 Part B deductible*	$0
Physical and speech therapy	$0 after you meet your $140 Part B deductible*	$0
SilverSneakers® Fitness program Includes a free basic membership at participating fitness facilities throughout the U.S.	$0	$0
Nurse Connect Free telephone and online access to registered nurses 24 hours a day, seven days a week, 365 days a year.	$0	$0
Eyewear discount program Includes one routine eye exam every year and up to $150 allowance for one pair of routine eyeglasses or contact lenses per calendar year.	$0	$0
Foreign travel	Not covered	$0
Non-Part B drugs**	Not covered	Not covered

** Call us for more information about our Prescription Drug Plans (PDP).

Healthy extras

With Fallon Senior Plan Medicare Supplement plans, you have access to extras at no additional cost, like:

• SilverSneakers^® Fitness program—includes a free basic membership at participating fitness facilities throughout the U.S.
• Nurse Connect 24-hour nurse call line
  Free telephone and online access to registered nurses 24 hours a day, seven days a week, 365 days a year.
• Vision care
  One routine eye exam every year at a plan provider. Up to $150 allowance for one pair of routine eyeglasses (prescription lenses and frames) or contact lenses every calendar year. See the Outline of Coverage for details.
• Naturally Well discounts on alternative and complementary health care
  Discounts on acupuncture, chiropractic care and massage therapy from Plan providers. Health and wellness products also are available at a reduced rate through ChooseHealthy™.
• Healthwise Knowledgebase health encyclopedia
  The Healthwise Knowledgebase is an online health encyclopedia which features information on diseases, conditions, medications and other health topics.
• Fitness center discounts
  In addition to SilverSneakers, members can receive reduced rates on memberships to several health club facilities in Massachusetts.
• Smoking cessation program
  Our tobacco treatment program, Quit to Win, offers support meetings and telephone counseling, where we’ll help members develop a individualized stop-smoking plan. In addition, as a Fallon Senior Plan member, they may receive nicotine patches or gum at a reduced price, or even at no cost.
• Home Staff discount
  One-time $150 discount (per Home Staff participant) when a member signs up for a minimum of 15 hours of home care with Home Staff.

Contact us

1-866-330-6380
TTY users, please call TRS Relay 711.
Monday through Friday 8:00 a.m. to 6:00 p.m.

Or fill out the form below to have someone from FCHP get in touch with you: