Fallon Community Health Plan expands NaviCare® HMO SNP service area
Now open for enrollment to eligible seniors in Hampden and Worcester counties and portions of Franklin, Hampshire, Middlesex and Norfolk counties
Worcester, Mass., October 11, 2011 ― Fallon Community Health Plan (FCHP), a nationally-recognized, not-for-profit health care services organization, announced today the expansion of its Medicare Advantage Special Needs Plan, NaviCare® HMO SNP and NaviCare SCO, a Senior Care Options program. In addition to still being offered in Worcester County, NaviCare will also be available (for a January 1, 2012, effective date) to eligible seniors in Hampden County and portions of Franklin, Hampshire, Middlesex and Norfolk counties.
NaviCare is a unique product for seniors that combines in one package all Medicare and MassHealth Standard benefits, services and items, as well as needed community-based home and personal care services such as adult day health, home-delivered meals or help with bathing and dressing needs. NaviCare is available to those residing in the service area that are age 65 and over who are enrolled in MassHealth Standard. For those who qualify, NaviCare is available at a $0 premium with $0 copayments. Members receive high quality care through the program’s ability to combine health and social services. All health care is coordinated by a team of doctors, specialists, nurses, and social workers who work with each member to develop a plan of care specific to them.
Unique to FCHP’s NaviCare program is the role of the “Navigator,” who helps manage the members’ health care needs, including some of the tasks that may be typically performed by a caregiver. For example, the Navigator will help schedule appointments, coordinate pre-approved transportation for medical and rehabilitation visits and make arrangements for medical care and services.
“FCHP is unmatched in our experience providing access to quality health care and services to Medicare beneficiaries, and our NaviCare program is no exception,” said Katherine H. Metzger, Executive Director, NaviCare. “Expanding NaviCare to these other areas of the Commonwealth gives us the opportunity to provide complete, coordinated and personalized health care to even more seniors—many of whom are among our state’s most vulnerable residents.”
In addition to NaviCare, FCHP also will continue offering other products and programs for Medicare beneficiaries, including a variety of plan choices for its Medicare Advantage product, called Fallon Senior Plan™. FCHP also continues to be the only health plan to sponsor one of six Programs of All-inclusive Care for the Elderly in Massachusetts. The program is called Summit ElderCare® and has locations in Charlton, Worcester and Leominster. Summit ElderCare is an insurance, medical care and social support system all in one convenient package that includes home care, personal care and even prescription drugs, when approved.
For more information about NaviCare, visit NaviCare.org. For more information about Fallon Senior Plan, visit www.fchp.org/medicare-choices. For information about Summit ElderCare, visit www.summiteldercare.org.
Christine Cassidy
christine.cassidy@fchp.org
About Fallon Community Health Plan
Founded in 1977, Fallon Community Health Plan is a nationally recognized, not-for-profit health care services organization. From traditional health insurance products available throughout Massachusetts for all populations, to innovative health care programs and services for independent seniors, FCHP supports the diverse and changing needs of all those it serves. FCHP has consistently ranked among the nation’s top health plans, and is the only health plan in Massachusetts to have been awarded “Excellent” Accreditation by the National Committee for Quality Assurance for its HMO, Medicare Advantage and Medicaid products. For more information, visit
fchp.org
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A Coordinated Care plan with a Medicare Advantage contract and a contract with the Massachusetts Medicaid program. The benefit information provided herein is a brief summary, not a comprehensive description of benefits. For more information contact the plan. Your benefits may change on January 1 each year. NaviCare HMO SNP is a voluntary program in association with MassHealth, CMS and EOHHS.
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