Call us 1-800-868-5200 (TRS 711)
Mon., Tue., Thu., Fri.: 8 a.m. to 6 p.m. Wed: 10 a.m. to 6 p.m.

for:

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We are happy to mail you any of the member materials listed below. Simply complete and submit the form. Printed materials will be sent the following business day.

Fields with an asterisk (*) are required and must be filled out to process your request.

Your information

First name

Middle initial

Last name

Address 1

Address 2

City

State

ZIP code

Phone number

Date of birth

MonthDayYear

Member ID (13-digit number found on your ID card)

I would like information on the following products:

Products

Direct Care
Select Care
Fallon Preferred Care
MassHealth

Please send the following materials on the products checked above:

Brochure package

Brochure package
Provider directory
Member rights and responsibilities
Member Handbook/Evidence of Coverage
Options for continuing your FCHP coverage

Other (please specify)

Quick links

Helpful tools

Our plans and products

Employer group pages

One Chestnut Place, 10 Chestnut Street, Worcester, MA 01608
1-800-868-5200 (TRS 711), Mon., Tue., Thu., Fri.: 8 a.m. to 6 p.m. Wed: 10 a.m. to 6 p.m.

Notice of non-discrimination (pdf)

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Anonymous Compliance Hotline: Call our Compliance Hotline to report any concerns you may have regarding compliance, fraud, waste or abuse. You can call the Hotline 24 hours a day, seven days a week. All calls are anonymous and confidential.