Fallon Medicare Plus™ Supplement (Medigap) options

With Fallon’s Medicare Supplement (Medigap) 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 who accepts Medicare and you as a patient. No PCP. No referrals. No copayments.

  • 2023

2023 plan details

Fallon Medicare Plus Supplement Core Fallon Medicare Plus Supplement 1A Fallon Medicare Plus
Supplement 1*
Monthly plan premium
(You could qualify for a 15% discount. See the Outline of Coverage for details.)
$151 $185 $251
Benefit Fallon Medicare Plus Supplement Core
Copayment
Fallon Medicare Plus Supplement 1A
Copayment
Fallon Medicare Plus
Supplement 1*

Copayment
Hospitalization $0 after you meet your $1,600 Part A deductible $0 $0
Home health care $0 $0 $0
Doctor office visits $0 after you meet your $226 Part B deductible
$0 after you meet your $226 Part B deductible
$0
Specialist office visits $0 after you meet your $226 Part B deductible
$0 after you meet your $226 Part B deductible
$0
Emergency room visits $0 after you meet your $226 Part B deductible
$0 after you meet your $226 Part B deductible
$0
Same-day surgery $0 after you meet your $226 Part B deductible
$0 after you meet your $226 Part B deductible
$0
Diagnostic tests
(X-rays, MRI, CT, PET and nuclear studies)
$0 after you meet your $226 Part B deductible
$0 after you meet your $226 Part B deductible
$0
Physical and speech therapy $0 after you meet your $226 Part B deductible
$0 after you meet your $226 Part B deductible
$0
Eyewear discount program
Includes one routine eye exam every year at a plan provider and up to $150 allowance toward first pair of eyeglasses or contact lenses per calendar year.
$0 $0 $0
Part B outpatient drugs $0 after you meet your $226 Part B deductible
$0 after you meet your $226 Part B deductible
$0
SilverSneakers® Fitness program
Includes access to online classes and instructional videos, an at-home fitness kit and/or a free gym membership
$0 $0 $0
Care Connect
Free telephone access to registered nurses 24 hours a day, seven days a week, 365 days a year.
$0 $0 $0
Quit to Win program
Smoking cessation program offers one-on-one telephone coaching, group and text support with individualized stop-smoking plans.
$0 $0 $0
Naturally Well
Discounts on acupuncture, chiropractic care and massage therapy.
$0 $0 $0
ID card app for smartphones
View ID card, email or fax an image of ID card to doctor, hospital or pharmacy and more. Smartphone app is for both iPhones and Androids.
$0 $0 $0
Foreign travel
Emergency services while traveling outside the U.S.
Not covered $0 $0
Part D drugs You must enroll in Medicare Part D to be covered.

Helpful documents

* You must have turned 65 before Jan. 1, 2020 to apply for Fallon Medicare Plus Supplement 1.

 

Healthy extras

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

  • SilverSneakers® Fitness program—includes access to online classes and instructional videos, an at-home fitness kit and/or a free gym membership.
  • Care Connect 24-hour nurse call line
    24/7 phone access to registered nurses who will recommend where you should receive care or will connect you to your doctor.
  • Vision care
    One routine eye exam every year at a plan provider and $150 toward first pair of eyeglasses or contact lenses per calendar year.
  • Naturally Well discounts on alternative and complementary health care
    Discounts on acupuncture, chiropractic care and massage therapy.
  • 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 one-on-one telephone coaching and text support with individualized stop-smoking plans.

Contact us

1-866-330-6380 (TRS 711)
8 a.m.–5 p.m., Monday–Friday

We'll answer your questions or even help you enroll!
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SilverSneakers® is a registered trademark of Tivity Health, Inc. Fallon Health & Life Assurance Company, Inc., is a wholly owned subsidiary of Fallon Community Health Plan.


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Supplement plan ►

You must have turned 65 before
Jan. 1, 2020 to apply for Fallon Medicare Plus Supplement 1.