Fallon Community Health Plan (FCHP)
If you are living in Massachusetts and are looking
for one of America’s top health plans, you have come
to the right place. Fallon Community Health Plan can definitely
help you – they have a broad range of individual health
insurance plans to choose from.
Many people have group health insurance, but
it is not unusual to need individual coverage. It may seem
confusing at first, but once you know the reasons for the
difference in premiums, you won’t feel so bewildered.
Let’s explain – there are four items you choose
when setting up a health plan that contribute to the annual
cost of health insurance: annual deductible, range of services,
accessibility of doctors, and coinsurance (costs you shoulder
out-of-pocket). Each of these varies according to how much
coverage you are looking for.
Request a free online health insurance quote now >>
Fallon Community Health will help you decide
which plan is best for you and help you structure it to suit
your unique needs. For residents of Massachusetts, FCHP offers
the following plans.
Fallon CHP Individual Health Plans
FCHP Direct Care
(Health Maintenance Organization) care with several options
for plan design. There are no co-payments for routine care
with your personal care physician or gynecologist. Most of
your care is through the Direct Care network of health care
providers. Plan includes extra features.
FCHP Select Care
HMO and the added availability of the large Select Care network
of health care providers in your region of service. When you
choose your primary care physician from the Fallon Clinic,
you may self-refer yourself to any specialist within the Clinic
also. There are several options for plan design. Extra features
are included with this plan.
FCHP Flex Care
Provides a POS
(Point of Service) plan with access to the Direct Care network
associated with the HMO. You also have the choice to seek
care from outside the network but at a greater out-of-pocket
cost. You have extra features with this plan, plus bonus benefits.
FCHP Select Care
POS (Point of Service) plan with access to the broader Select
Care network associated with the HMO. You can choose to see
doctors outside of the network, but it will cost you more
out-of-pocket. Extra features are included, as well as bonus
Fallon Senior Plans
These are Medicare
Advantage health plans.† Each provides your Medicare coverage,
as well as the additional benefits associated with each plan.
Your care is obtained through the FCHP networks of health
care providers. With some plans, you may seek care outside
of the networks. The plans include: Senior Saver Plan, Senior
Plan Standard, Senior Plan Plus, and Senior Plan Preferred.
Fallon Preferred Care PPO
your healthcare through a country-wide network of health providers
or the Fallon Clinic. Care you receive through the network
professionals will provide you with the highest benefits.
The network includes over 15,000 providers in Massachusetts
in addition to the Fallon Clinic providers. You also have
indemnity health insurance. Here, you can seek care from any
physician you want. After paying your annual deductible, insurance
will pay 80% coinsurance for covered services. Plan includes
FCHP Independent Care
A guaranteed issue health plan, where you are accepted regardless
of your medical history. You have a choice of health provider
networks, hospital services, prescription drug coverage, and
FCHP Independent Care 1000
Adds an out-of-pocket deductible and does not include prescription
drug coverage. This allows the plan to be offered with a lower
FCHP MassHealth and Elder Service Plan
Both offered by Fallon Community Health Plan to low-income
qualifying residents of Massachusetts.
Fallon Community Health Plan Office Location
10 Chestnut Street
Worcester, MA 01608
†Individual-Health-Plans.com is not associated with Medicare or the Center for Medicare and Medicaid Services. The Center for Medicare and Medicaid Services has neither reviewed nor endorses this information. This is not a complete listing of plans available in your service area. For a complete listing please contact 1-800-MEDICARE or consult www.medicare.gov.
A Medicare Advantage plan is a health plan provided through a private insurer and delivering Medicare Part A and Part B benefits. A Part D Drug plan is a prescription drug plan provided through a private insurer and delivering Medicare Part D benefits. A Medicare Supplement plan is a health insurance plan provided by a private company that fills in the “gaps” in original Medicare coverage. The sales agent that will be discussing plan options with you is either employed or contracted by an agency that sells Medicare plans, a Medicare health plan, or a Medicare prescription drug plan that is not the Federal government. Submitting our form does NOT affect your current enrollment, nor will it enroll you in a Medicare Advantage plan, Medicare Prescription Drug plan, Medicare Supplement plan or other Medicare plans.