What’s covered?
As a Fallon 365 Care member, you are covered for many important health care services, including behavioral health services, plus more.
Medical services coverage
Fallon 365 Care covers:
- Doctor office visits
- Vision care
- Hospital stays
- X-rays, labs and tests
- Early intervention services
- Therapy services
- Much more
Download your covered services list for a complete list of benefits:
Standard/CommonHealth | Family Assistance | CarePlus
Extended dental coverage - new for 2021
MassHealth covers root canals and crowns for members 21 years and older.
Search for a dentist on at MassHealth-dental.net or call 1-800-207-5019.
Behavioral health (mental health and substance use disorder) coverage
Fallon 365 Care covers:
- Counseling
- Medication visits
- Hospital stays
- Treatment for substance use disorder
- Much more
Download your covered services list for a complete list of benefits:
Standard/CommonHealth | Family Assistance | CarePlus
To find a behavioral health provider, click the link below. Then choose “Massachusetts” as your state, and “Fallon Health” as your plan.
Find a behavioral health provider
Behavioral health (mental health and substance use disorder) resources
Fallon Health's behavioral health partner, Carelon Behavioral Health, has information and resources to help you. To learn more, click the link below, then choose “Massachusetts” as your state and “Fallon Health” as your plan.
Go to the Carelon Behavioral Health website.
Emergency and urgent care coverage
Fallon 365 Care covers:
- Visits to urgent care centers
- Emergency medical and behavioral health care
- Emergency transportation services
- Much more
Download your covered services list for a complete list of benefits:
Standard/CommonHealth | Family Assistance | CarePlus
Medication and pharmacy coverage
Fallon 365 Care covers prescription medications and some over-the-counter drugs with a prescription. Most members will pay either $1 or $3.65 for each prescription, depending on the type of prescription. You can fill prescriptions at thousands of pharmacies, including CVS, Rite Aid, Walgreens, Wal-Mart and many others.
Learn more about your medication and pharmacy coverage
Healthy extras
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Healthwise Knowledgebase |
Free online health encyclopedia with information on diseases, conditions, medications, and other topics. Go to the Healthwise Knowledgebase. |
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Support for new and expecting parents |
Programs and services for parents and babies. Learn more. |
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Mobile ID card app |
View your ID card using an app on your smartphone. |
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Teladoc |
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Disease management |
Free programs for people with chronic conditions such as asthma, diabetes, cancer, COPD, depression and heart disease, with: |
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Quit smoking |
Free counseling by phone or text. Call us at 1-508-368-9540 or 1-888-807-2908. You can also email QuitToWin@fallonhealth.org for more information. |
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Care Connect |
24 hour, 7 days a week access to nurses who can answer health questions. They can also help you decide if you should go to the emergency room. Call Care Connect at 1-800-609-6175 (TDD/TTY: 1-800-848-0160). |
