Commercial plan info for existing plans

Benefit summaries and Summaries of Benefits and Coverage (SBC)
HMOs, PPO options, consumer-directed high-deductible plans

Provider networks and service areas 
See our provider networks—our groups of health care providers like doctors, hospitals and other facilities that are contracted with Fallon Health to provide covered services to our members.

Pharmacy and prescription medication
Online drug formulary, pharmacy network, how to sign up for mail-order prescriptions

Self-funding and administrative solutions
Fallon Health is able to accommodate a full spectrum of alternative funding that helps employers and their employees manage their health care spending wisely.

Integrated HSA
Fallon delivers a fully-integrated solution that combines the industry-leading health savings account (HSA) solution with your customized health plan.

Healthy extras for Fallon members
Wellness benefits, bonus features and discounts

Administrative Handbook (pdf, updated July 2019)