Monthly plan premiums for people who get Extra Help from Medicare to help pay for their prescription drug costs

If you get Medicare's Extra Help to help pay for your Medicare prescription drug plan costs, your monthly plan premium will be lower than what it would be if you did not get Medicare's Extra Help. The amount of Extra Help you get will determine your total monthly plan premium as a member of our plan. 



Worcester County

Franklin, Hampden & Hampshire Counties

Barnstable, Berkshire, Bristol, Essex, Middlesex, Norfolk, Plymouth & Suffolk Counties

Fallon Medicare Plus Orange HMO*




Fallon Medicare Plus Green HMO*




Fallon Medicare Plus Blue HMO*




Fallon Medicare Plus Central Green HMO*




Fallon Medicare Plus Central Blue HMO*




Fallon Medicare Plus Super Saver HMO*




*This does not include any Medicare Part B premium you may have to pay.

The above premiums include coverage for both medical services and prescription drug coverage.

If you aren’t currently receiving any Extra Help from Medicare, you can see if you qualify by calling:

  • 1-800-MEDICARE (1-800-633-4227) (24 hours a day, seven days a week). 
    TTY users call 1-877-486-2048.
  • Massachusetts Medicaid office: 
    1-800-841-2900 (TTY: 1-800-497-4648)
  • Social Security Administration: 1-800-772-1213 
    (TTY: 1-800-325-0778), 8 a.m. to 7 p.m., Monday through Friday.

You can also call the numbers above to check on your Extra Help status or level.

Massachusetts has a State Pharmaceutical Assistance Program called Prescription Advantage. (This link takes you away from the Fallon Medicare Plus website.) This program may also provide assistance in helping you pay for your prescription drug costs. To find out if you qualify for Prescription Advantage, call 1-800-AGE-INFO (1-800-243-4636), TTY: 1-877-610-0241.

For information about the Centers for Medicare & Medicaid Services (CMS) Best Available Evidence (BAE) policy, visit the CMS website. (This link takes you away from the Fallon Medicare Plus website.)

Call us toll-free at 1-888-340-5504 (TRS 711), 8 a.m.–8 p.m., seven days a week.
(Apr.–Sept., we are available 8 a.m.–8 p.m., Mon.–Fri.)

H9001_240093_C | The information on this page was last updated on 10/1/2023.

To view the PDF files above, you may need to download a free copy of Adobe® Acrobat Reader software on your computer. (This link takes you away from the Fallon Medicare Plus website.)