Retiree solutions and Medicare group plans

Fallon Medicare PlusTM Premier HMO is our Medicare Advantage Plan that offers two provider networks—one network includes a tailored selection of providers based in Worcester County, the other network includes thousands of providers across Massachusetts. You choose a plan based on the network doctors you want to see, what you want to pay, and the benefit allowance you need. 


Fallon Medicare Plus Premier HMO is our Medicare Advantage Plan for retirees that offers comprehensive coverage and more benefits than members would get with Original Medicare alone.

We offer two providers networks with our Medicare Advantage HMO plans: 
Fallon Medicare Plus Central Premier and Fallon Medicare Plus Premier.

Fallon Medicare Plus Central Premier

Fallon Medicare Plus Central Premier is available to Worcester County residents only. It is a limited provider network, which means that members can only receive care from these select provider groups:

  • Reliant Medical Group
  • Heywood Hospital and providers
  • Saint Vincent Hospital
  • Select Steward Health Care providers
  • And other contracted providers

Fallon Medicare Plus Premier

Fallon Medicare Premier is our statewide network, available to members across our entire service area*, including those who live in Worcester County.

The Fallon Medicare Plus Premier network includes thousands of providers—from the Berkshires to Boston, from the South Shore to the North Shore.

Both plans include rich benefits like:

  • Benefit Bank
    The Benefit Bank card is preloaded with money that can be used for dental care, eyewear, fitness memberships, and hearing aids. Use the card to pay a portion, or the full cost, of an item. Allowances are either $250 or $500, depending on the chosen plan.
  • Hearing aids
    Pay between $695 and $2,645 when you make purchases through Amplifon. Copays vary by hearing aid type and technology. You can use your Benefit Bank toward these copayments or on hearing aids purchased form other providers.
  • Eyewear
    $150 toward eyewear, every year. You can also use your Benefit Bank toward additional—or out-of-network—eyewear costs.
  • Dental
    New for 2024! You pay $0 for preventive dental like cleanings, exams, and X-rays. Comprehensive dental care, like root canals, fillings, and crowns are also covered at network dentists—with a copay. Your Benefit Bank can be used to pay for copays and out-of-network dental services.
  • Fitness
    Includes a free gym membership, on-demand library of classes, workouts, and instructional videos—all are available through SilverSneakers. Plus, you can use the Benefit Bank to pay for fitness memberships of your choice.
  • WW® membership
    Free 13-consecutive-week WW (Weight Watchers) membership .
  • Care Connect
    24/7 access to registered nurses by phone, at a $0 copay. Nurses provide guidance on where
    to go for care and/or they can connect you with your doctor.



To be eligible for Fallon Medicare Plus Premier HMO, members must:

  • Be eligible for a Medicare group plan through an employer or a union health and wellness organization
  • Be enrolled in Medicare Part A and Part B
  • Continue to pay their Medicare Part B premium or have it paid for by another source
  • Reside within the approved service area.

Service area

To be eligible for Fallon Medicare Plus Central Premier, retirees must be a resident of Worcester County.

To be eligible for Fallon Medicare Plus Premier, retirees must live in one of the following Massachusetts counties: Barnstable, Berkshire, Bristol, Essex, Franklin, Hampden, Hampshire, Middlesex, Norfolk, Plymouth, Suffolk, or Worcester. Or, they may reside in specific cities or towns that border Massachusetts, as seen in the map below.

See a larger version of this map
The Fallon Medicare Plus Premier HMO network is statewide.

2024 plan documents

Online tools


For more information

  • Contact your group’s benefits administrator.
  • Contact Fallon Health by phone at: 1-844-848-4931 (TRS 711), 8 a.m.–8 p.m., seven days a week, or by email at:

* Benefits may vary by plan and employer group.

Fallon Health and Amplifon Hearing Health Care are independent, unaffiliated companies. Hearing services are administered by Amplifon Hearing Health Care, Corp. SilverSneakers is a registered trademark of Tivity Health, Inc. © 2023 Tivity Health, Inc. All rights reserved. WeightWatchers logo and WeightWatchers are the trademarks of WW International, Inc. © 2023 WW International, Inc. All rights reserved.

Fallon Health is an HMO plan with a Medicare contract. Enrollment in Fallon Health depends on contract renewal.