Shop for a plan

With Fallon Medicare Plus Medicare Advantage plan options, you get more than Original Medicare alone—you receive extra benefits to help keep you healthy. You'll have access to thousands of high-quality providers, and you’ll pay $0 for services like:

$0

  • Medical deductible
  • Annual physical exam
  • Annual wellness visit
  • Preventive screenings
  • Meals delivered to your home after a discharge from an observation stay or inpatient admission at a hospital or nursing home facility
  • Telehealth visits (PCP, behavioral health, and Teladoc®)
  • Diagnostic tests, X-rays, and lab work

Plan options and benefits

Choose a plan that works for your needs and budget.

Benefits and copayments Orange Green Blue Saver No Rx
Annual supplemental physical exam $0 $0 $0 $0
Primary care provider (PCP) office visits $0 $5 $10 $0

Telehealth: PCP, behavioral health, and Teladoc®

$0 $0 $0 $0

Specialty office visits, in person or via telehealth (except as noted above)

$45 $40 $20 $40

Preventive dental (cleanings, exams, and X-rays)

$0 $0 $0 $0

Routine eye exam

$0 $0 $20 $40

Ambulance

$295 $225
($900 out-of-pocket
maximum per year) 		$125
($500 out-of-pocket maximum per year) 		$250
 

Inpatient hospital care–acute

$390 per day
(days 1-5)
$0 per day
(days 6-90) 		$300 per day
(days 1-5)
$0 per day
(days 6-90) 		$200 per admission ($400 out-of-pocket maximum per year) $315/day
(days 1-5)
$0/day
(days 6-90)

Diagnostic services
(Tests, procedures, X-rays, labs)

$0 $0 $0 $0

Hi-tech imaging
(CT, PET, and MRI scans and nuclear studies)

$300 $250
($1,000 out-of-pocket maximum per year) 		$150
($600 out-of-pocket maximum per year) 		$250
($1000 out-of-pocket maximum per year)

Outpatient surgery

$350 $275 $120 $275

Worldwide ER visits

$100 $110 $120 $90

Urgent care Inside/Outside the U.S. and its territories

$10/100 $5/$110 $10/$120 $15/$90

Part D prescription drug coverage

Included Included Included n/a
Benefit Bank $946 per year $750 per year $500 per year $300 per year
Over-the-counter benefit $150
per year		 $255
per year		 n/a $125 per year
Dental—preventive and
comprehensive		 Included Included Included Included
Eyewear $150 per year $150 per year  $150 per year $150 per year

Compare and get a quote

shop for a planWe have a variety of plans with different premiums and levels of coverage. You choose the plan that best meets your needs and your budget.

Shop for Medicare Advantage plans

 

Enroll

Enroll in a planIf you already know which plan is right for you, you can enroll using our quick and easy online tool.


Enroll online

Or:

Learn more

learn more at a meetingWatch a pre-recorded presentation to learn about Fallon Health's options for people with Medicare. You can also schedule a one-on-one meeting.

View a presentation or schedule a meeting

 

Call us toll-free at 1-888-340-5504 (TRS 711), 8 a.m.–8 p.m., 7 days a week.
(April–September, Monday–Friday)

Fallon Health is an HMO plan with a Medicare contract. Enrollment in Fallon Health depends on contract renewal. Teladoc Health, Inc. All rights reserved.

H9001_250107_M |The information on this page was last updated on 10/1/2024.

Are you eligible?

To join our plans you: 

  • Must be enrolled in Medicare Part A and Part B 
  • Must continue to pay your Medicare Part B premium if it’s not paid for by Medicaid or another third party 
  • Must live in the Fallon Medicare Plus service area. Our service area includes the entire State of Massachusetts except for Dukes and Nantucket counties. (If you get health insurance through an employer group, your service area may be different.)