Fallon Community Health Plan

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Fallon Community Health
10 Chestnut Street
Worcester, MA 01608

In business since 1977, Fallon Community Health Plan has quickly gained a reputation in the health care market, earning the National Committee for Quality Assurance's (NCQA) "excellent" rating multiple times, and being rated by Newsweek as "best HMO" four years in a row (1992-1996). Customers throughout Massachusetts can count on Fallon for quality service and trusted care.

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Health Insurance Options from Fallon Community Health

Fallon offers a wide range of coverage options to individuals and families. They offer HMO (health management organization), PPO (preferred provider network) and traditional indemnity plans. Each of these plans offers comprehensive coverage in different ways. Their HMO plans pair you with a primary care physician to coordinate your care and refer you to specialists should the need arise. Their PPO network extends outside of the state and lets you see participating doctors nation-wide without referral. Their traditional indemnity plan covers you not matter where you go, up to 80%. Here are some details of a few of the plans Fallon offers for individuals and families:

* FCHP Direct Care - This plan is an HMO meant to bring comprehensive care at an affordable cost. In addition to major medical coverage for everything from regular visits to surgery, FCHP Direct offers discounts on laser eye surgery, and winter sports activities. For regular doctor visits and gynecological visits, there are no copays.

* Fallon Preferred Care - This comprehensive plan lets you take advantage of a nation-wide network of over 380,000 physicians. Services received in-network do not require referrals, however some services may require pre-certification. Benefits are similar to Fallon's HMO plans.

* Major Medical - This is a traditional indemnity plan for customers living outside their network area, or for those who want the freedom to see any doctor. Coverage is 80% of cost after deductible. Benefits include regular doctor visits, hospitalization, diagnostics and prescription drug benefits.

 

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