Fallon Health Insurance Review & Ratings (2023)
This Fallon Health Insurance Review will cover Fallon Health Insurance ratings by real users for overall satisfaction and claims, cost, billing, and service satisfaction. To compare insurance rates from the best companies in your area, enter your ZIP code below.
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Written by
Chris Tepedino |
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Reviewed by
Laura Walker
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UPDATED: Feb 20, 2023
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An Overview: Fallon Health Insurance
If you’re in the market for health insurance, you might want to consider Fallon Health Insurance. Founded in 1977, Fallon Health Insurance is a not-for-profit healthcare services organization based in Worcester, Massachusetts.
- Fallon Health Insurance offers a wide range of health plans, including Medicare Advantage, Medicaid, and commercial plans.
- The company is committed to improving the health and well-being of the communities it serves.
- Fallon Health Insurance has received high ratings for its customer service and quality of care.
The company’s mission is to improve the health and well-being of the communities it serves by providing affordable, high-quality health care. Fallon Health Insurance offers a range of health plans, including Medicare Advantage, Medicaid, and commercial plans.
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History of Fallon Health Insurance
Fallon Health Insurance was founded in 1977 in Worcester, Massachusetts, as Fallon Community Health Plan. The company was established by a group of community leaders who were committed to providing affordable, high-quality health care to the people of central Massachusetts.
The company initially started as a non-profit HMO (health maintenance organization) that was focused on preventative health care and early detection of diseases.
Over the years, Fallon Health Insurance has grown and expanded its services to include Medicare Advantage, Medicaid, and commercial plans.
The company has also expanded its service area beyond central Massachusetts to other parts of the state and some areas of New Hampshire. Today, Fallon Health Insurance serves over 260,000 members and employs more than 1,200 people.
Mission of Fallon Health Insurance
The company is committed to providing affordable, high-quality health care to its members and ensuring that they have access to the services and support they need to live healthy lives. Fallon Health Insurance strives to achieve its mission by:
- Partnering with health care providers: Fallon Health Insurance works closely with health care providers to ensure that its members have access to high-quality care.
- Promoting preventive care: Fallon Health Insurance is committed to promoting preventive care and early detection of diseases. The company offers a range of wellness programs and resources to help its members stay healthy and avoid illness.
- Supporting the community: Fallon Health Insurance is committed to supporting the community and addressing the social determinants of health. The company has established partnerships with community organizations to address issues like food insecurity and social isolation.
In summary, Fallon Health Insurance has a long history of providing affordable, high-quality health care to the people of Massachusetts and parts of New Hampshire. The company’s mission is to improve the health and well-being of the communities it serves by providing access to quality care, promoting preventive care, and supporting the community.
Coverage Options: Fallon Health Insurance
Fallon Health Insurance offers a range of health insurance products and related services, including:
- Medicare advantage plans: Fallon Health Insurance offers Medicare Advantage plans to eligible individuals in Massachusetts and New Hampshire. These plans provide all the benefits of Original Medicare, along with additional benefits like prescription drug coverage, vision, and dental services.
- Medicaid plans: Fallon Health Insurance offers MassHealth (Medicaid) plans to eligible individuals in Massachusetts. These plans provide comprehensive health care coverage to individuals and families who meet certain income and eligibility requirements.
- Commercial plans: Fallon Health Insurance also offers commercial health insurance plans for individuals and employers in Massachusetts. These plans are designed to meet the unique needs of each individual or group and offer a range of benefits and options.
In addition to health insurance plans, Fallon Health Insurance also offers a range of related services, including:
- Care management and coordination: Fallon Health Insurance offers care management and coordination services to members who need extra support managing their healthcare needs.
- Wellness programs: Fallon Health Insurance offers a range of wellness programs and resources to help members stay healthy and avoid illness.
- Online tools and resources: Fallon Health Insurance provides a variety of online tools and resources to help members manage their health care, including a member portal and mobile app.
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Cost of Fallon Health Insurance
The cost of insurance through Fallon Health Insurance will vary depending on several factors, including the specific plan you choose, your age and health status, where you live, and other individual factors.
It’s important to note that Fallon Health Insurance offers a variety of plans with different costs and benefits, so it’s important to carefully evaluate your options and choose the plan that best meets your individual needs and budget.
Additionally, if you are eligible for financial assistance through programs like Medicaid or the Affordable Care Act (ACA), you may be able to lower your monthly premiums and out-of-pocket costs.
Discounts Available With Fallon Health Insurance
Fallon Health Insurance offers a variety of discounts to help make their plans more affordable for their customers. Here are some of the most common discounts available:
- Wellness discounts: Fallon Health Insurance offers discounts to customers who participate in certain wellness programs or meet certain health goals, such as completing a health assessment or getting an annual physical exam.
- Multi-policy discounts: If you have multiple insurance policies with Fallon Health Insurance, such as a health plan and a dental plan, you may be eligible for a discount on your premiums.
- Safe driver discounts: If you have a car insurance policy with Fallon Health Insurance, you may be eligible for a safe driver discount if you have a good driving record and no accidents or violations.
- Discounts for paying in full: Some Fallon Health Insurance plans offer a discount if you pay your annual premium in full upfront, rather than making monthly payments.
It’s important to note that the availability and amount of discounts will vary depending on the specific plan and location, so it’s a good idea to contact Fallon Health Insurance directly to learn more about the discounts that may be available to you.
Additionally, be sure to ask about any other discounts or cost-saving strategies that may be available, such as prescription drug discounts or telehealth services.
States Where Fallon Health Offers Insurance
Fallon Health Insurance offers health insurance plans in a limited geographic area, specifically in the state of Massachusetts. Here is a list of the counties in Massachusetts where Fallon Health Insurance provides health insurance coverage:
- Barnstable
- Berkshire
- Bristol
- Dukes
- Essex
- Franklin
- Hampden
- Hampshire
- Middlesex
- Nantucket
- Norfolk
- Plymouth
- Suffolk
- Worcester
It’s important to note that Fallon Health Insurance’s coverage options and availability may vary by location and plan, so it’s always a good idea to check with the company directly to learn more about the specific health insurance plans that are available in your area.
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Customer Reviews of Fallon Health Insurance
Fallon Health Insurance has received a mix of positive and negative customer reviews.
Customers appreciate the personalized service and individual attention provided by Fallon Health Insurance representatives. Some customers have found Fallon Health Insurance plans to be more affordable than other health insurance options in the area.
Many customers have reported positive experiences with the company’s Medicare Advantage plans, praising the comprehensive benefits and affordable costs.
Some customers have had difficulty navigating the company’s customer service and claim processes, with long wait times and frustrating interactions with representatives. A few customers have reported unexpected out-of-pocket expenses or issues with coverage for specific medical procedures or treatments.
Roundup: Fallon Health Insurance
In conclusion, Fallon Health Insurance is a health insurance company that provides coverage options to residents of Massachusetts. With a focus on personalized service and individual attention, Fallon Health Insurance offers a range of health insurance plans, including Medicare Advantage, individual and family plans, and employer group plans.
The cost of these plans will depend on a variety of factors, including the specific plan you choose, your location, and any discounts that you may be eligible for.
While customer reviews of Fallon Health Insurance are mixed, the company’s emphasis on affordable, comprehensive coverage and individual attention make it a compelling option for those in the Massachusetts area.
As with any health insurance decision, it’s important to carefully evaluate your options and choose a plan that meets your individual needs and budget.