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+1 800-333-2535
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| 10 Chestnut St, Worcester, MA, 01608 | |
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0.5 miWorcester
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Specialties
Fallon Health provides health care services in Massachusetts as both an insurer and provider of care. Our insurance and self-insurance product portfolio includes a variety of group and non-group health plan options (HMO, POS and PPO, as well as Medicaid and Medicare Advantage plans) featuring flexible and innovative benefit designs. In addition, Fallon offers a Program of All-inclusive Care, called Summit ElderCare®, and a Medicare Advantage Special Needs Plan/Senior Care Options program, called NaviCare. Fallon Health’s Plan Innovations program provides a range of services, including consulting and program administration, that will helps businesses create value, reduce costs, mitigate risk and reach goals.
History
Established in 1977.
Fallon Health was one of the first federally qualified HMOs in central Massachusetts, the first state contract to cover Medicaid recipients, and one of the first HMOs in the country to receive a special contract for Medicare recipients through the U.S. Health Care Financing Administration (now called the Center for Medicare and Medicaid Services). In 1994, we began developing a Program of All-inclusive Care for the Elderly (PACE), which we now call Summit ElderCare®. We were also the first HMO in state to receive accreditation from National Committee for Quality Assurance (NCQA)*.
