In the thick of it
After all of the planning and preparation, we are now right in the thick of Medicare’s Annual Election Period. I’m sure that you are busy meeting with clients, helping them choose their Medicare coverage for 2022. This is no small feat considering the number of options that are out there for Medicare beneficiaries—many of them new to our market, and some of them unproven.
In contrast, Fallon Health was the first health plan in the country to offer a Medicare Advantage plan. We have been providing coverage to Medicare beneficiaries for over 40 years. So, we have longevity. Combine that experience and knowledge with top-notch care coordination, member satisfaction and product innovation and it’s easy to see why Fallon is also one of the top plans in the country. We recently received our 2022 Star Ratings from CMS, and once again we have been rated 4.5 stars out of 5. Additionally, Fallon was named one of U.S. News & World Report's Best Medicare Advantage Plan Companies 2022—the only Worcester-based plan to make the list.

I’m proud of the work we have done at Fallon to receive these accolades, but I’m prouder of the work we do each and every day to ensure that our members have the very best experience with us.
If you haven’t already, please check out the new broker pages on our website. You can find information there about becoming a broker with Fallon (it’s not too late!) and tools you can use if you are already a broker with us.
As always, let us know if you have any questions or if we can be helpful during your busiest time of the year. We are here for you.

Deb Daviau
VP of Medicare and Executive Director of NaviCare
Orange and the power of $0
Fallon’s Orange plans are better than ever in 2022. With both our Fallon Medicare Plus Orange and Fallon Medicare Plus Central Orange plans, members get a lot for $0, including:
  • $0 PCP visits
  • $0 Telehealth visits (PCP and behavioral health)
  • $0 Routine eye exam
  • $0 Lab tests and X-rays
  • $0 Tiers 1 and 6 prescriptions
  • $0 Flu, pneumonia and COVID-19 vaccines
Plus, members have a $0 premium (except in Barnstable and Berkshire counties), and a $0 annual medical deductible.
The benefit of the Benefit Bank
Members can pay for dental care, eyewear, fitness memberships and hearing aids—with the Benefit Bank card.
The Benefit Bank card is included with all of our Orange, Green and Blue plans. Fallon preloads money onto the member’s card and the member chooses how to use it. Orange members receive $1,000 in their Benefit Bank, Green members receive $500 and Blue members receive $250. A member can pay a portion—or the full cost—of an item, or buy a combination of items. It’s their card, and their choice how to use it. 
For example, our Orange, Green and Blue plans all include a $150 eyewear allowance. If a member buys a pair of $200 eyeglasses, the eyewear allowance covers the first $150. The member can use their Benefit Bank card to pay the remaining $50. And they will have money remaining on the card that they can use for something else.
Plus, Orange plan members get an extra $25 per calendar quarter to buy health care products through NationsOTC. Members can shop online or by phone and choose from thousands of items.
Contact us
Our easy-to-reach Broker Relations team is available to you at every stage of the sales process. We provide you with personalized support over the phone. 
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