UPDATES FROM FALLON HEALTH - January 2026

SPECIAL EDITION

Putting people first, with Sonja Brehm

Fallon Health's focus

Sonja Brehm

Hello! I’m so pleased to have this opportunity to share with you Fallon Health’s people-first mindset and what that means for the member experience.


From our beginnings—when Fallon Health saw a need and became the first health plan in the U.S. to offer a Medicare Advantage plan—to today, everything we’ve done has been centered on the people we serve.


Improving health and inspiring hope is our mission statement—and it’s our culture. It guides what we do as a health plan and provider of care, an employer, and a community and business partner.


You’ve likely heard about Fallon Health’s commitment to providing care and coverage that goes further. I’d like to share with you some examples of how we do that.


We make sure our members have the care they need, where and when they need it.

  • Our team is here to assist members with scheduling appointments, selecting a primary care provider (PCP), and making sure they understand and use their benefits.
  • Certain prescription medications can be expensive, so we offer a savings program that lets members know when lower-cost options are available. We can also help members access their prescriptions, if they’re having trouble.


When we see a need, we act.

  • In October, we were the first in Southeastern Massachusetts to open a Program of All-Inclusive Care for the Elderly (PACE).
  • When several NaviCare® members in Fall River were displaced by a devastating fire last July, members of our clinical team secured emergency housing, replaced critical medical and mobility equipment, recovered personal items, and offered steady emotional support.


We’re here to help.

  • We have dedicated phone lines for members, brokers, providers, and partners (see below).
  • When you or your clients call us, you’ll speak with a real person—not a computer—who is dedicated to working with you to get the service you need, when you need it.


Simply put: Care is what we believe in. It’s who we are and who we’ve always been.


We look forward to supporting new Fallon Health members and continuing to assist those who renewed their coverage.


Sincerely,

Sonja Brehm

Vice President, Consumer Experience and Analytics

Important reminders for you

If you need Fallon Health materials or have general questions

Please contact our Broker Relations team at 1-844-848-4931 (TRS 711), Monday through Friday, from 8:30 a.m. to 5:00 p.m., or send them an email at: 

MedicareSalesBrokers@fallonhealth.org.


If you need to complete Fallon Health product training

Please contact Sandra Villalba, Director of Medicare Sales, directly at 1-774-436-0683 or send her an email at Sandra.Villalba@fallonhealth.org.

Helpful tools for your Fallon Health clients

Important phone numbers 

Both phone lines are open 8 a.m. to 8 p.m., Monday through Friday (7 days a week from Oct. 1 through March 31).


Fallon Medicare Plus™ Medicare Advantage Customer Service

1-800-325-5669 (TRS 711)


NaviCare® HMO SNP Enrollee Services

1-877-700-6996 (TRS 711)

Find a provider tool

Members of NaviCare HMO SNP and Fallon Medicare Plus can find a doctor, dentist, or other health care provider using the Find a provider tool on our website. Every Fallon Health member can use this tool to find a PCP that’s in their plan’s network.

MyFallon member portal

Where members can see their claims, view their benefits, and manage their accounts. 

Online drug formularies

If your Fallon Health clients have a pharmacy benefit, this is where they can find the formulary for their insurance plan.

Stay connected with Fallon Health

Contact us

Our easy-to-reach Broker Relations team is available to you at every stage of the sales process. We can provide you with personalized support over the phone Monday through Friday, 8:30 a.m. to 5:00 p.m.

1-844-848-4931


You can also reach us by email: MedicareSalesBrokers@fallonhealth.org

Check out our website

Especially our broker webpages. They're full of helpful information.

Streamline your Fallon Health enrollments

Use SunFire. It makes the process easier.