Fallon Health

Fallon Health is a not-for-profit health insurer based in Worcester. Its main focus is government-sponsored coverage, including Medicare Advantage plans, a special needs plan, and a PACE program for older adults who need all-inclusive care. It also offers MassHealth accountable care partnership plans and individual health plans through the Massachusetts Health Connector.

Fallon Health operates as an HMO with a Medicare contract, so enrollment depends on contract renewal each year. Its guides explain Medicare basics for people new to the program, and its Medicare phone line is toll-free. The company describes its care and service teams as local, and its compliance hotline takes calls 24 hours a day, seven days a week. The company traces its roots to 1977.