Fallon Health

Category: Health insurance agency in Worcester, Massachusetts

Address: 10 Chestnut St, Worcester, MA 01608, USA

Phone: +18003332535

Opening hours

Sunday: Closed

Monday: 8AM–6PM

Tuesday: 8AM–6PM

Wednesday: 10AM–6PM

Thursday: 8AM–6PM

Friday: 8AM–6PM

Saturday: Closed

Reviews

Vincent Baldasaro

Apr 21, 2022

Excellent. There, I said it. I never thought I would say that about an insurance company but.....I have absolutely no complaints about Fallon Health Insurance. I had an emergency whereas I had to be med flighted-no charge to me. I spent 14 days in the hospital, no charge (except the 1K deductible-chump change compared to the cost and I knew that up front anyway). Many x-rays, CT scans, echocardiograms later, no charges while in the hospital. I have regular CT scans now twice a year, it costs me $100 per, again, no complaints and no surprises here. I had physical therapy and a visiting nurse to the house for several weeks and again, no cost to me. I never had to dispute or fight re: anything including prescriptions, I'm actually impressed of how smooth my coverage was during this near-death very costly illness I had. The premium was not the cheapest offered but was very reasonable still compared to my other choices my employer offered. Value-wise, I thought it was the best choice and now I found out I was right.

Andrew Webster

Mar 31, 2022

Will find every excuse to avoid reimbursing you. Greedy company, using ignorance as weaponized incompetence.

Matt Orne

Dec 10, 2021

Fallon health is a wonderful company. The amount of community assistance they provide at no cost. The professional customer service. I’m aware some folks may not understand how their plan works… I encourage anyone and everyone to call and ask like I did. Keep up the great work!

Jackman Colby

Dec 7, 2021

Very nice phone representatives, terrible company. They found the loophole and are terminating most of their clients on 12-31-21. Run away!

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Questions & Answers

Where do I get reimbursement forms for gym membership or equipment

Siobhan Mahaney | Sep 19, 2021
Fallon Health | Sep 19, 2021

Hi Siobhan, you can download the It Fits reimbursement form on this page: www.fallonhealth.org/itfits thanks!

is there a phone number for It Fits?

SANDRA O'CONNOR | Sep 19, 2021
Fallon Health | Sep 19, 2021

Hi Sandra, Members can contact us at the phone number on the back of their member ID cards. Non-members can call us at 1-800-868-5200. Thank you!

I received a debit card for both my husband and me to pay for things like dental, etc. Is there a balance on this card or do we need to put money in the account?

Susan Bielak | Sep 19, 2020
Fallon Health | Sep 19, 2020

Thanks for your question. In order to answer it best, members should call the number on the back of their member ID card. Non-members should call 1-800-868-5200.

Iam moving to Greenfield, Massachusetts. Are there places out there for my medical and dental

Davina Theriaque (The Princess) | Sep 19, 2020
Serenity 4ever | Sep 19, 2020

Of course. It all depends on the plan type you will select from. what type of plan or who will you get plan through?

Why does my prescription label say for 90 days when Fallan will only issue medications for thirty days? My last insurance co. would give the 90 day supply for the same price as a 30 day. With Fallon I pay 3 times for same 90 day supply.

Dee Dom | Sep 19, 2020
Fallon Health | Sep 19, 2020

Hello, the best way that we can answer this question is for you to call our Customer Service Department at the number on the back of your ID card. Thanks! -Katie at Fallon Health

Is there a copayment to have stitches removed after a procedure

Diane Jacques | Sep 20, 2019
Fallon Health | Sep 19, 2020

Hello, I know some time has passed since you asked this question, but if you're still looking for the answer, it's best if you call our Customer Service Department at the number on the back of your ID card. That way, we can pull up your information and give you an accurate answer. Thanks! -Katie at Fallon Health

HOW to pick new primary DR

Laurel Breen | Sep 20, 2019
Katrina Preble | Sep 20, 2019

Access the website at www.fallonhealth.org. On the home page, click on Find A Doctor under the Quick Links on the left hand bottom side. You will need to choose your plan type, zip code, and further down choose "accepting new patients." Call the office and make your first appointment. After that, you can sign up for the member portal & update the doctor there, or you can call Customer Service.

I did not receive a 1099 hc. I recieved a 1085b. How doin get this?

Brenda Gosselin | Sep 20, 2019
Heather Ulfves | Sep 20, 2019

I printed my 1099 hc from the website. FallonHealth.org I had trouble logging in but called the number on the back of my ID card and they were able to resolve it. Hope that helps.

I'm a new subscriber how do I find a doctor in my area that accepts my plan.

Robert Carvalho | Sep 20, 2019
Tiffany Connell | Sep 20, 2019

I use the finding a doctor tool on their website Fallonhealth.org

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I was kicked off ABC only paying 13 a month to having to having to pay 365 for a plan that looks really bad. The drug costs look astronomically high. Is there director care program any good?

Jeff Bailey | Sep 20, 2019
Katrina Preble | Sep 20, 2019

Contact Masshealth first to see if you qualify & then go to the MA Health Connector to apply. The subsidy is based on your personal standings. Key to any insurance plan is the lower the monthly premium is, the more you will pay for your medical services, and this is how costs balance. QHD policies have all services - including prescription- apply to the deductible first. After the deductible is met, then copays apply.

i want a prescription from my family doctor .what should i do ?

THANH HOAI | Sep 20, 2019
Jane Rourk | Sep 20, 2019

Yes call your doctor - they will send it a pharmacy for you.

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where do I mail paper claims

Richard D Lewis | Sep 20, 2018
Katrina Preble | Sep 20, 2018

Fallon Health, PO Box 211308, Eagan, MN 55121

Where is parking for 10 Chestnut St Work ma

Debi Boucher | Sep 20, 2018
Robert Brown | Sep 19, 2021

I want to talk to a person

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