Fallon Community Health Plan announces 2010 Medicare Advantage premiums

Fallon Senior Plan recognizes 30 years of providing coverage to Medicare beneficiaries; maintains $0 premium option

Worcester, Mass., October 1, 2009—Fallon Community Health Plan, a nationally recognized, not-for-profit health care services organization, today announced 2010 premiums for Fallon Senior Plan™ as it enters its 30th year providing coverage to Medicare beneficiaries.

Effective January 1, 2010, Medicare beneficiaries who choose to enroll in Fallon Senior Plan can choose from eight health plans, including one with a $0 monthly premium. Also, members of an HMO plan will have a $0 copayment on a routine, annual physical exam.

Medicare beneficiaries who choose Fallon Senior Plan will continue to receive more benefits than traditional Medicare, including Weight Watchers®, the SilverSneakers® Fitness Program, health and wellness education, dental care (HMO only) and chiropractic services, discounts on acupuncture and massage therapy, and discounts at family fun attractions through the FCHP Family Fun 2009 program. The HMO U.S. Travel Benefit, which was introduced in 2009, continues to be available for those members who are traveling and require medical care while out of town.

Of the eight health plans below, six will provide Medicare Part D prescription drug coverage. Basic Rx plans provide members with standard Medicare prescription drug coverage through a four-tier formulary, while Enhanced Rx plans provide similar coverage through a three-tier formulary, but without an upfront deductible.

Fallon Senior Plan Premiums in 2010

No Rx plans Basic Rx plans Enhanced Rx plans
FSP Saver
$0 $33 $33
FSP Standard
$82 $112 $112
FSP Plus
Not available Not available $181
FSP Preferred
Not available Not available $141

Fallon Senior Plan will continue to offer a health plan with a $0 premium for its Fallon Senior Plan Saver HMO No Rx plans.

There are no changes to the Fallon Senior Plan HMO service area, and the service area for both HMO and PPO now includes Hampden and Worcester County, and portions of Franklin, Hampshire, Middlesex and Norfolk counties. Fallon Senior Plan also continues to be available for employers who want to offer health insurance coverage to retirees.

“As we enter our 30 year of supporting the health care needs of Medicare beneficiaries, we’ve seen the landscape of health insurance change dramatically and we’ve been here to ensure that our members continue to receive choice, comprehensive benefits, and high-quality, coordinated health care,” said Eric H. Schultz, President and CEO, Fallon Community Health Plan. “FCHP is a pioneer in the Medicare program, something of which we’re very proud.”

As the debate on health care reform continues in Washington, Schultz said the health plan is keeping a close eye on how reform may affect tens of thousands of Medicare Advantage enrollees right here in Central Massachusetts.

“We are active participants in the discussion surrounding health care reform, and most importantly, how this legislation may impact individuals who utilize Medicare coverage,” said Schultz. “At FCHP, we will continue to monitor this situation and act appropriately with our members—and our seniors—at top of mind.”


Lauren M. Petit

About Fallon Community Health Plan
Founded in 1977, Fallon Community Health Plan is a nationally recognized, not-for-profit health care services organization. From traditional health insurance products available throughout Massachusetts for all populations, to innovative health care programs and services for independent seniors, FCHP supports the diverse and changing needs of all those it serves. FCHP has consistently ranked among the nation’s top health plans, and is the only health plan in Massachusetts to have been awarded “Excellent” Accreditation by the National Committee for Quality Assurance for its HMO, Medicare Advantage and Medicaid products.