Founded in 1977, Fallon Health provides health care services designed to meet the unique and changing needs of all we serve. Fallon is both an insurer and provider of care. 

Health insurance products

Our insurance and self-insurance product portfolio includes a variety of group and non-group health plan options (HMO, POS and PPO, as well as Medicaid and Medicare Advantage plans) featuring flexible and innovative benefit designs. In addition, Fallon offers a Program of All-inclusive Care, called Summit ElderCare^®, and a Medicare Advantage Special Needs Plan/Senior Care Options program, called NaviCare.

Our uniquely developed provider networks offer high-quality, cost-effective, coordinated care and give our members access to physicians and hospitals throughout Massachusetts and southern New Hampshire. We also offer a broad spectrum of health and wellness services and programs to ensure our members, at every stage of life, remain as healthy and productive as possible.

Financial stability

Backed by risk-based capital, Fallon Health maintains a strong foundation of financial stability and security.

Provider of care

As a provider of care, Fallon Health offers Summit ElderCare^®, an innovative and completely integrated home- and community-based nursing home alternative for older adults. 
More about Summit ElderCare

Quality

Our continued commitment to deliver high-quality health care and exceptional customer service has earned Fallon consistent rankings from the National Committee for Quality Assurance (NCQA*) as one of the nation’s highest-rated health plans.
More about Fallon's quality services

 

* NCQA is a private, non-profit organization dedicated to improving health care quality.