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Fallon Health Massachusetts Medicare Advantage Plans

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Massachusetts

Fallon Health offers 8 Medicare Advantage plans in Massachusetts. The average government quality score of these plans is 4.0 out of 5 stars (2025 plan ratings).

Of these 8 Medicare Advantage plans, 7 include Part D prescription drug coverage while 1 plans do not include prescription coverage. All of these plans include coverage for additional benefits such as dental, vision, or hearing. There may not be a plan in your area that has all of these benefits in one plan.

Summary of Available Medicare Advantage Plans from Fallon Health in Massachusetts

To view plans available by county
Additional Coverage
Overall Star Rating (2025)
  • Rx
  • Dental
  • Vision
  • Hearing
4
out of 5 stars
Coverage Summary
Medical Deductible
$0
Out-of-Pocket Maximum
$3400
Rx Deductible
$0
Specialist Office Visit
$15-20 copay

Plan ID: H9001-031-18
Available in Counties: Barnstable, Berkshire, Bristol, Essex, Middlesex, Norfolk, Plymouth, Suffolk
More
Additional Coverage
Overall Star Rating (2025)
  • Rx
  • Dental
  • Vision
  • Hearing
4
out of 5 stars
Coverage Summary
Medical Deductible
$0
Out-of-Pocket Maximum
$3400
Rx Deductible
$0
Specialist Office Visit
$15-20 copay

Plan ID: H9001-031-15
Available in Counties: Worcester
More
Additional Coverage
Overall Star Rating (2025)
  • Rx
  • Dental
  • Vision
  • Hearing
4
out of 5 stars
Coverage Summary
Medical Deductible
$0
Out-of-Pocket Maximum
$3400
Rx Deductible
$0
Specialist Office Visit
$15-20 copay

Plan ID: H9001-031-16
Available in Counties: Franklin, Hampden, Hampshire
More
Additional Coverage
Overall Star Rating (2025)
  • Rx
  • Dental
  • Vision
  • Hearing
4
out of 5 stars
Coverage Summary
Medical Deductible
$0
Out-of-Pocket Maximum
$5200
Rx Deductible
$175
Specialist Office Visit
$20-40 copay

Plan ID: H9001-030-15
Available in Counties: Worcester
More
Additional Coverage
Overall Star Rating (2025)
  • Rx
  • Dental
  • Vision
  • Hearing
4
out of 5 stars
Coverage Summary
Medical Deductible
$0
Out-of-Pocket Maximum
$5200
Rx Deductible
$175
Specialist Office Visit
$20-40 copay

Plan ID: H9001-030-18
Available in Counties: Barnstable, Berkshire, Bristol, Essex, Middlesex, Norfolk, Plymouth, Suffolk
More
Additional Coverage
Overall Star Rating (2025)
  • Rx
  • Dental
  • Vision
  • Hearing
4
out of 5 stars
Coverage Summary
Medical Deductible
$0
Out-of-Pocket Maximum
$5200
Rx Deductible
$175
Specialist Office Visit
$20-40 copay

Plan ID: H9001-030-16
Available in Counties: Franklin, Hampden, Hampshire
More
Additional Coverage
Overall Star Rating (2025)
  • Rx
  • Dental
  • Vision
  • Hearing
4
out of 5 stars
Coverage Summary
Medical Deductible
$0
Out-of-Pocket Maximum
$7550
Rx Deductible
$200
Specialist Office Visit
$20-45 copay

Plan ID: H9001-038-0
Available in Counties: Barnstable, Berkshire, Bristol, Essex, Franklin, Hampden, Hampshire, Middlesex, Norfolk, Plymouth, Suffolk, Worcester
More
Additional Coverage
Overall Star Rating (2025)
  • Dental
  • Vision
  • Hearing
4
out of 5 stars
Coverage Summary
Medical Deductible
$0
Out-of-Pocket Maximum
$6700
Rx Deductible
n/a
Specialist Office Visit
$20-40 copay

Plan ID: H9001-039-0
Available in Counties: Barnstable, Berkshire, Bristol, Essex, Franklin, Hampden, Hampshire, Middlesex, Norfolk, Plymouth, Suffolk, Worcester
More

Frequently Asked Questions

Medicare Advantage plans combine Original Medicare Part A and B, and usually Part D prescription drug coverage, into one convenient health insurance plan. These plans can also include additional benefits including vision, dental, or hearing.
Medicare Advantage plans can have different monthly premiums, doctor networks, prescription drug coverage, and additional benefits can vary by plan as well. We recommend using our online tools or speaking with a licensed insurance agent to compare options available in your area and to help you find a health plan which best meets your needs. When comparing options, many people ask whether their favorite doctor accepts a particular plan or whether their prescription drugs are covered.
Advantages
  • Bundle Part A, Part B, and usually Part D into one plan
  • Can include additional benefits such as prescription drugs, dental, vision, or hearing coverage
  • Offered by private health insurance companies approved by the government
  • Plans have low or $0 monthly premiums (in addition to your Part B premium)
  • Medicare Advantage plans typically place a ceiling limit on your out-of-pocket costs
Disadvantages
  • Medicare Advantage plans may have narrower doctor networks. Not all doctors may accept a particular plan

The main difference between Medicare Advantage plans and Medicare Supplement insurance plans is that Medicare Advantage plans an alternative to Original Medicare and include Original Medicare coverage under one plan, while Medicare Supplement insurance plans are a supplement to Original Medicare coverage to help pay your share of out-of-pocket costs. Medicare Advantage plans can also include additional benefits such as dental, vision, hearing, or prescription drug coverage. Medicare Supplement insurance plans do not typically cover prescription drugs, dental, vision, or other benefits.

You are not allowed to be enrolled in both a Medicare Advantage plan and Medicare Supplement insurance plan at the same time.
Enter your location information to quote and compare a list of Medicare Advantage plans available in your area. Our site may not include every plan available in the market. To see a complete list of plans please visit medicare.gov.
Medicare Advantage plans have monthly premiums which can vary and are set by the insurance company offering the plan. Medicare Advantage plans can start as low as $0 premium per month. These no cost options are available because Medicare Advantage plans bundle Original Medicare Part A and B within the plan. When enrolling in a Medicare Advantage plan you are still required to pay your Part B premium amount. Once a Medicare Advantage plan's monthly premium is set, it must be sold at that market price, regardless of which broker or licensed insurance agent helps you enroll.

See our guide for Medicare Advantage Plans to learn more.

Health Insurance Companies Offering Plans

Medicare Advantage and Part D plans and benefits offered by the following insurance companies:

  • Aetna Medicare
  • Anthem Blue Cross Blue Shield
  • Anthem Blue Cross
  • Anthem Blue Cross and Blue Shield
  • Aspire Health Plan
  • Baylor Scott & White Health Plan
  • Capital Blue Cross
  • Cigna Healthcare
  • Dean Health Plan
  • Devoted Health
  • Florida Blue Medicare
  • Freedom Health
  • GlobalHealth
  • Health Care Service Corporation
  • Healthy Blue
  • HealthSun
  • Humana
  • Molina Healthcare
  • Mutual of Omaha
  • Medica Central Health Plan
  • Optimum HealthCare
  • Premera Blue Cross
  • SCAN Health Plan
  • Simply
  • UnitedHealthcareⓇ
  • Wellcare
  • WellPoint