UPDATES FROM FALLON HEALTH - October 2023

The start of AEP is just days away! We like to call this the most wonderful time of the year, because it’s a great opportunity for us to spread the word about what makes Fallon Health special.

Don Perron, our Vice President of Customer Service, said it best in the July edition of the Broker Bulletin: At Fallon Health, we’re responsive, compassionate, respectful, and approachable in everything we do—because we care. We care about our members. We care about providing the best products and services to them to support their health. For more than 45 years, this has been our focus. You can see our mission and values in action in our latest annual report.

We also care about you, our brokers. You’ve worked hard to be ready to sell on Oct. 15, and we want you to succeed. That’s why our Broker Relations team will be available to you for extended hours during AEP. In addition to our regular business hours (Monday to Friday from 8:30 a.m. to 5:00 p.m.), from Oct. 15 to Dec. 7 we’ll be available on Saturdays from 8:30 a.m. to 3:00 p.m. Call us at 1-844-848-4931 (TRS 711). You can also email us anytime at MedicareSalesBrokers@fallonhealth.org.

Here's to a successful AEP!

Nicolette Allsopp

Medicare Broker Relationship Manager

Fallon Health has plans and services that will fit your clients’ needs and budget—no matter what level of care they, or their loved ones, need.

• Fallon Medicare Plus™ (Medicare Advantage) and Fallon Medicare Plus Supplement plans provide great coverage and plenty of exclusive healthy extras. Contact us to learn more.
• NaviCare^® SCO and HMO SNP plans provide members with all the care and services they need at no cost to them—plus more, including:
• A new Save Now card that combines the benefits of the Save Now and Self-Care cards. In 2024, members get over $800 per year on the Save Now card to buy food as well as health and personal care items. 
• Fallon Medicare Plus HMO and Fallon Medicare Plus Central HMO (direct pay individual plan options)
• Fallon Medicare Plus Premier HMO (our group retiree plan)
• Fallon Health’s Program of All-Inclusive Care for the Elderly (PACE)—Summit ElderCare^®—is the largest PACE provider in New England, offering program access to 10 counties across Massachusetts.

Use SunFire. It makes the process easier.

In April 2023, the Centers for Medicare and Medicaid Services (CMS) issued its 2024

Medicare Advantage and Part D final rule, which revises regulations to implement

changes related to various programmatic areas. An overview of the final rule is in this online CMS fact sheet, which includes a link to the regulation. Broker-specific information is under the heading titled, "Protecting Beneficiaries: Marketing Requirements."

The end of the calendar year will soon be here. If your clients have balances on their Benefit Bank card, Save Now card, and/or Healthy Food card, they can use them until Dec. 31, 2023. Remember: balances on these cards do not carry over to the following year, and we want to make sure your clients can use their benefits to the fullest. If your clients need balance information, please have them contact us:

Benefit Bank card

(Fallon Medicare Plus Orange, Green, Blue, and Premier HMO plans; and Fallon Medicare Plus Central Green, Blue, and Premier HMO plans)

• 1-800-325-5669 (TRS 711), Monday–Friday, 8 a.m.–8 p.m.
• MyFallon member portal: members.fallonhealth.org

Save Now card and Self-Care card

(NaviCare)

• 1-888-682-2400 (TTY 711), 24 hours a day, 7 days a week
• mybenefitscenter.com

Healthy Food card

(NaviCare)

• 1-888-983-8983 (TTY 711), 24 hours a day, seven days a week
• healthyfoodcard.com

Contact us

Our easy-to-reach Broker Relations team is available to you at every stage of the sales process. We can provide you with personalized support over the phone Monday–Friday, 8:30 a.m.–5:00 p.m., AND on Saturdays from 8:30 a.m.–3:00 p.m., Oct. 15–Dec. 7.

You can also reach us by email: MedicareSalesBrokers@fallonhealth.org

Check out our website

Especially our broker webpages. They're full of helpful information.