UPDATES FROM FALLON HEALTH - October 2022 | |
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After months of anticipation (and preparation), AEP is finally here. You undoubtedly worked hard to be ready to sell by Oct. 15, and I hope you’re off to a great start.
I also hope that Fallon Health is at the top of your list for your clients. As you’ve seen and heard, care is woven through everything we do—from the products and services we provide to the community partners we support. Throughout our 45-year history, we have always had a lot to offer. Because Fallon is always—always—focused on what our members want and need.
Should you have any questions about our products, our Broker Relations team is standing by and ready to help—and for extended hours during AEP! Call us at 1-844-848-4931 (TRS 711) Monday–Friday during our regular hours of 8:30 a.m.–5:00 p.m., AND on Saturdays from 8:30 a.m.–3:00 p.m., Oct. 15–Dec. 7, 2022. Or send us an email at MedicareSalesBrokers@fallonhealth.org. You may also contact Nicolette Allsopp, Medicare Broker Relationship Manager, at 1-508-368-9262 or at nicolette.allsopp@fallonhealth.org.
Sincerely,
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Deb Daviau
VP of Medicare and Executive Director of NaviCare
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At a glance: Fallon Health’s product portfolio | |
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No matter what level of care your clients—or their loved ones—need, Fallon has plans and services that will fit their needs and budget:
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Fallon Medicare Plus™ (Medicare Advantage) and Fallon Medicare Plus Supplement plans provide great coverage and plenty of healthy extras only available on our plans. And in 2023, many of our Fallon Medicare Plus members will see big savings in their premiums and copays. Contact us to learn more.
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NaviCare® SCO and NaviCare HMO SNP provide members with all the care and services they need at no cost to them—plus more.
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Fallon Medicare Plus Premier HMO (our group retiree plan)
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Fallon Health’s Program of All-Inclusive Care of the Elderly (PACE), Summit ElderCare®, is the largest PACE provider in New England—and was recently expanded, now offering program access to 10 counties across Massachusetts. Learn more about Summit ElderCare in this video.
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Fallon Medicare Plus (FMP)
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NEW for 2023! Preventive and comprehensive dental coverage is now included in the FMP Orange plan for 2023—same as the FMP Green and Blue plans. Also, members with FMP Orange, Green, or Blue plans will pay $0 for routine preventive dental like cleanings, exams, and X-rays.
- FMP Orange members will have an increased OTC benefit (through the Benefit Bank) in 2023: $150 per calendar year—a $50 increase from last year—to use any time of year to buy health care products.
- Existing FMP Central Orange plan members will be automatically enrolled in the broad-network FMP Orange plan with a Jan. 1, 2023, effective date. Members won’t have to fill out any paperwork, and they will have access to our entire network of providers.
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NaviCare
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NEW for 2023! Self-Care card: Up to $200 per year to buy personal care items like soap, and food products like rice and beans. Buy items in store, online, or by phone. This is in addition to our Save Now and Healthy Food cards.
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NEW for 2023! Papa Pals: A voluntary program that partners members with a carefully chosen “pal,” who will help with daily needs like grocery shopping, light housekeeping, meal preparation, technology, and more.
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Transportation benefit: Free unlimited rides to and from medical appointments, plus up to 140 non-medical rides per year.
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The Stars are out, and Fallon is shining bright | |
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On Oct. 6, Medicare released its 2023 Star ratings*—and Fallon has maintained its strong 4.5 Star Rating, making ours the second highest rated HMO product among our competitors. Be sure to update your Fallon materials accordingly, as this must be done within 21 days of the ratings’ release date.
In addition, Fallon has been recognized by U.S. News and World Report—for the fourth consecutive year—as a Best Medicare Advantage Plan Company of 2023 in Massachusetts.
*Every year, Medicare evaluates plans based on a 5-star rating system.
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Remember: Card balances expire soon | |
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If Fallon members have balances on their Benefit Bank card, Save Now card, and/or Healthy Food card, they can use them until Dec. 31, 2022. Balances on these cards do not carry over to the following year, and we want to make sure our members can use their benefits to the fullest.
If your Fallon clients need balance information, here is where they can find it:
Benefit Bank card (Fallon Medicare Plus Orange, Green, Blue, and Premier HMO plans; and Fallon Medicare Plus Central Green, Blue, and Premier HMO plans)
Save Now card (NaviCare)
- 1-888-682-2400 (TTY 711), 24 hours a day, seven days a week
- myotccard.com
Healthy Food card (NaviCare)
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Streamline your Fallon enrollments with our SunFire online tool
Our SunFire online enrollment tool makes the enrollment process easier for your clients and for you (it includes a dashboard where you can track all of your submissions). Access your account here.
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'Improving Your Health' podcast continues its focus on Medicare
Medicare is more important than ever. Our podcast, Improving your Health with Fallon's Richard Burke, continues to take a closer look at Medicare. The next episode airs on Wednesday, Oct. 26, at 8:35 a.m. on WCRN 830 AM Radio. You can find previous episodes here.
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If you haven’t already, please check out the broker pages on our website. You can find information there about becoming a broker with Fallon and tools you can use if you are already a broker with us.
For more information, please contact our Medicare support team at MedicareSalesBrokers@fallonhealth.org.
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Our easy-to-reach Broker Relations team is available to you at every stage of the sales process—and for extended hours during AEP! We can provide you with personalized support over the phone from Monday–Friday during our regular hours of 8:30 a.m.–5:00 p.m., AND on Saturdays from 8:30 a.m.–3:00 p.m., Oct. 15–Dec. 7. | | | | |
