UPDATES FROM FALLON HEALTH - June 2022

SPECIAL EDITION

Hello brokers! I’m so glad to have this opportunity to connect with you and talk about Fallon Health. 

Fallon is a member-focused organization. Our goal is to make sure our members have access to the right care, at the right place and the right time. This is reflected in our mission statement—improving health and inspiring hope—which guides every decision we make.

It’s why our products have such comprehensive benefits, ranging from dental and fitness extras to mail-order pharmacy and telehealth options—as well as our Benefit Bank card and our Healthy Food and Save Now programs. It’s why all our NaviCare^® plans and many of our Fallon Medicare Plus™ plans have Navigators. They act as advocates for our members, helping them to understand their benefits, get connected with the right social and medical resources, and complete helpful health assessments. 

We believe in care that goes far beyond just health care. We believe in care that empowers people to live better. This is what sets Fallon apart—and it’s why our members trust us. 

Thank you for taking the time to read this care-focused edition of the Broker Bulletin. I hope you find it helpful. If you have any questions, please reach out to our Fallon Medicare Broker team.

Sincerely,

David Brumley, M.D.

Senior Vice President and Chief Medical Officer

Medical emergencies can happen anywhere, anytime—and Fallon Health has its members covered. Our Fallon Medicare Plus Medicare Advantage plans, as well as our NaviCare SCO and HMO SNP programs cover emergencies, urgent care, and ambulance services anywhere in the world. Because at Fallon every member matters and no member is left behind, no matter where they are.

At Fallon, we want to make sure our members are healthy and well. Through our telehealth benefit, Teladoc, Fallon members have access to board-certified U.S. doctors by phone or video chat any time of day or night, 365 days a year. These doctors can diagnose, treat, and prescribe medication for non-emergent conditions, such as the flu, sore throat, eye infection, bronchitis, and much more. 

It’s best if members set up their Teladoc account in advance, so it will be ready the first time they need it. And depending on the plan or the service, some members may have a copay. For more information, members can call the number on the back of their member ID card or visit https://member.teladoc.com/fallon.

And remember: If Fallon members prefer to use telehealth options with their network providers, it’s covered.

After a stay in a hospital, skilled nursing facility, or rehabilitation facility, Fallon members may be able to join Fallon’s Safe Transitions Program. 

With Safe Transitions, a Fallon pharmacist may contact members to ensure they are transitioning safely and review any new medications they may have been prescribed. Joining the program can help members:

• Prevent another trip to the hospital or emergency room
• Make sure they’re not taking outdated or inappropriate medications
• Take control of their medication regimen
• Improve management of their medical condition(s)
• Get on the road to recovery in a safe, healthy way

For more information, call Fallon’s Safe Transitions Program at 1-800-333-2535 ext. 69689, Monday through Friday from 8:30 a.m. to 5:00 p.m.

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. 

Our easy-to-reach Broker Relations team is available to you at every stage of the sales process. We provide you with personalized support over the phone.