Select your County to view details for Fallon Medicare Plus Blue (HMO) specific to your location


Overview of Fallon Medicare Plus Blue (HMO) in Massachusetts

by Fallon Health

Additional Coverage

HearingVisionDental

Overall Government Star Rating

 4.0
out of 5 stars

Variations of Fallon Medicare Plus Blue (HMO) Within Massachusetts

Fallon Medicare Plus Blue (HMO) is available in 12 Massachusetts Counties. Pricing and benefit details can vary by location. Each variation of Fallon Medicare Plus Blue (HMO) has a unique Plan ID and benefits which can differ by monthly premium, deductible, out-of-pocket maximum, and other costs such as copays and coinsurance. Each variation of Fallon Medicare Plus Blue (HMO) in Massachusetts is listed below:

Monthly Premium
$197 per month
Deductible
$0
Out-of-Pocket Max
$3,400 In-network

Available in Counties: Worcester
Monthly Premium
$101 per month
Deductible
$0
Out-of-Pocket Max
$3,400 In-network

Available in Counties: Franklin, Hampden, Hampshire
Monthly Premium
$164 per month
Deductible
$0
Out-of-Pocket Max
$3,400 In-network

Available in Counties: Barnstable, Berkshire, Bristol, Essex, Middlesex, Norfolk, Plymouth, Suffolk

Each year the federal government evaluates the quality of Medicare Advantage and Part D Prescription Drug plans based on a 5-star scoring system. For 2025, Fallon Medicare Plus Blue (HMO) received an overall government quality rating of 4.0 stars out of 5 stars.

Fallon Medicare Plus Blue (HMO) performed better than Massachusetts’s State average overall quality score of 3.8 stars.

This Plan’s 5-star Gov’t Quality Score
Massachusetts State Average Score
Overall Government 5 Star Quality Rating
 4.0
 3.8
Summary rating of health plan quality
 4
 3.8
Staying healthy: screenings, tests, & vaccines
 4
 4.3
Managing chronic (long term) conditions
 3
 3.4
Member experience with health plan
 4
 3.6
Member complaints & changes in the health plan's performance
 4
 4.5
Health plan customer service
 4
 4.0
Summary rating of drug plan quality
 4.5
 3.9
Drug plan customer service
 4
 3.9
Member complaints & changes in the drug plan's performance
 4
 4.3
Member experience with the drug plan
 4
 3.5
Drug safety & accuracy of drug pricing
 4
 3.6

The government calculates an “Overall star rating” based on ratings for sub components including “Health plan star rating” and “Drug plan star rating”, which includes further subcomponents of each.

Fallon Medicare Plus Blue (HMO) received 4 stars for its health plan quality score which is better than the Massachusetts State average health plan quality score of 3.8 stars.

Fallon Medicare Plus Blue (HMO) received 4.5 stars for its drug plan quality score which is better than the Massachusetts State average drug plan quality score of 3.9 stars.


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