PARTCRX

Plan Summary

Insurance Type
Medicare Advantage Plan (Part C w/ RX)
Insurance Provider
Fallon Community Health Plan
CMS Rating
Not Rated
Plan Type
Medicare-Medicaid Plan
Annual Deductible
$0.00

What To Know About This Plan

  • This plan has health and drug coverage

Why We Like This Plan

  • has both Health and Drug Coverage
  • has no additional premium costs outside of your Medicare Part B premium

Cost Sharing Information

Prescription Drug Copay/Coninsurance Details - Initial Coverage Limit

30 Day SupplyPreferred Retail PharmaciesNon-Preferred Retail PharmaciesMail-Order Pharmacies
Tier 1: Preferred Generic0% coinsuranceNot offered0% coinsurance
Tier 2: Non-Preferred Generic0% coinsuranceNot offered0% coinsurance
Tier 3: Preferred Brand Name0% coinsuranceNot offered0% coinsurance
Tier 4: Non-Preferred Brand Name
Tier 5: Specialty Tier
90 Day SupplyPreferred Retail PharmaciesNon-Preferred Retail PharmaciesMail-Order Pharmacies
Tier 1: Preferred Generic0% coinsuranceNot offered0% coinsurance
Tier 2: Non-Preferred Generic0% coinsuranceNot offered0% coinsurance
Tier 3: Preferred Brand Name0% coinsuranceNot offered0% coinsurance
Tier 4: Non-Preferred Brand Name
Tier 5: Specialty Tier

CMS Ratings

Staying healthy - screenings, tests and vaccines

Breast cancer screening
Not Rated
Colorectal cancer screening
Not Rated
Cholesterol screening for patients with heart disease
Not Rated
Glaucoma testing
Not Rated
Annual flu vaccine
Not Rated
Pneumonia vaccine
Not Rated
Improving or maintaining physical health
Not Rated
Improving or maintaining mental health
Not Rated
Monitoring physical ability
Not Rated
Access to primary care doctor visits
Not Rated
Adult BMI assessment
Not Rated

Managing Chronic Conditions

Care for older adults – medication review
Not Rated
Care for older adults – functional status assessment
Not Rated
Care for older adults – Pain screening
Not Rated
Osteoporosis management in women who had a fracture
Not Rated
Diabetes care – eye exam
Not Rated
Diabetes care – kidney disease monitoring
Not Rated
Diabetes care – blood sugar controlled
Not Rated
Diabetes care – cholesterol controlled
Not Rated
Controlling blood pressure
Not Rated
Rheumatoid arthritis management
Not Rated
Improving bladder control
Not Rated
Reducing the risk of falling
Not Rated
Plan all-cause readmissions
Not Rated

Ratings of Plan Responsiveness and Care

Getting needed care
Not Rated
Getting appointments and care quickly
Not Rated
Customer service
Not Rated
Overall rating of health care quality
Not Rated
Overall rating of plan
Not Rated

Member Complaints, Problems Getting Services, and Choosing to Leave the Plan

Complaints about the health plan
Not Rated
Beneficiary access and performance problems
Not Rated
Members choosing to leave the plan
Not Rated
Plan makes timely decision about appeals
Not Rated
Reviewing appeals decisions
Not Rated
Call center – foreign language interpreter and TTY/TDD availability
Not Rated

Physician Finder

Physicians that accept Fallon Total Care (Medicare-Medicaid ) for Massachusetts

/
BALSAMO, ANGELO
778 BROADWAY
CHELSEA, MA 02150
VAID, KULDIP
300 BROADWAY
REVERE, MA 02151
SOTREL, GINTER
147 MILK ST
BOSTON, MA 02109
CHEN, PHYLLIS
EMERGENCY DEPT., WHIDDEN MEMORIAL HOSPITAL
EVERETT, MA 02149
ZELLER, JULIE
103 GARLAND ST
EVERETT, MA 02149
GAONKAR, SAMEER
103 GARLAND ST
EVERETT, MA 02149
GOUDIE, JAMES
103 GARLAND ST
EVERETT, MA 02149
SPRAGUE, KELLIE
PRATT MEDICAL GROUP
BOSTON, MA 02211
BAJIC, SIBINKA
75 FRANCES ST
BOSTON, MA 02211
WILKING, SPENCER
100 CHARLES RIVER PLAZA
BOSTON, MA 02114
ELAINI, AHMED
55 FRUIT STREET
BOSTON, MA 02114
LABY, DANIEL
243 CHARLES ST
BOSTON, MA 02114
MCLAUGHLIN, MARGARET
3 ELLSWORTH PARK
CAMBRIDGE, MA 02139
ACKMAN, JEANNE
55 FRUIT ST
BOSTON, MA 02114
STEWART, BRUCE
55 FRUIT ST FND 216
BOSTON, MA 02114
RUSSELL, ROGER
243 CHARLES STREET
BOSTON, MA 02114
PREIS, ORI
55 FRUIT ST
BOSTON, MA 02114
STEUDEL, WOLFGANG
55 FRUIT STREET
BOSTON, MA 02114
MAVROPOULOS, ANGELINA
MASSACHUSETTS GENERAL HOSPITAL
BOSTON, MA 02114
VACANTI, JOSHUA
MASSACHUSETTS GENERAL HOSPITAL
BOSTON, MA 02114
WALTON, DAVID
2 LONGFELLOW PLACE
BOSTON, MA 02114
SAPERIA, GORDON
750 WASHINGTON ST
BOSTON, MA 02111
DAMBROSIO, CAROLYN
750 WASHINGTON ST
BOSTON, MA 02111
RABINOVICI, REUVEN
750 WASHINGTON ST
BOSTON, MA 02111
MARTURANO, CINTHYA
750 WASHINGTON ST
BOSTON, MA 02111
Details
ANGELO BALSAMO, P.T.
Phone Number
(617) 884-9092
Office Locations
778 BROADWAY
CHELSEA, MA 02150
778 BROADWAY CHELSEA MA, 02150

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