2018 Fallon Senior Plan Saver (HMO) H9001-29-5 in MA from Fallon Community Health Plan | HealthPocket

Fallon Senior Saver (HMO)

Medicare Advantage Plan for Massachusetts

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PARTC

Plan Summary

Insurance TypeMedicare Advantage Plan (Part C)
Insurance ProviderFallon Community Health Plan
Plan IDH9001-29-5
CMS Rating1
Plan TypeHMO
Annual Deductible$0.00

What To Know About This Plan

  • This is a health coverage only plan with no drug coverage

Plan Details

Costs and Other Important Information

Plan Year:2018
Prescription Drugs Covered?Yes
Health Plan Deductible$0
Monthly Drug Plan Premium$0
Monthly Health Plan Premium$17

Coverage Area for Fallon Senior Saver (HMO)

StateMassachusetts
CountySuffolk

CMS Ratings

Staying healthy - screenings, tests and vaccines

Breast cancer screening
Colorectal cancer screening
Annual flu vaccine
Improving or maintaining physical health
Improving or maintaining mental health
Monitoring physical ability
Adult BMI assessment

Managing Chronic Conditions

Special needs plan care management
Care for older adults – medication review
Care for older adults – functional status assessment
Care for older adults – Pain screening
Osteoporosis management in women who had a fracture
Diabetes care – eye exam
Diabetes care – kidney disease monitoring
Diabetes care – blood sugar controlled
Controlling blood pressure
Rheumatoid arthritis management
Reducing the risk of falling
Plan all-cause readmissions

Member Experience with Health Plan

Getting needed care
Getting appointments and care quickly
Customer service
Overall rating of health care quality
Overall rating of plan
Care Coordination

Member Complaints, and Changes in Health Plan's Performance

Complaints about the health plan
Members choosing to leave the health plan
Beneficiary access and performance problems
Health plan quality improvement

Health Plan Customer Service

Plan makes timely decision about appeals
Reviewing appeals decisions
Call center – foreign language interpreter and TTY/TDD availability - Medical

Drug Plan Customer Service

Call center – foreign language interpreter and TTY/TDD availability - Drugs
Appeals auto-forward
Appeals upheld

Member Complaints, and Changes in Drug Plan's Performance

Complaints about the drug plan
Members choosing to leave the drug plan
Beneficiary access and performance problems
Drug plan quality improvement

Member Experience with Drug Plan

Rating of drug plan
Getting needed prescription drugs

Drug Pricing and Patient Safety

MPF Price Accuracy
High risk medication
Part D medication adherence for diabetes
Part D medication adherence for hypertension
Part D medication adherence for cholesterol
Medication Therapy Management program completion rate

Physician Finder

Physicians that accept Fallon Senior Saver (HMO) for Massachusetts

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HAZARIKA, RAJNEESH
10 GOVE ST
EAST BOSTON, MA 02128
BRAVO, KEVIN
151 EVERETT AVE
CHELSEA, MA 02150
BALSAMO, ANGELO
778 BROADWAY
CHELSEA, MA 02150
REISMAN, JERALD
151 EVERETT AVE
CHELSEA, MA 02150
EISENBERG, DAVID
111 EVERETT AVE
CHELSEA, MA 02150
VAID, KULDIP
454 BROADWAY STE 106
REVERE, MA 02151
CHUA, JANET
280 BEACH ST
REVERE, MA 02151
FIRER, LEONARD
280 BEACH ST
REVERE, MA 02151
SMIKLE, YVONNE
425 REVERE ST
REVERE, MA 02151
GUGINO, LAVERNE
119 SUMMIT AVE
WINTHROP, MA 02152
SOTREL, GINTER
147 MILK ST
BOSTON, MA 02109
YEE, JOHN
596 BROADWAY
EVERETT, MA 02149
GOUDIE, JAMES
103 GARLAND ST
EVERETT, MA 02149
GAONKAR, SAMEER
103 GARLAND ST
EVERETT, MA 02149
ZELLER, JULIE
103 GARLAND ST
EVERETT, MA 02149
CHEN, PHYLLIS
EMERGENCY DEPT., WHIDDEN MEMORIAL HOSPITAL
EVERETT, MA 02149
BAJIC, SIBINKA
75 FRANCES ST
BOSTON, MA 02211
SPRAGUE, KELLIE
PRATT MEDICAL GROUP
BOSTON, MA 02211
ELAINI, AHMED
55 FRUIT STREET
BOSTON, MA 02114
ACKMAN, JEANNE
55 FRUIT ST
BOSTON, MA 02114
MAVROPOULOS, ANGELINA
MASSACHUSETTS GENERAL HOSPITAL
BOSTON, MA 02114
METSON, RALPH
0 EMERSON PL
BOSTON, MA 02114
MACHINENI, SRIRAM
50 STANIFORD ST
BOSTON, MA 02114
MEYER, LINNEA
30 LANCASTER ST STE 100
BOSTON, MA 02114
CROS, DIDIER
1 HAWTHORNE PLACE
BOSTON, MA 02114
Details
RAJNEESH HAZARIKA, M.D.
Phone Number
(617) 569-5800
Office Locations
10 GOVE ST
EAST BOSTON, MA 02128
10 GOVE ST EAST BOSTON MA, 02128

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