Fallon Health

Fallon Health is a not-for-profit health care services organization based in Worcester, Massachusetts. It is dedicated to improving health and inspiring hope for its members.

Established in 1977, Fallon Health has a longstanding commitment to providing high-quality, affordable health care services to diverse communities.

As both an insurer and a provider of care, Fallon Health offers a comprehensive range of health insurance products and services. Their offerings include Health Maintenance Organization (HMO), Point of Service (POS), and Preferred Provider Organization (PPO) plans.

They also provide Medicaid and Medicare Advantage plans, along with specialized programs such as the Program of All-Inclusive Care for the Elderly (PACE), known as Summit ElderCare®, and a Medicare Advantage Special Needs Plan/Senior Care Options program called NaviCare.

In 2021, Fallon Health announced a strategic shift to focus predominantly on government-sponsored health insurance programs. These include Medicare Advantage, Senior Care Options (SCO), MassHealth Accountable Care Organization (ACO) Partnership Plans, and PACE.

This decision aligns with their mission to serve older adults and lower-income individuals, addressing barriers to affordability, access, and equity in health care.

Locations

Fallon Health operates several Summit ElderCare centers across Massachusetts, providing comprehensive care for older adults. The centers are located in:

• Worcester, MA
• Leominster, MA
• Lowell, MA
• Springfield, MA
• Webster, MA

Additionally, headquarters and offices are located in Springfield and Worcester, Massachusetts.

Company Size and Mission

With a team of over 1,000 employees, Fallon Health is committed to delivering outstanding service and quality in all aspects of their operations.

Their mission-driven approach ensures that members receive personalized care and support tailored to their unique needs.