IMPORTANT INFORMATION ABOUT CORONAVIRUS

This section gives you tools and resources to help you get the most out of your health insurance benefits.

Shop and compare health care costs

Fallon SmartShopper gives you real-time health care cost comparisons AND incentive rewards*! Now you can shop for the right health care providers for you based on cost and location.

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MyFallon online tools

Search for and view your claims, view your specific benefit info, print a temporary ID card and more!

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My Healthy Health Plan

My Healthy Health Plan is a web-based program with tools to help you meet your health and wellness goals. 

Healthy Communities
Our member magazine with information about your health and health insurance

Cost information
As health care evolves and costs continue to rise, you are being asked to share more of the expense. Learn more about health care costs and what you may be responsible for paying.

Fallon Member ID Card mobile app  
Download our app for iOS and Android devices to get your ID card on-the-go.  

Four quick facts about your commercial behavioral health benefits

1. You do not ever need prior authorization to be admitted as an inpatient to a facility from a licensed emergency department to receive behavioral health care.
2. You no longer need to obtain prior authorization after receiving 8 routine behavioral health care visits.
3. The following outpatient behavioral health services require prior authorization:  

• Psychological and neuropsychological Testing
• Transcranial Magnetic Stimulation (TMS)
• Electroconvulsive Therapy (ECT)

4. In accordance with Massachusetts state law we do not require prior authorization for substance use disorder services if the provider is certified or licensed by the Department of Public Health (DPH).  In addition prior authorization and medical necessity review is not required for Acute Treatment Services and Clinical Stabilization Services for up to 14 consecutive days. 

* The Fallon SmartShopper cost transparency tool is available to all Fallon Commercial members. Eligibility for the incentive rewards varies by employer, plan and product.