Medicare contract · plan years 2026 and 2027CMS landscape and crosswalk
Fallon Community Health Plan (H8928)
H8928Contract
A company of Fallon Community Health Plan, Inc., sold as Fallon Health
2 plans in 2027 (1 in 2026) · 10,114 members in September 2026
Fallon Community Health Plan is the Fallon Community Health Plan, Inc. company that holds Medicare contract H8928, sold as Fallon Health. In 2027 it offers 2 plans (1 in 2026); every one of its 2026 plans continues in 2027. 10,114 people were in its plans in September 2026.
What plans does H8928 offer for 2027?
| Plan | Type | Monthly premium | Out-of-pocket limit | Area | For 2027 |
|---|---|---|---|---|---|
| NaviCare NHCH8928-001 | HMO D-SNP | $25.20 | $9,850 | 12 counties | renews |
| NaviCareH8928-002 | HMO D-SNP | $22.70 | $9,850 | 12 counties | takes in other plans |
Source: CMS Medicare Advantage and Part D landscape files for 2027 (Sept. 22, 2026, revised Sept. 30) and 2026 (Sept. 2, 2026 revision); CMS plan crosswalk from 2026 to 2027 (Oct. 1, 2026).
How did CMS rate it for 2026?
The overall rating is 4 of 5 (health plan 4 of 5, drug plan 4 of 5). Of its 42 rated measures, the lowest and the highest:
| Lowest-rated measures | Stars |
|---|---|
| Getting Appointments and Care Quickly | 2 |
| Customer Service | 2 |
| Call Center – Foreign Language Interpreter and TTY Availability | 2 |
| Colorectal Cancer Screening | 3 |
| Highest-rated measures | Stars |
|---|---|
| Getting Needed Prescription Drugs | 5 |
| Drug Plan Quality Improvement | 5 |
| Members Choosing to Leave the Plan | 5 |
| Reviewing Appeals Decisions | 5 |
Source: CMS Part C and D Star Ratings data tables, 2026 (October 2025).
What else should you check?
- All Fallon Health plansEvery contract of the brand
- Star ratings of every contractThe 2026 ratings, and 2027 when CMS publishes them
- Find a plan by its IDFrom the card or a letter