Plan year 2027 · Medicare AdvantageCMS files of Sept. 22 and Oct. 1, 2026
Fallon Medicare Plus Saver No Rx, 2027
H9001Contract039Plan
HMO · 12 counties in Massachusetts
Run by Fallon Community Health Plan (contract H9001), sold as Fallon Health, owned by Fallon Community Health Plan, Inc.
Fallon Medicare Plus Saver No Rx (H9001-039) costs $0 a month in 2027, the same as in 2026, with an in-network out-of-pocket limit of $6,700.
What changes from 2026 to 2027?
| What you pay or get | 2026 | 2027 | Change |
|---|---|---|---|
| Skilled nursing facility, in network | $0 a day for days 1–20, then $203 a day for days 21–100 | $0 a day for days 1–20, then $185 a day for days 21–100 | ▼down $180for a 30-day stay |
| Over-the-counter items, yearly | $175 a year | $250 a year | ▲up $75 |
| 13 lines do not change | |||
| Monthly premium | $0 | $0 | no change |
| In-network out-of-pocket limit | $6,700 | $6,700 | no change |
| Part B premium reduction, monthly | $75 | $75 | no change |
| Primary care visit | $0 copay | $0 copay | no change |
| Specialist visit | $20 copay | $20 copay | no change |
| Emergency room | $90 copay | $90 copay | no change |
| Medical deductible, in network | none | none | no change |
| Hospital stay, in network | $315 a day for days 1–5, then $0 a day for days 6–90 | $315 a day for days 1–5, then $0 a day for days 6–90 | no change |
| Ground ambulance, in network | $250 copay | $250 copay | no change |
| Comprehensive dental, yearly limit | not offered | not offered | no change |
| Eyewear, yearly limit | $150 a year | $150 a year | no change |
| Hearing aids, yearly limit for both ears | not offered | not offered | no change |
| Counties served | 12 | 12 | no change |
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 benefit package files, 2027 and 2026; CMS plan crosswalk from 2026 to 2027 (Oct. 1, 2026). Plan details can change during the year; confirm on Medicare Plan Finder.
How does it compare with plans sold where it is?
In the counties it serves, 58 plans open to everyone are sold for 2027, this one included. Against the others, 31 plans have a lower out-of-pocket limit, 26 a higher one. On the premium, 23 the same, 34 a higher one.
Out-of-pocket limits of the 58 plans open to everyone
Source: CMS Medicare Advantage and Part D landscape files for 2027 (Sept. 22, 2026, revised Sept. 30) and 2026 (Sept. 2, 2026 revision).
Where is it sold, and what does it cost there?
The premium and the out-of-pocket limit are the same in all 12 counties: $0 a month and $6,700.
Massachusetts
Source: CMS Medicare Advantage and Part D landscape files for 2027 (Sept. 22, 2026, revised Sept. 30) and 2026 (Sept. 2, 2026 revision).
Who runs this plan?
- Plan ID
- H9001-039
- Legal name of the contract
- Fallon Community Health Plan
- Sold as
- Fallon Health
- Parent company
- Fallon Community Health Plan, Inc.
- Plan type
- HMO
- 2026 star rating of the contract
- 4 of 5 overall; health plan 4 of 5, drug plan 4 of 5
- Members, September 2026
- 119
- Plan website, as filed with CMS
- fallonhealth.org/medicare
Source: CMS Medicare Advantage and Part D landscape files for 2027 (Sept. 22, 2026, revised Sept. 30) and 2026 (Sept. 2, 2026 revision); CMS 2026 Star Ratings (October 2025); CMS monthly enrollment by plan and by county, September 2026 (CMS hides counts under 11). CMS publishes the 2027 Star Ratings in October 2026.
What else should you check?
- Other 2027 plans in Worcester, MAWhere most of its members live; premiums and limits side by side
- Every Fallon Health plan for 2027Its contracts, counties and plans that end
- The other 3 plans of contract H9001Same company, same contract
- Is your prescription covered?Coverage share and tier for 2,259 drugs
Data, not advice. These are the plan's filed amounts, not a quote for you; confirm on Medicare Plan Finder or call the plan before you enroll.