Medicare contract · plan years 2026 and 2027CMS landscape and crosswalk
Fallon Community Health Plan (H9001)
H9001Contract
A company of Fallon Community Health Plan, Inc., sold as Fallon Health
4 plans in 2027 (4 in 2026) · 11,131 members in September 2026
Fallon Community Health Plan is the Fallon Community Health Plan, Inc. company that holds Medicare contract H9001, sold as Fallon Health. In 2027 it offers 4 plans (4 in 2026); every one of its 2026 plans continues in 2027. 11,131 people were in its plans in September 2026.
What plans does H9001 offer for 2027?
| Plan | Type | Monthly premium | Out-of-pocket limit | Area | For 2027 |
|---|---|---|---|---|---|
| Fallon Medicare Plus GreenH9001-030 | HMO | $72 to $105 | $6,000 | 10 counties | renews in fewer counties |
| Fallon Medicare Plus BlueH9001-031 | HMO | $117 to $217 | $3,400 | 12 counties | renews |
| Fallon Medicare Plus Saver No RxH9001-039 | HMO | $0 | $6,700 | 12 counties | renews |
| Fallon Medicare Plus OrangeH9001-041 | HMO | $0 | $9,850 | 10 counties | renews in fewer counties |
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).
Which employer and union group plans does it hold?
H9001 also holds 1 group plan offered through former employers and unions, with 637 members in September 2026 (plans with fewer than 11 not counted). They are not sold to individuals, so the landscape files list no premiums or benefits for them; the employer or union sends their 2027 terms.
| Plan ID | Plan name | Members, Sept. 2026 | 2027 |
|---|---|---|---|
| H9001-803 | MA-PD Calendar Year | 637 | renews |
Source: CMS monthly enrollment by plan and by county, September 2026 (CMS hides counts under 11); 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 41 rated measures, the lowest and the highest:
| Lowest-rated measures | Stars |
|---|---|
| Monitoring Physical Activity | 2 |
| Special Needs Plan (SNP) Care Management | 2 |
| Improving Bladder Control | 2 |
| Call Center – Foreign Language Interpreter and TTY Availability | 2 |
| Highest-rated measures | Stars |
|---|---|
| Medication Adherence for Diabetes Medications | 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