Doctors and network

You must use the providers in the Fallon Health Weinberg-HMO SNP network. If you need urgent or emergency care or out-of-area dialysis services, you can use providers outside of the plan.  

Find a Doctor

Are you looking for a doctor, hospital, pharmacy, or other community service providers in the Fallon Health Weinberg-HMO SNP network?

The online Find a Doctor tool lets you search for doctors, hospitals and community services. It helps you to select the right provider for you. It will also give you additional details about their location, languages and training.

Find a doctor online 
- or -
Download the Fallon Health Weinberg-HMO SNP Provider and Pharmacy Directory (H2470_W_2017_26_r1_NM, pdf)

This directory provides a list of the Fallon Health Weinberg-HMO SNP network plan providers. This directory is current as of October 19, 2017. Some plan providers may have been added or removed from the list after the directory was created.

If you would like a Provider and Pharmacy Directory mailed to you, please complete our online form.

Provider information

Fallon Health Weinberg-HMO SNP follows national rules when we choose our doctors. This page shows the information we check about a doctor.

Learn more about provider information ►

Behavioral health providers

Search for a behavioral health provider ►
(This link takes you away from the Fallon Health Weinberg-HMO SNP website.)

How to get care from out-of-network providers

You may get services from out-of-network providers when providers of specialized services are not available in network. For services to be covered from an out-of-network provider, your in-network provider (usually your primary care provider) must request prior authorization (approval in advance) from Fallon Health Weinberg. Fallon Health Weinberg’s Utilization Management Program staff will review the prior authorization request. This team is trained to understand the specialist’s area of expertise and will determine if that service is available within Fallon Health Weinberg-HMO SNP's network of specialists.

If the service is not available within your plan’s network, your request will be approved. There may be certain limitations to the approval, such as just one initial consultation visit or a specified type or amount of services.



Fallon Health Weinberg is an HMO plan with a Medicare contract and a coordination of benefits agreement with the New York State Department of Health. Enrollment in Fallon Health Weinberg depends on contract renewal. Fallon Health Weinberg-HMO SNP is available to anyone age 21 and older who has Medicare Parts A & B, full Medicaid benefits and lives in the service area. This information is not a complete description of benefits. Contact the plan for more information. Limitations, copayments, and restrictions may apply. Benefits may change on January 1 of each year. The provider network may change at any time. You will receive notice when necessary.

To view the PDF files above, you may need to download a free copy of Adobe® Acrobat Reader software on your computer. (This link takes you away from the Fallon Health Weinberg website.) Adobe® is a registered trademark of Adobe Systems Incorporated.

H2470_W_2017_7 Approved 10182016
The information on this page was last updated on 10/1/2017.

Find a doctor

Looking for a doctor? Need to see if your current doctor is in our network?

Search online

Download the Provider and Pharmacy Directory (H2470_W_2017_26_r1_NM, pdf)

Contact us

Information before enrolling:
1-855-561-7248 (TTY 711)
8 a.m.–8 p.m., Monday–Friday
(Oct. 1–Feb. 14, seven days a week)

Customer Service:
1-855-561-7247 (TTY 711)
8 a.m.–8 p.m., Monday–Friday
(Oct. 1–Feb. 14, seven days a week)

Find a doctor

Are you looking for a doctor, hospital, pharmacy, or other community service providers?

Find a doctor online ► or
Download the whole Fallon Health Weinberg-HMO SNP Provider and Pharmacy Directory (H2470_W_2017_26_r1_NM, pdf)

Member information

2017 Summary of Benefits (H2470_W_2017_6_r1 Accepted 10152016) ►

2017 Evidence of Coverage (H2470_W_2017_1 Accepted 09122016, pdf) ►

About the Medication Therapy Management Program

Covered medications

Find a doctor