Coordinated, personalized and affordable health care

Fallon Health Weinberg-HMO SNP is a Medicare Advantage Special Needs Plan that gives you all Medicare benefits (including Medicare Part D), plus more benefits not covered by Medicare. The goal of our plan is to help you stay healthy and continue living safely at home in the community, through the coordination of your Care Team.

Your Care Team:

  • Includes health care professionals who work together to monitor your health and coordinate your care
  • Coordinates medical care with long-term care—it's what you deserve and what we do 
  • Connects your post-hospital care with our home care including pharmacy and skilled nursing support—no missing steps while helping to reduce your risk for readmission
  • Includes a Navigator, who is your single person to contact at the plan about any of your services or health issues—convenient, fast and simple

Who is eligible?

To be eligible to join Fallon Health Weinberg-HMO SNP, you must:

  • Be 21 years of age and older
  • Have Medicare Parts A and B
  • Have full New York State Medicaid benefits
  • Live in the service area
  • Not be diagnosed with End-Stage Renal Disease (ESRD) at the time of enrollment

Fallon Health Weinberg-HMO SNP can be a good fit for people who:

  • Will appreciate the convenience of having all their care coordinated through a single Care Team
  • Have or are willing to change to a Primary Care Provider in the Fallon Health Weinberg-HMO SNP network

Supplemental benefits of Fallon Health Weinberg-HMO SNP

  • NEW FOR 2017 Pre-paid savings card that you can use to buy certain over-the-counter items at no cost
  • NEW FOR 2017 24 hour/7 day-a-week access to a doctor by phone, internet or mobile app
  • Podiatry services
  • Re-admission prevention
  • Post-discharge medication reconciliation
  • Bathroom safety devices
  • Smoking/tobacco cessation
  • Non-emergency transportation
  • Vision services
  • SilverSneakers® Fitness program
  • And more

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. SilverSneakers® is a registered trademark of Healthways, Inc.


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