Fallon Medicare Plus Saver No Rx (HMO) in Franklin County, Massachusetts — 2026 plan details

Last updated Jul 18, 2026

Reviewed by Jason Burns, Editorial Steward

Published by Senior Direct Answers · Licensed under Citation License 1.0

Fallon Medicare Plus Saver No Rx (HMO) (H9001-039) is a $0-premium Medicare Advantage HMO from Fallon Community Health Plan, Inc. available in Franklin County, Massachusetts in 2026, with a 4.0-star overall rating, a $6,700 in-network out-of-pocket maximum, and a $0 annual Part D drug deductible.

Plan facts (CMS CY2026 Landscape file)

OrganizationFallon Community Health Plan, Inc.
Plan nameFallon Medicare Plus Saver No Rx (HMO)
Contract IDH9001
Plan ID039
Segment ID0
Contract year2026
Contract categoryMA
Plan typeHMO
SNPNo
Monthly consolidated premium
Part C premium$0.00
Part D basic premium
Part D total premium
Annual Part D deductible
Maximum out-of-pocket (in-network)$6700.00
Overall star rating4.0

How this plan is structured

  • $0 consolidated premium. A $0 or near-$0 consolidated premium does not remove the Part B premium — the standard 2026 Part B premium is $202.90 per month and still applies. See the 2026 Medicare Part B premium.
  • HMO plan type. In an HMO-style Medicare Advantage plan, in-network care and primary-care referral rules generally apply. See how Medicare Advantage HMO and PPO plans differ.
  • $6,700 in-network out-of-pocket maximum. The MOOP is the annual cap on what a member pays in-network for covered Part A and Part B services. See how the Medicare Advantage MOOP works.
  • Service area = Franklin County. Medicare Advantage plans are sold by service area; moving out of the plan's service area triggers a Special Enrollment Period to switch plans. See how moving changes your Medicare options.

How it compares in Franklin County

The CMS CY2026 Landscape file lists 25 Medicare Advantage plans in Franklin County, Massachusetts, of which 0 carry a 5.0-star overall rating and 10 have a $0 consolidated monthly premium. Consolidated premiums range from $0.00 to $300.00 per month, and in-network out-of-pocket maximums range from $3400.00 to $9250.00.

For the full county plan directory, see all Medicare plans in Franklin County, Massachusetts.

How to verify your doctors take this plan

Network participation changes throughout the year; we hold no provider-network data, so verify directly with these three sources before you decide:

  1. Open the plan's official Medicare.gov page and use its provider-directory link: Medicare.gov Plan Finder — H9001-039.
  2. Call the plan (Fallon Community Health Plan, Inc.) using the member-services number listed on that plan page and ask whether each doctor, hospital, and pharmacy is in-network for 2026.
  3. Get free, unbiased help from your State Health Insurance Assistance Program (SHIP) — see free unbiased Medicare help from SHIP.

What H9001-039 means

CMS assigns every Medicare Advantage and Part D offering a plan identifier made of three parts. In H9001-039, the leading H marks the contract type (H = Medicare Advantage / Part C contract), the four digits 9001 are the contract number issued to the organization, and the three-digit 039 is the plan benefit package under that contract. The segment ID 0 identifies the service-area segment within the plan (0 = the default single segment).

Frequently asked questions

Is Fallon Medicare Plus Saver No Rx (HMO) an HMO or PPO?

Fallon Medicare Plus Saver No Rx (HMO) is an HMO — a Health Maintenance Organization-style Medicare Advantage plan, meaning in-network care and referral rules generally apply.

Does Fallon Medicare Plus Saver No Rx (HMO) include prescription drug coverage?

Fallon Medicare Plus Saver No Rx (HMO) does not include Part D prescription drug coverage in its consolidated benefits.

What is the maximum out-of-pocket cost for Fallon Medicare Plus Saver No Rx (HMO)?

The 2026 in-network maximum out-of-pocket limit for Fallon Medicare Plus Saver No Rx (HMO) is $6700.00, per the CMS CY2026 Landscape file.

What counties offer Fallon Medicare Plus Saver No Rx (HMO) (H9001-039)?

Fallon Medicare Plus Saver No Rx (HMO) (H9001-039) is offered in twelve Massachusetts counties: Barnstable County, Berkshire County, Bristol County, Essex County, Franklin County, Hampden County, Hampshire County, Middlesex County, Norfolk County, Plymouth County, Suffolk County, and Worcester County.

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