Request a Provider Directory, Pharmacy Directory, Formulary (List of Covered Drugs), or Evidence of Coverage (including the Dental Addendum, if applicable, and List of Covered Hearing Aids)

To get a Provider Directory, a Pharmacy Directory, a Formulary (List of Covered Drugs), or an Evidence of Coverage (including the Dental Addendum, if applicable, and List of Covered Hearing Aids) mailed to you, please complete the form below. You can submit the form multiple times to request more than one document.

* Indicates a required field.

Prefix

First name

Last name

Street 1

Street 2

City

State

ZIP code

Email address

Please choose which document you'd like to receive:

Call us toll-free at 1-888-340-5504 (TRS 711), 8 a.m.–8 p.m., seven days a week
(Apr.–Sept., we are available 8 a.m.–8 p.m., Mon.–Fri.)

H9001_240093_C | The information on this page was last updated on 10/1/2023.

Medicare Part D information

For Medicare-eligibles who get health insurance through an employer

Retiree and Medicare group plans

For employers looking for Medicare plan information

Retiree and Medicare solutions

Quick links (These links take you away from the Fallon Medicare Plus website.)

One Chestnut Place, 10 Chestnut Street, Worcester, MA 01608
1-888-340-5504 (TRS 711) | MedicareSalesOperations@fallonhealth.org

Multi-language Interpreter Services (H9001_221329_C, pdf)
Notice of inclusion resources (pdf)

For information in other languages:

English	Tiếng Việt	Français	Polskie
Español	Pусский	Italiano	हिंदी
Português	العربية	한국어	ગુજરાતી
中文	ភាសាខ្មែរ	ελληνικά	ລາວ

Anonymous Compliance Hotline: Call our Compliance Hotline to report any concerns you may have regarding compliance, fraud, waste or abuse. You can call the Hotline 24 hours a day, seven days a week. All calls are anonymous and confidential.