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Fallon Community Health Plan announces new agreement with Holyoke Medical Center

Care to be provided to members of FCHP’s NaviCare® HMO SNP

Worcester, Mass., December 27, 2011—Fallon Community Health Plan (FCHP), a nationally-recognized, not-for-profit health care services organization, announced today a new agreement with Holyoke Medical Center, a member of Valley Health Systems.

Effective January 1, 2012, Holyoke Medical Center will provide inpatient and outpatient services to members of FCHP’s Medicare Advantage Special Needs Plan, NaviCare® HMO SNP and NaviCare SCO, a Senior Care Options program.

“Our new relationship with Holyoke Medical Center is a significant milestone for us in our efforts to expand our NaviCare program into Western Massachusetts,” said Katherine H. Metzger, Executive Director, NaviCare. “We are very happy to work with such a highly regarded community medical center to offer the best possible services for our NaviCare members.”

Since 1893, Holyoke Medical Center has been providing personal, compassionate and superior health care to the people of its community. The medical center has approximately 1,200 employees and a medical staff comprised of more than 250 physicians.

“Holyoke Medical Center has had a strong relationship with Fallon Community Health Plan in the past, and we look forward to continuing to work with FCHP on this new product,” said Paul M. Silva, vice president of Finance at Holyoke Medical Center. “By participating with FCHP’s NaviCare provider network, it gives us an even greater opportunity to provide high-quality, coordinated health care to seniors in the community we serve—many of whom are among our state’s most vulnerable residents.”

NaviCare is a unique product for seniors that combines in one package all Medicare and MassHealth Standard benefits, services and items, as well as needed community-based home and personal care services such as adult day health, home-delivered meals or help with bathing and dressing needs. NaviCare is available to those residing in the service area that are age 65 and over who are enrolled in MassHealth Standard. In addition to currently being offered in Worcester County, NaviCare will also be available (for a January 1, 2012, effective date) to eligible seniors in Hampden County and portions of Franklin, Hampshire, Middlesex and Norfolk counties.

For those who qualify, NaviCare is available at a $0 premium with $0 copayments. Members receive high quality care through the program’s ability to combine health and social services. All health care is coordinated by a team of doctors, specialists, nurses, and social workers who work with each member to develop a plan of care specific to them.

For more information about FCHP’s NaviCare, visit www.navicare.org. For more information about Holyoke Medical Center, visit www.holyokehealth.com

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About Holyoke Medical Center

Holyoke Medical Center, a member of Valley Health Systems, Inc., is an acute care community hospital that provides inpatient medical, surgical, critical care, cardiac, obstetrical, psychiatric and oncology services, as well as an array of outpatient diagnostic and therapeutic services. In fiscal year 2010, the hospital had approximately 242,000 outpatient visits and nearly 42,500 emergency room visits. The Center’s service areas cover more than 516,000 residents in western Massachusetts, mostly from Holyoke, Chicopee, South Hadley, Granby, West Springfield, and Easthampton.

About Fallon Community Health Plan

Founded in 1977, Fallon Community Health Plan is a nationally recognized, not-for-profit health care services organization. From traditional health insurance products available throughout Massachusetts for all populations, to innovative health care programs and services for independent seniors, FCHP supports the diverse and changing needs of all those it serves. FCHP has consistently ranked among the nation’s top health plans, and is the only health plan in Massachusetts to have been awarded “Excellent” Accreditation by the National Committee for Quality Assurance for its HMO, Medicare Advantage and Medicaid products. For more information, visit fchp.org.  

A Coordinated Care plan with a Medicare Advantage contract and a contract with the Massachusetts Medicaid program. The benefit information provided herein is a brief summary, not a comprehensive description of benefits. For more information contact the plan. Your benefits may change on January 1 each year. NaviCare HMO SNP is a voluntary program in association with MassHealth, CMS and EOHHS.