Medicare beneficiaries with higher incomes may be required to pay both a Medicare Part B and Medicare Part D Income Related Monthly Adjustment Amount (IRMAA). Medicare MSA Plans do not cover prescription drugs. Similar to Part B, if you dont sign up in your initial eligibility period, you may be subject to a late enrollment penalty. The Medicare plans represented are PDP, HMO, PPO or PFFS plans with a Medicare contract. Harvard Pilgrim Health Care of New England, Inc. Health New England Medicare Advantage Plans, Highmark BCBS of WNY and Highmark BS of NENY, Horizon Blue Cross Blue Shield of New Jersey, MeridianComplete (Medicare-Medicaid Plan), Molina Healthcare of Wisconsin and Massachusetts, University of Utah Health Insurance Plans, Upper Peninsula Health Plan (UPHP) MI Health Link, Find Continuing Care Retirement Communites. We are not affiliated with any Medicare plan, plan carrier, healthcare provider, or insurance company. Medicare has neither reviewed nor endorsed the information on our site. The following Geisinger Gold plans offer Medicare Advantage Prescription Drug plan coverage. The amount deposited is usually less than your deductible amount, so you generally have to pay out-of-pocket before your coverage begins. Learn about formularies, tiers of coverage, name brand and generic drug coverage. Monthly Drug Premium *Included in Monthly Plan Premium. Medicare Part D prescription drugs. We are not compensated for Medicare plan enrollments. Costs for Medicare drug coverage Learn about the types of costs you'll pay in a Medicare drug plan. Learn about the types of costs youll pay in a Medicare drug plan. There are 3838 drugs on the Geisinger Gold Preferred 360 Rx (PPO) formulary. Premiums, co-pays, co-insurance, and deductibles may vary based on the level of Extra Help you receive. Please contact the plan for further details. money from Medicare into the account. Once youre enrolled, your premium wont increase with your age. Medicare evaluates plans based on a 5-Star rating system. This plan (Geisinger Gold Preferred 360 Rx (PPO)) has no deductible. })(); A non-government resource for the Medicare community, This is archive material for research purposes. To switch to a different Medicare Advantage plan or to change your location, click here. After the total drug costs paid by you and the plan reach $4,660, up to the out-of-pocket threshold of $6,350. If you are enrolled in a Medicare plan with Part D prescription drug coverage, you may be eligible for financial Extra Help to assist with the payment of your prescription drug premiums and drug purchases. Our. You can ask for a current provider directory. Medicare beneficiaries may enroll through the CMS Medicare Online Enrollment Center located at, Medicare beneficiaries can file a complaint with the Centers for Medicare & Medicaid Services by calling 1-800-MEDICARE 24 hours a day/7 days or using the. We do not offer every plan available in your area. Learn about Part A of Medicare Advantage Learn about Medicare drug plans (Part D), Medicare Advantage Plans, more. But like the first period, theres a coverage limit for this period as well. This plan has a $0.00 monthly premium. TTY users should call 1-877-486-2048, 24 hours a day/ 7 days a week or consult. Learn more about Geisinger Gold Medicare Advantage with Part D coverage, Mon Fri 7a.m. 10 p.m. The plan deposits However, since our data is provided by Medicare, it is possible that this may not be a complete listing of plans available in your service Initial Coverage Period Once you meet your annual deductible, you enter the first period, called the Initial Coverage Period. You can use any doctor who is part of our network. The maximum deductible for 2021 is $445. Benefits may vary by carrier and location. For information related to the Medicare Part D Pre-scription Drug Program, current members should call: Toll Free: (800)-988-4861 Locally: (570)-271-8771 CAN I CHOOSE MY DOCTORS? Please contact Medicare.gov or 1-800- MEDICARE (TTY users should call 1-877-486-2048) 24 hours a day/7 days a week to get information on all of your options. Get the right Medicare drug plan for you. Disclaimer for Dual Eligible (Medicare/Medicaid) Special Needs Plan (SNP): This plan is available to anyone who has both Medical Assistance from the State and Medicare. We are an independent education, research, and technology company. The health providers in our network can change at any time. And it helps keep your medications affordable. Medicare MSA Plans combine a high deductible Medicare Advantage Plan and a trust or custodial savings account (as defined and/or approved by the IRS). ET, Sat Sun 10a.m. 7p.m. And you cant be denied because of a pre-existing health condition, the number of medications you take or your income. A Medicare Advantage Private Fee-for-Service plan (PFFS) is not a Medicare supplement plan. Learn about formularies, tiers of coverage, name brand and generic drug coverage. Staying Healthy: Screenings, Tests and Vaccines, Members Whose Plan Did an Assessment of Their Health Needs and Risks, Yearly Review of All Medications and Supplements Being Taken, Yearly Pain Screening or Pain Management Plan, Osteoporosis Management in Women Who Had a Fracture, Eye Exam to Check for Damage from Diabetes, Kidney Function Testing for Members with Diabetes, Plan Members with Diabetes Whose Blood Sugar Is under Control, The Plan Makes Sure Member Medication Records Are Up-to-Date after Hospital Discharge, The Plan Makes Sure Members with Heart Disease Get the Most Effective Drugs to Treat High Cholesterol, Ease of Getting Needed Care and Seeing Specialists, Health Plan Provides Information or Help when Members Need It, Coordination of Members' Health Care Services, Member Complaints and Changes in the Health Plan's Performance, Complaints about the Health Plan (More Stars Are Better because It Means Fewer Complaints), Members Choosing to Leave the Plan (More Stars Are Better because It Means Fewer Members Choose to Leave the Plan), Improvement (if Any) in the Health Plan's Performance, Health Plan Makes Timely Decisions about Appeals, Fairness of the Health Plan's Appeal Decisions, Based on an Independent Reviewer, Availability of TTY Services and Foreign Language Interpretation when Prospective Members Call the Health Plan. How Part D works with other insurance Any information we provide is limited to those plans we do offer in your area. Limitations and exclusions may apply. Members may enroll in a Medicare Advantage plan only during specific times of the year. To see if you qualify for Extra Help, call: 1-800-MEDICARE (1-800-633-4227 . What to Consider When Shopping for Medicare, Geisinger Gold Classic 360 Rx H3954-160 (HMO), $150 per day for days 1 through 5 / $0 per day for days 6 through 90, $0 per day for days 1 through 20 / $160 per day for days 21 through 68 / $0 per day for days 69 through 100, Best Continuing Care Retirement Community (CCRC), Best Medicare Advantage Plan Companies 2023, Best Medicare Part D Prescription Drug Plan Companies 2023, Medicare Advantage Plus Prescription Drug Plans in Pennsylvania, Medicare Advantage Plus Prescription Drug Plans in 17001 (Cumberland County), Geisinger Gold Medicare Advantage Plus Prescription Drug Plans in Pennsylvania, Find Continuing Care Retirement Communites. Those who disenroll Its important to find a plan that covers the medications you currently take. ED is often a symptom of another health problem or health-related factor. Providers who do not contract with the plan are not required to see you except in an emergency. Star Ratings are calculated each year and may change from one year to the next. Limitations and exclusions may apply. $10.35 copay or 5% (whichever costs more), Diagnostic radiology services (e.g., MRI), Prosthodontics, other oral/maxillofacial surgery, other services, Outpatient group therapy visit with a psychiatrist, Outpatient individual therapy visit with a psychiatrist, Physical therapy and speech and language therapy visit, Durable medical equipment (e.g., wheelchairs, oxygen), Prosthetics (e.g., braces, artificial limbs). How this plan performs in coverage of conditions, screenings, customer service and more. During this coverage period, your prescription benefits begin until you reach a limit that's set by Medicare. The Geisinger Gold Preferred 360 Rx (PPO) offers many Health and Prescription Drug Coverage Benefits. The following section will describe these benefits in detail. Enrollment in plans depends on contract renewal. Part D coverage is available as a Medicare Advantage plan with prescription drug coverage (MAPD) or a standalone prescription drug plan (PDP). There are 3838 drugs on the Geisinger Gold Preferred 360 Rx (PPO) formulary. PDP-Compare: How will each 2020 Part D Plan Change in 2021? 'https:' : 'http:') + Not all plans offer all of these benefits. var cx = 'partner-pub-9185979746634162:fhatcw-ivsf'; Although you pay no additional monthly premium. Coverage Gap Geisinger Gold Preferred (PPO) has formed a network of doctors, specialists, and hospitals. Not all plans offer all of these benefits. There are 88 members enrolled in this plan in Adams, Pennsylvania, and 948 members in Pennsylvania. 24 hours a day/7 days a week or consult, When enrolling in a Medicare Advantage plan, you must continue to pay your. Call us at 800-482-8163 (TTY: 711) to find out if Geisinger Gold Medicare Advantage is right for you. var gcse = document.createElement('script'); Contact the plan provider for additional information. This is a 4.5-star Medicare Advantage plan with Part D (prescription drug) coverage. var s = document.getElementsByTagName('script')[0]; Geisinger Gold Classic 1 $0 Deductible Rx, Classic 3 $0 Deductible Rx and Classic 4 $0 Deductible Rx do cover both Part B . To see if you qualify for Extra Help, call: 1-800-MEDICARE (1-800-633-4227). being able to get an erection sometimes, but not every time you want to have sex. In certain situations, you can. area. For all other drugs, you pay 25% for generic drugs and 25% for brand-name drugs. Not affiliated with or endorsed by any government agency. Symptoms of ED include. Limitations, copayments, and restrictions may apply. Geisinger Gold Medicare Advantage HMO, PPO, and HMO SNP plans are offered by Geisinger Health Plan/Geisinger Indemnity Insurance Company, health plans with a Medicare contract. (function() { For more information on your Medicare coverage, please be sure to seek legal, medical, pharmaceutical, or financial advice from a licensed professional or telephone Medicare at 1-800-633-4227. 7500 Security Boulevard, Baltimore, MD 21244, Find a Medicare Supplement Insurance (Medigap) policy. gcse.async = true; Every year, Medicare evaluates plans based on a 5-star rating system. Weve updated our Terms & Conditions and Privacy Policy. MA-Compare: Review Changes in each 2020 Medicare Advantage Plan for 2021, Find a 2021 Medicare Part D Plan (PDP-Finder: Rx Only), Find a 2021 Medicare Advantage Plan (Health and Health w/Rx Plans), Browse Any 2021 Medicare Plan Formulary (Drug List), Q1Rx 2021 Medicare Part D or Medicare Advantage Plan Finder by Drug, Guided Help Finding a 2021 Medicare Prescription Drug Plan, Search for 2021 Medicare Plans by Plan ID, Search for 2021 Medicare Plans by Formulary ID, 2021 Medicare Prescription Drug Plan (PDP) Benefit Details, 2021 Medicare Advantage Plan Benefit Details, Pre-2020 Medicare.gov Plan Finder Tutorial. gcse.type = 'text/javascript'; After you pay your deductible, if applicable, up to the initial coverage limit of $4,660. Other health plan deductibles: In-network: No, Drug plan deductible: No annual deductible, Primary Out-of-network: $5 copay per visit, Specialist In-network: $35 copay per visit, Specialist Out-of-network: $35 copay per visit, Diagnostic tests and procedures In-network: $20 copay (authorization required), Diagnostic tests and procedures Out-of-network: $20 copay (authorization required), Lab services In-network: $20 copay (authorization required), Lab services Out-of-network: $20 copay (authorization required), Outpatient x-rays In-network: $35 copay (authorization required), Outpatient x-rays Out-of-network: $35 copay (authorization required), Emergency: $90 copay per visit (always covered), Urgent care: $35 copay per visit (always covered), In-network: $175 per day for days 1 through 6, Out-of-network: $175 per day for days 1 through 6, In-network: $0-350 copay per visit (authorization required), Out-of-network: $0-350 copay per visit (authorization required), In-network: $0 per day for days 1 through 20, Out-of-network: $0 per day for days 1 through 20, Occupational therapy visit In-network: $35 copay, Occupational therapy visit Out-of-network: $35 copay, Physical therapy and speech and language therapy visit In-network: $35 copay, Physical therapy and speech and language therapy visit Out-of-network: $35 copay, Inpatient hospital - psychiatric In-network: $175 per day for days 1 through 6, Inpatient hospital - psychiatric Out-of-network: $175 per day for days 1 through 6, Outpatient group therapy visit with a psychiatrist In-network: $5 copay (authorization required), Outpatient group therapy visit with a psychiatrist Out-of-network: $5-10 copay (authorization required), Outpatient individual therapy visit with a psychiatrist In-network: $10 copay (authorization required), Outpatient individual therapy visit with a psychiatrist Out-of-network: $5-10 copay (authorization required), Outpatient group therapy visit In-network: $5 copay (authorization required), Outpatient group therapy visit Out-of-network: $5-10 copay (authorization required), Outpatient individual therapy visit In-network: $10 copay (authorization required), Outpatient individual therapy visit Out-of-network: $5-10 copay (authorization required), Diabetes supplies In-network: 0-20% coinsurance per item (authorization required), Diabetes supplies Out-of-network: 0-20% coinsurance per item (authorization required), Oral exam In-network: $0 copay (limits apply), Oral exam Out-of-network: $0 copay (limits apply), Cleaning In-network: $0 copay (limits apply), Cleaning Out-of-network: $0 copay (limits apply), Dental x-ray(s) In-network: $0 copay (limits apply), Dental x-ray(s) Out-of-network: $0 copay (limits apply), Restorative services In-network: $0 copay (limits apply, authorization required), Restorative services Out-of-network: $0 copay (limits apply, authorization required), Endodontics In-network: $0 copay (limits apply, authorization required), Endodontics Out-of-network: $0 copay (limits apply, authorization required), Periodontics In-network: $0 copay (limits apply, authorization required), Periodontics Out-of-network: $0 copay (limits apply, authorization required), Extractions In-network: $0 copay (limits apply, authorization required), Extractions Out-of-network: $0 copay (limits apply, authorization required), Prosthodontics, other oral/maxillofacial surgery, other services In-network: $0 copay (limits apply, authorization required), Prosthodontics, other oral/maxillofacial surgery, other services Out-of-network: $0 copay (limits apply, authorization required), Routine eye exam In-network: $20 copay (limits apply), Routine eye exam Out-of-network: $20 copay (limits apply), Contact lenses In-network: $0 copay (limits apply), Contact lenses Out-of-network: $0 copay (limits apply), Eyeglasses (frames and lenses) In-network: $0 copay (limits apply), Eyeglasses (frames and lenses) Out-of-network: $0 copay (limits apply), Eyeglass frames In-network: $0 copay (limits apply), Eyeglass frames Out-of-network: $0 copay (limits apply), Eyeglass lenses In-network: $0 copay (limits apply), Eyeglass lenses Out-of-network: $0 copay (limits apply), Foot exams and treatment In-network: $35 copay, Foot exams and treatment Out-of-network: $35 copay, Routine foot care In-network: $0 copay (limits apply), Routine foot care Out-of-network: $0 copay (limits apply), Chemotherapy In-network: 20% coinsurance (authorization required), Chemotherapy Out-of-network: 20% coinsurance (authorization required), Other Part B drugs In-network: 20% coinsurance (authorization required), Other Part B drugs Out-of-network: 20% coinsurance (authorization required). 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