0000122158 00000 n Please check the plans formulary for specific drugs covered. during the calendar year will owe a portion of the account deposit back to the plan. With nearly 24,000 employees and more than 1,600 employed physicians, Geisinger boosts its hometown economies in Pennsylvania by billions of dollars annually. Broker care team Unique wellness challenges and competitions help motivate and empower our members to meet their goals whether theyre looking for something to do on their own or theyd like to share the enthusiasm with a team, we have what theyre looking for. Call 1-877-354-4611 TTY 711, $10.35 copay or 5% (whichever costs more), $0 copay (limits may apply) (authorization required) (referral not required), $0 copay (limits may apply) (authorization not required) (referral not required), $35-285 copay (authorization required) (referral not required), $0 copay (authorization required) (referral not required), $35 copay (authorization required) (referral not required), $35 copay per visit (authorization not required) (referral not required), $35 copay (authorization not required) (referral not required), $0-300 copay per visit (authorization required) (referral not required), 0-20% coinsurance per item (authorization required), 20% coinsurance per item (authorization required), 5-20% coinsurance (authorization required), $5 copay (authorization required) (referral not required), $10 copay (authorization required) (referral not required), $0 copay (authorization not required) (referral not required), $20 copay (limits may apply) (authorization not required) (referral not required), Covered (authorization not required) (referral not required). 0000006972 00000 n %PDF-1.5 % 1160 0 obj <>stream The following is a breakdown of your monthly premium with Part B costs included. Members can also see a mental health professional without a referral. This is an important legal document. Family, spouses, friends and caregivers are welcome to attend. To switch to a different Medicare Advantage plan or to change your location, click here. 0000006824 00000 n @L0NdfF(C184'8k4K&m2T'BdIi$ ,@ area. For Rx # issues, please call 844-828-9776 to contact our pharmacy team. LPCC, 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. Other health plan deductibles: In-network: No, Drug plan deductible: No annual deductible, Diagnostic tests and procedures: $0 copay (authorization required), Lab services: $0 copay (authorization required), Outpatient x-rays: $20 copay (authorization required), Emergency: $90 copay per visit (always covered), Urgent care: $35 copay per visit (always covered), $0-300 copay per visit (authorization required), Physical therapy and speech and language therapy visit: $35 copay, Inpatient hospital - psychiatric: $175 per day for days 1 through 5, Outpatient group therapy visit with a psychiatrist: $10 copay (authorization required), Outpatient individual therapy visit with a psychiatrist: $25 copay (authorization required), Outpatient group therapy visit: $10 copay (authorization required), Outpatient individual therapy visit: $25 copay (authorization required), In-network: 20% coinsurance (authorization required), Diabetes supplies: 0-20% coinsurance per item (authorization required), Hearing aids: $500 copay (limits apply), Dental x-ray(s): $0 copay (limits apply), Restorative services: $0 copay (limits apply, authorization required), Endodontics: $0 copay (limits apply, authorization required), Periodontics: $0 copay (limits apply, authorization required), Extractions: $0 copay (limits apply, authorization required), Prosthodontics, other oral/maxillofacial surgery, other services: $0 copay (limits apply, authorization required), Routine eye exam: $20 copay (limits apply), Contact lenses: $0 copay (limits apply), Eyeglasses (frames and lenses): $0 copay (limits apply), Eyeglass frames: $0 copay (limits apply), Eyeglass lenses: $0 copay (limits apply), Routine foot care: $0 copay (limits apply), Chemotherapy: 20% coinsurance (authorization required), Other Part B drugs: 20% coinsurance (authorization required), Over-the-counter drug benefits: Some coverage, WorldWide emergency transportation: Some coverage, WorldWide emergency coverage: Some coverage, WorldWide emergency urgent care: Some coverage. money from Medicare into the account. PDP-Compare: How will each 2019 Part D Plan Change in 2020? (function() { 2021 Plan Overview for Gold participating providers Classic 360 Rx (HMO) Classic Essential Rx (HMO) Classic Complete Rx (HMO) Classic Advantage (HMO) Classic Advantage Rx (HMO) Secure Rx (HMO SNP) Preferred 360 Rx (PPO) New for 2021! Medicare has neither approved nor endorsed any information on this site. Call the Customer Care Team at 800-498-9731 (TTY: 711). DANVILLE, Pa., Oct. 4, 2021 /PRNewswire/ -- Geisinger Health Plan (GHP)announced its Geisinger Gold Medicare Advantage plansfor 2022 with benefits designed to make better health easier for its members and premiums starting as low as $0 per month. Our health and case management programs, led by registered nurses, focus on providing personalize care, education and guidance on various chronic conditions. 2020 Medicare Advantage Plan Benefit Details for the Geisinger Gold Classic 360 Rx (HMO) - H3954-160- This is archive material for research purposes. 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Geisinger Gold Classic Advantage Rx (HMO) - $144 premium with Medical Star Rating of 4.5. startxref Geisinger Gold Classic Essential Rx Geisinger Gold Classic Advantage Rx Geisinger Gold Classic Complete Rx Geisinger Gold Classic Advantage Geisinger Gold Classic 360 Rx Geisinger Gold Secure Rx (Dual Eligible SNP) Drug Coverage: Plan Type: HMO: HMO: HMO: HMO: HMO: HMO: Total Monthly Premium: $0.00: $121.00: $38.00: $30.00: $0.00: $0.00: Health . , . hY}L[&Se! It involves an interactive group program to help those living with long-term or chronic conditions. Our integrated, member-centric approach to comprehensive health coaching services covers the spectrum of a persons healthcare needs. Any information we provide is limited to those plans we do offer in your area. We are an independent education, research, and technology company. Learn more atgeisinger.org, or connect with us onFacebook,Instagram,LinkedInandTwitter. Programs range from lifestyle coaching to basic health management. is offered in the following locations. Benefits, formulary, pharmacy network, provider network, premium and/or co-payments/co-insurance may change on January 1 of each year. 2023 Geisinger Terms and Conditions Social Media Guidelines Geisinger Goldplans are available in 44 counties in Pennsylvania and include cost-saving features and wellness programs not available with original Medicare, such as prescription drug coverage, fitness, dental, hearing and vision benefits. Services by appt only to avoid wait time. The detail CMS plan carrier ratings are as follows: The following information is about the Geisinger Gold Classic 360 Rx (HMO) formulary (or drug list). I provide individual & partner counseling & therapy for a wide variety of conditions including mood/anxiety management, substance abuse treatment recovery & aftercare, trauma resolution, relationship counseling and attachment based parenting skills. Medicare has neither reviewed nor endorsed the information on our site. 24 hours a day/7 days a week or consult, When enrolling in a Medicare Advantage plan, you must continue to pay your. 0000202374 00000 n . Apply to Activity Assistant, Real Estate Associate, Mail Carrier and more! Personal Emergency Response System (PERS): Post discharge In-Home Medication Reconciliation: Wigs for Hair Loss Related to Chemotherapy: Additional Sessions of Smoking and Tobacco Cessation Counseling: Enhanced Disease Management: Some coverage, Remote Access Technologies (including Web/Phone-based technologies and Nursing Hotline): Some coverage. I specialize in Depression, Anxiety and Anger. Your Guide to Geisinger Gold We make it easy for you to . Premium Breakdown Geisinger Gold Classic 360 Rx (HMO) has a monthly premium of $0.00. 0000000016 00000 n For questions or more information regarding any of the programs listed above, contact the health and wellness team at 866-415-7138 (TTY/TDD 711), Monday through Friday, 8 a.m. to 5 p.m. Coverage varies by plan Select a Medicare Advantage Plan below to view details about the coverage it provides: Plan CodePlan Name H3924:059-021 Geisinger Gold Preferred Advantage Rx (PPO) H3924:059-022 Geisinger Gold Preferred Advantage Rx (PPO) H3924:062-021 Geisinger Gold Preferred Enhanced Rx (PPO) Schedule a home visit, talk with a Geisinger Gold representative or find a neighborhood meeting. However, Q1Medicare is not intended as a substitute for your lawyer, doctor, healthcare provider, financial advisor, or pharmacist. Other health plan deductibles: In-network: No, Drug plan deductible: No annual deductible, Diagnostic tests and procedures: $0 copay (authorization required), Lab services: $0 copay (authorization required), Outpatient x-rays: $20 copay (authorization required), Emergency: $90 copay per visit (always covered), Urgent care: $35 copay per visit (always covered), $0-300 copay per visit (authorization required), Physical therapy and speech and language therapy visit: $35 copay, Inpatient hospital - psychiatric: $175 per day for days 1 through 5, Outpatient group therapy visit with a psychiatrist: $10 copay (authorization required), Outpatient individual therapy visit with a psychiatrist: $25 copay (authorization required), Outpatient group therapy visit: $10 copay (authorization required), Outpatient individual therapy visit: $25 copay (authorization required), In-network: 20% coinsurance (authorization required), Diabetes supplies: 0-20% coinsurance per item (authorization required), Hearing aids: $500 copay (limits apply), Dental x-ray(s): $0 copay (limits apply), Restorative services: $0 copay (limits apply, authorization required), Endodontics: $0 copay (limits apply, authorization required), Periodontics: $0 copay (limits apply, authorization required), Extractions: $0 copay (limits apply, authorization required), Prosthodontics, other oral/maxillofacial surgery, other services: $0 copay (limits apply, authorization required), Routine eye exam: $20 copay (limits apply), Contact lenses: $0 copay (limits apply), Eyeglasses (frames and lenses): $0 copay (limits apply), Eyeglass frames: $0 copay (limits apply), Eyeglass lenses: $0 copay (limits apply), Routine foot care: $0 copay (limits apply), Chemotherapy: 20% coinsurance (authorization required), Other Part B drugs: 20% coinsurance (authorization required), Over-the-counter drug benefits: Some coverage, WorldWide emergency transportation: Some coverage, WorldWide emergency coverage: Some coverage, WorldWide emergency urgent care: Some coverage. var cx = 'partner-pub-9185979746634162:fhatcw-ivsf'; Those who disenroll 0000190696 00000 n Please contact the plan for further details. 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