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Geisinger Health Plan

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1-855-227-1302
TTY: PA Relay 711
www.ghpfamily.com

Co-Pays*

Ambulance
Per trip $0

Dental care $0

Inpatient hospital
Per day $3
Maximum with limits $21

Medical centers
Ambulatory surgical center $3  per visit
Federal Qualified Health Center/Regional Health Center $0
Independent medical/surgical center $3 per visit
Short procedure unit $3 per visit

Medical equipment
Purchase $2
Rental $0

Medical visits
Certified nurse practitioner $0
Chiropractor $1
Doctor $0
Optometrist $0
Podiatrist $0

Outpatient hospital
Per visit $0

Prescriptions
Generic $1
Brand name $3

X-rays
Per service $1

Coordination of Care

Coordination of Care: We can help you schedule appointments, set up transportation, and connect you to community resources.

Care Management Programs

Care Management Programs: We provide education and assistance to help you manage your medical and behavioral health needs.

Member digital tools

Telemedicine: We cover care by video or phone so you can get care when you need it. 

Member Portal: Access your benefits, ID cards, claims, wellness tools and other resources.

Pregnancy Benefits

Right from the Start: A team of nurses, peer support assistants, a dietitian and a lactation consultant help you get the right care you need.

Healthy Kids Programs

Healthy Kids Program: Hands-on, fun, interactive programs provided onsite and virtually.

Vision Benefits

Vision Benefits: Members age 21 and over can get prescription eyeglasses or contact lenses.

24 Hour Medical Help Line

Tel-A-Nurse: Talk with a nurse 24 hours a day, 7 days a week, about urgent health matters.

Urgent Care Benefits

Urgent Care Benefits: Urgent care centers are covered at no cost to you when you use a participating facility.

Healthy Living and Health Education

Wellness Programs: Build healthy habits through our fun activities, screenings, and tools.

Member Rewards Program: Receive incentives for attending and completing certain doctor visits.

Fresh Food Farmacy: Qualified members receive diabetes education and enough food weekly to prepare healthy meals.

Other Benefits

Neighborly: Find free or reduced-cost services in your community.

Enhanced Dental Benefits: Our team of dental hygienists can provide dental education via phone, help you find a dentist, and answer any questions you have about oral health.

GED Scholarship Program: Covers the cost of training materials, practice testing, the GED test and retests.

Behavioral Health: A specialized team helps members with serious mental illness, substance use disorders and/or serious psychosocial stressors.

Geisinger Transportation Program: Non-emergency transportation to medical appointments and pharmacies.