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Geisinger Health Plan

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TTY: PA Relay 711


Per trip $0

Dental care $0

Inpatient hospital
Per day $3
Maximum with limits $21

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

Medical equipment
Purchase $2
Rental $0

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

Outpatient hospital
Per visit $0

Generic $1
Brand name $3

Per service $1

Coordination of Care

Coordination of Care: We help with any part of your care, your child’s care, or coordinating that care with another state, county, or local program. We can help you schedule appointments, set up transportation and give you community resources.

Care Management Programs

Care Management Programs: We provide education and assistance to help you manage your medical conditions. Our care management team will make sure you’re getting the medication, bloodwork, and diet you need.

Fresh Food Farmacy: For members identified as having an A1C level greater than 8 can receive diabetic education through a health coach and receive enough food weekly to prepare healthy nutritious meals for the whole family.

Member digital tools

MyGeisinger: You can manage your care, message your doctor, access your medical records and appointments through the MyGeisinger patient portal.

Pregnancy Benefits

Right from the Start: A program available at no cost for expectant mothers to help your pregnancy be a great experience for Mom, family and baby. A dedicated nursing staff helps you get the right care you need.

Healthy Kids Programs

KidsHealth: An on-line resource available at no cost to you that contains important health information that engages the whole family.

Healthy Kids are Happy Kids: This program offers services to families with young children, including information about important care and screenings that their child may need.

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 Program: Geisinger Health Plan offers a variety of programs to help members maintain a healthy lifestyle at no cost to you.

Other Benefits

Hepatitis C Center of Excellence: Offers members with Hepatitis C treatment.

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

Opioid Center of Excellence: Offers members with opioid use disorder guidance to stay in treatment and avoid relapse.

*Co-pays do not apply to the following: members who are pregnant, members under age 18, members age 18 through 20 who are in foster care, emergency services, or certain drugs for specific diseases. The information about the benefits from each plan was current at the time of printing. Please call the plan directly for the most up-to-date information.