Transcription of Marketplace: coverage you can count on
1 GEISINGER HEALTH PLAN. Marketplace: coverage you can count on We'll help you every step of the way. Call us at 800-918-5154 to speak to our dedicated team of trained advisors. Open Enrollment Period: Nov. 1, 2021, through Jan. 15, 2022. Hours: Monday Friday, 8 to 7 ; Saturday, 10 to 2 Jan. 16, 2022, through Oct. 31, 2022. Hours: Monday Friday, 8 to 5 Open enrollment begins Nov. 1. Are you ready? For plan year 2022, go to Pennie , where you will enroll in or make changes to your 2022. coverage . The 2022 Open Enrollment Period (OEP) begins Nov. 1, 2021, and lasts until Jan. 15, 2022. Nov. 1 Dec. 15, 2021 enrollment: coverage becomes effective Jan. 1, 2022. Dec.
2 16, 2021 Jan. 15, 2022 enrollment: coverage becomes effective Feb. 1, 2022. Are you in our service area? Geisinger Health Plan's service area includes the following counties: Adams Cumberland Luzerne Somerset Berks Dauphin Lycoming Snyder Visit or Blair Elk Mifflin Sullivan call 844-844-8040 for Bradford Fulton Monroe Susquehanna more information. Cambria Huntingdon Montour Tioga Cameron Jefferson Northumberland Union Carbon Juniata Northampton Wayne Centre Lackawanna Perry Wyoming Clearfield Lancaster Pike York Clinton Lebanon Potter Columbia Lehigh Schuylkill Premier network plans and Geisinger Extra plans are offered in some of these counties. See pages 6 and 7 for details.
3 Special Enrollment Period (SEP). After Open Enrollment, if you have a change in your circumstances - like losing your current coverage , getting married, having a baby, or moving to a different ZIP code or county in Pennsylvania - you may be eligible for a Special Enrollment Period, which allows you to enroll in health insurance outside of the yearly Open Enrollment Period. 4. Why Geisinger Health Plan? We give you more. Now there are more options than ever for people without group insurance. We are dedicated to helping you find the perfect plan to fit your needs and budget. In 2022, we are offering Gold, Silver and Bronze plans. information, application status, removing/adding Choose from HMO and PPO plans with a variety of dependents and much more.
4 Monthly premiums and out-of-pocket cost options. In addition, you can choose between two provider networks, Network of providers plus Geisinger Extra, a unique plan designed to save Select from our large provider network that includes you money. We also offer a catastrophic Value plan that Geisinger hospitals and physicians, as well as thousands of provides the most basic coverage to people under 30. Plus, other providers throughout the service area. Our network you'll get plenty of perks to keep you healthy and well. includes: More than 20,000 primary care and specialty physicians Local and nationwide discounts More than 120 hospitals You'll have access to our local and nationwide discounts More than 220 urgent and convenient care facilities program that gives you a wide variety of discounts on Telemedicine services for one-stop virtual care health- and wellness-related products, such as: Fitness center memberships Find a provider online Eyeglasses Go to and enter Contact lenses your location and plan type.
5 Your plan type will include Chiropractic care your network. Select a category to search from our entire Massage therapy and more library of applicable providers, or narrow your search by searching for providers by name, specialty or location. Health management programs We offer a number of award-winning health management Pediatric dental programs to help our members with chronic conditions. coverage , Members can enroll at no cost and can work with one administered by of our health managers to better manage their health SKYGEN. conditions. Programs include: Dental coverage for children under the age of 19 is Asthma COPD. embedded in our Geisinger Marketplace plans.
6 All Diabetes Quitting tobacco pediatric dental benefits are administered by SKYGEN. Heart failure Weight management Pediatric dental plans administered by SKYGEN include Wellness coaching and support coverage for the following services: You'll have access to certified wellness coaches who support your efforts to quit tobacco, manage weight, Routine oral exams and Extractions increase physical activity, decrease stress and improve cleanings Repairs and maintenance your lifestyle. There are also numerous online tools that X-rays Anesthesia you can access and complete at your own pace, including Fillings Root canal wellness workshops, fitness trackers and a meal planner.
7 Fluoride treatments Orthodontia Customer care Review your Schedule of Benefits for a more detailed list We pride ourselves on our customer care. Our Affordable of covered services. Call our customer care team at Care Act (ACA) customer care team delivers a better 866-379-4489 with questions about your pediatric service experience through one-call resolution. Each dental benefits. customer care team member can assist with questions regarding ID cards, premiums, billing, benefit/plan 5. Things to know before you shop Our plans have distinct names and numbers. Here's how to understand them. Geisinger Marketplace All-Access PPO 20 / 50 / 3250. All of our plan names The first number is the The second number is the The third number is the start with Geisinger primary care provider (PCP) specialty care provider deductible amount.
8 Marketplace. The next copay. (SCP) copay. This means each This is the amount you will pay part tells you the network A copay is a fixed amount time you visit a specialty care for healthcare services before name, which will be either you will pay for a covered provider (SCP), you would your insurance pays for its an All-Access or Premier healthcare service, usually pay $50. portion. In the example above, network. The plan type, when you receive the service. you would have to pay $3,250. explained below, is listed In the example above, you for healthcare services before as well. Some All-Access would pay $20 each time you GHP pays for its portion. network plans also visit your PCP.
9 Have a Geisinger Extra component. What are the different plan types? HMO (health maintenance organization). With an HMO plan, you select a primary care physician (PCP) who will help manage your health and wellness. HMOs generally cost less because you use in-network providers. POS (point of service). With POS, you select a PCP to help coordinate your care. You can see other healthcare providers in or out of our network. You will pay more for services received from providers outside our network. PPO (preferred provider organization). With a PPO, you do not need to select a PCP. You can see other healthcare providers in or out of our network. You will pay more for services received from providers outside our network.
10 Geisinger Extra With our Geisinger Extra plans, if you visit a primary care site designated as a Geisinger Extra site, you will pay lower office visit copays. Some Geisinger Extra sites are also ProvenHealth Navigator locations, where extra care is provided because the office is staffed with a Geisinger Health Plan nurse. To find a Geisinger Extra site, visit Geisinger Extra plans are only available in select counties and can be found on page 8. QHDHP. A qualified high-deductible health plan (QHDHP) has lower premiums and higher deductibles than a traditional insurance plan. You must have a QHDHP to have a health savings account. 66. Get to know our network options All-Access network Premier network What is it?
