Geisinger Health Plan Insurance Review & Ratings (2024)
Discover the ins and outs of Geisinger Health Plan (GHP) insurance. We delve into their comprehensive coverage options for individuals, families, and businesses. Explore the benefits and services offered, including Medicare Advantage and Medicaid coverage. Find out why GHP has received recognition from J.D. Power and gain insight into their exclusive benefits.
Read moreFree Health Insurance Comparison
Compare Quotes From Top Companies and Save
Secured with SHA-256 Encryption
Heidi Mertlich
Licensed Insurance Agent
Heidi works with top-rated life insurance carriers to bring her clients the highest quality protection at the most competitive prices. She founded NoPhysicalTermLife.com, specializing in life insurance that doesn’t require a medical exam. Heidi is a regular contributor to several insurance websites, including FinanceBuzz.com, Insurist.com, and Forbes. As a parent herself, she understands the ...
Licensed Insurance Agent
UPDATED: May 23, 2024
It’s all about you. We want to help you make the right coverage choices.
Advertiser Disclosure: We strive to help you make confident insurance decisions. Comparison shopping should be easy. We are not affiliated with any one insurance company and cannot guarantee quotes from any single insurance company.
Our insurance industry partnerships don’t influence our content. Our opinions are our own. To compare quotes from many different insurance companies please enter your ZIP code above to use the free quote tool. The more quotes you compare, the more chances to save.
Editorial Guidelines: We are a free online resource for anyone interested in learning more about insurance. Our goal is to be an objective, third-party resource for everything insurance related. We update our site regularly, and all content is reviewed by insurance experts.
UPDATED: May 23, 2024
It’s all about you. We want to help you make the right coverage choices.
Advertiser Disclosure: We strive to help you make confident insurance decisions. Comparison shopping should be easy. We are not affiliated with any one insurance company and cannot guarantee quotes from any single insurance company.
Our insurance industry partnerships don’t influence our content. Our opinions are our own. To compare quotes from many different insurance companies please enter your ZIP code above to use the free quote tool. The more quotes you compare, the more chances to save.
On This Page
Welcome to our comprehensive guide on Geisinger Health Plan Insurance. In this article, we’ll explore the various coverage options provided by Geisinger Health Plan (GHP), including Medicare Advantage, Medicaid, and individual and family plans. We’ll delve into the benefits and services offered by GHP, such as their provenHealth Navigator program and exclusive policyholder perks.
- Geisinger Health Plan (GHP) is a Pennsylvania health insurance company that provides a variety of quality health insurance plans
- Geisinger Health Plan offers Medicare, Medicaid, family, individual, children, and business insurance coverage
- The BBB rates GHP poorly, while J.D. Power has given it a prestigious award
Additionally, we’ll analyze customer ratings and reviews to provide you with an unbiased assessment of GHP’s performance. To ensure you find the best insurance coverage, we invite you to enter your ZIP code and compare rates from the top insurance providers in your area. Take control of your healthcare journey and make an informed decision today.
Geisinger Health Plan History
Geisinger began in 1972 as a rural, prepaid plan offered as a pilot program to Geisinger Medical Center employees and the residents of five counties surrounding Danville, Pennsylvania. In 1985, under the authority of the Pennsylvania Health Maintenance Act of 1973, Geisinger Health Plan received its Certificate of Authority to operate an HMO.
GHP has offered a significant premium advantage since the 80s. It has gone from less than 100,000 members to over half a million in only a couple of decades. It has a provider network of over 29,000 doctors and 100 hospitals across Pennsylvania and boasts national recognition for its innovative techniques for effectively managing medical costs and improving outcomes.
Compare The Best Insurance Quotes In The Country
Compare quotes from the top insurance companies and save!
Secured with SHA-256 Encryption
GHP Coverage Options
Geisinger Health Plan is a one-stop shop for health insurance of all kinds, including Medicare, Medicaid, and coverage for individuals and families, children, and businesses of all shapes and sizes.
Geisinger Health Plan Medicare Advantage
One of the most popular insurance coverage options at Geisinger Health Plan is its Gold Medicare Advantage plan. Medicare Advantage policies offer additional benefits outside what original Medicare covers and keep all of your benefits — medical, hospital, and prescription coverage — under one plan.
Geisinger’s Gold includes dental and vision benefits, as well an annual out-of-pocket spending cap. There are nine separate plans, including HMO, PPO, and HMO SNP.
Other benefits of Geisinger’s Gold Medicare Advantage include:
- Geisinger mail-order pharmacy
- Savings on insulin
- Wellness programs
- Dental services
- Silver Circle and Geisinger 65 Forward memberships
- Hip and knee replacement guarantees
These benefits are targeted toward the older adult who would need these kinds of services from GHP. Hip and knee replacements are very common procedures for those over 65. Not to mention, the mail-order pharmacy is excellent for those who can no longer drive.
Geisinger Health Plan Medicaid
Do you qualify for medical assistance? Geisinger Health Plan Medicaid coverage might be an option for you and your family. GHP Family provides complete healthcare coverage, which may include check-ups, immunizations, prescription drugs, eye care, dental care, and more. Other benefits and services with GHP Family are:
- No limit on prescriptions
- ProvenHealth Navigator
- Wellness programs
- Women’s and children’s health services
Those who cannot afford health insurance on their own benefit from these services. Families in need can have access to the medical assistance that they need.
Individual and Family
GHP Marketplace plans provide coverage for those under 65 and families without employee coverage, and the good news is that it won’t empty your bank account. Other family plans offer basic or comprehensive coverage depending on your needs. Marketplace coverage includes benefits like:
- Affordable and quality coverage
- Basic care plans for those under 30
- Flexibility
- HMO and PPO plans
- Access to a larger provider network
- Coverage for one person or the whole family
If you’re looking for health insurance for your child, Geisinger also has the Children’s Health Insurance Program (CHIP). For children and teens 19 and under, CHIP provides coverage for everything from routine immunization and wellness visits to emergency care.
Benefits and Services Geisinger Health Plan Offers Policyholders
Not only does GHP provide quality and affordable coverage, but it also has exclusive benefits and services for members.
- Pharmacies. There are more than 3,000 pharmacies in-network with GHP, including large retail chains and neighborhood drug stores throughout the state of Pennsylvania.
- Providers and care locations. There are more than 29,000 Geisinger Health Plan providers and 100 in-network hospitals. It also offers access to emergency room care and urgent care services.
- Quality and service first. GHP’s customer service agents are ready to help at the touch of a button. You can contact them by phone or an online patient portal account.
- Health and wellness programs. There are many wellness programs available online, in person, and by phone to help you get personalized support and education for all your healthcare needs.
- Health navigator. The Geisinger Health Plan has a health navigator that includes everything you need to know to get the healthcare you need.
- Health management. A team at GHP will work with your primary and specialty care physicians, facilities, GHP nurses, and others to monitor your use of healthcare services. You’ll have a personal plan to get you feeling better after inpatient care.
All of these benefits and services are available to all Geisinger Health Plan policyholders at no extra cost.
Compare The Best Insurance Quotes In The Country
Compare quotes from the top insurance companies and save!
Secured with SHA-256 Encryption
Grasping the Claim Process at Geisinger Health Plan Insurance
Ease of Filing a Claim
Geisinger Health Plan (GHP) offers a convenient claims filing process for its policyholders. The company provides multiple channels for filing claims, ensuring flexibility and ease for its customers. You can file a claim with GHP through their online portal, over the phone, or even through their mobile app.
This variety of options allows policyholders to choose the method that suits them best, whether they prefer the convenience of digital submissions or the personal touch of speaking with a representative.
Average Claim Processing Time
One crucial aspect of the claims process is the time it takes for claims to be processed. GHP has worked to streamline its claims processing, aiming for efficient and timely resolutions. While specific processing times may vary depending on the nature and complexity of the claim, Geisinger Health Plan strives to expedite the process, ensuring that policyholders receive their claim payouts as quickly as possible.
Customer Feedback on Claim Resolutions and Payouts
Customer feedback is invaluable when assessing an insurance provider’s performance in handling claims. Policyholders’ experiences with claim resolutions and payouts can provide insight into GHP’s effectiveness in this regard. It’s important to note that while GHP has received recognition from J.D. Power, individual customer experiences may vary.
We recommend reviewing customer reviews and ratings to gauge overall satisfaction with GHP’s claim resolution and payout processes.
Revolutionizing Insurance: Geisinger Health Plan Insurance Cutting-Edge Digital and Technological Features
Mobile App Features and Functionality
Geisinger Health Plan offers a user-friendly mobile app with a range of features and functionalities. The app allows policyholders to access their insurance information on the go. Users can view their policy details, track claims, and even find nearby healthcare providers.
Additionally, the app provides a convenient way to submit claims digitally, making the claims process smoother for those who prefer mobile solutions.
Online Account Management Capabilities
GHP provides robust online account management capabilities through their website. Policyholders can log in to their accounts to access and manage their insurance policies. This includes reviewing coverage details, making premium payments, and updating personal information. The online portal offers a convenient and secure way for customers to take control of their insurance accounts and make necessary adjustments.
Digital Tools and Resources
In addition to the mobile app and online account management, Geisinger Health Plan offers various digital tools and resources to assist policyholders in navigating their healthcare journey. These resources may include educational materials, cost calculators, and wellness programs.
GHP’s commitment to providing digital tools can help policyholders make informed decisions about their healthcare and take proactive steps to maintain their well-being.
In-Depth Review of Geisinger Health Plan: Coverage, Services, and Benefits
Geisinger Health Plan is highly regarded for its comprehensive range of insurance products and services. Among these, the Geisinger dental coverage stands out, offering a variety of options through Geisinger dental plans that cater to different needs and budgets. For providers, the Geisinger dental provider portal facilitates easy access to patient information and billing services, enhancing the efficiency of dental care management.
Additionally, the Geisinger family plan Medicaid is designed to support low-income families with essential health services, ensuring that everyone has access to quality medical care. For seniors, the Geisinger gold advantage plans provide robust coverage options, including the versatile Geisinger gold flex card, which offers flexible spending options on medical expenses.
In terms of Medicare, Geisinger offers several competitive plans. The Geisinger gold medicare advantage and Geisinger gold medicare plans are popular for their comprehensive benefits, including the Geisinger gold member services that ensure personalized support for enrollees. The Geisinger gold prescription drug plan offers extensive medication coverage, while the Geisinger gold vision benefits address essential eye care needs.
The Geisinger Health Plan medical policy ensures that all plans adhere to high standards of care. Managing expenses is made easy with the Geisinger Health Plan pay my bill feature. For those needing extra assistance, Geisinger medical assistance programs provide additional support.
The transparent Geisinger price list allows members to understand costs upfront.Overall, the Geisinger Health Plan is known for its Geisinger quality options and commitment to Geisinger wellness, making it a trusted choice for many.
Compare The Best Insurance Quotes In The Country
Compare quotes from the top insurance companies and save!
Secured with SHA-256 Encryption
Comprehensive Review of Geisinger Health Plan Insurance and Ratings
Geisinger Health Plan (GHP) offers a comprehensive range of insurance options designed to meet the diverse needs of its members. The Geisinger enhanced plan provides extensive coverage, ensuring that policyholders receive top-tier medical services. The Geisenger Health Plan is highly regarded for its inclusive benefits, including Geisinger eye care and Geisinger eye insurance, which cater to the vision needs of its members.
According to numerous Geisinger Health Plan reviews, members appreciate the broad network and the quality of care provided. Additionally, Geisinger insurance reviews frequently highlight the convenience and accessibility of Geisinger GHP family dental providers, offering comprehensive dental coverage alongside their medical plans.
GHP also offers tailored plans such as Geisinger medical insurance for general health needs and the 65 forward Geisinger initiative, which provides specialized care for seniors. The Geisenger gold and Geisinger 65 forward kingston plans cater specifically to older adults, ensuring they receive the necessary attention and services.
The plans are designed to maximize Geisinger benefits, including access to Geisinger convenient care centers for urgent needs. Positive Geisinger Danville reviews reflect satisfaction with the local healthcare services, and Geisinger dental insurance ensures members have access to essential dental care. Overall, GHP’s offerings are well-rounded, aiming to deliver comprehensive and convenient healthcare solutions.
Geisinger Health Plan Ratings and Consumer Reviews
Geisinger Health Plan has a D- rating with the Better Business Bureau (BBB). The BBB bases its ratings on complaints filed with the company and how the company responds. A D- is not a good rating, but it appears that several of the complaints against GHP consist of problems that aren’t directly Geisinger’s fault.
On the other hand, the Geisinger Health Plan won a 2021 J.D. Power award for the best Pennsylvania health plan in customer satisfaction. J.D. Power is a global leader in consumer insights, so an award from them is a big deal. They’ve also won several awards from the Business Group on Health for excellence in health and well-being.
How to Contact GHP
Geisinger wants it to be easy for its consumers to purchase insurance policies, locate providers in their network, and pay their bills. Contacting Geisinger Health Plan is relatively simple. There are several ways to get in touch with a representative. You can call the main Geisinger Health Plan phone number at (800) 275-6401, or write to them at their headquarters in Danville. Just address the envelope to Geisinger at 100 North Academy Avenue in Danville, Pennsylvania 17822. If you want to contact them online, you can navigate an easy-to-use digital FAQ.
Compare The Best Insurance Quotes In The Country
Compare quotes from the top insurance companies and save!
Secured with SHA-256 Encryption
Geisinger Health Plan: The Bottom Line
GHP is a health insurance company that started small in rural Pennsylvania but now serves over half a million customers on the east coast. Geisinger offers health plans for all situations, whether it’s a Medicare Advantage policy for someone over 65, or for children. Plus, there are free benefits for all policyholders. While the company has less than favorable reviews from the BBB, it has won an award from J.D. Power for customer satisfaction. And it’s easy to get in contact with Geisinger, too.
Frequently Asked Questions
How much does Geisinger Gold cost?
The cost of Geisinger Gold varies depending on factors such as the specific plan chosen, coverage level, location, and individual factors. It’s recommended to request a personalized quote from Geisinger or compare quotes from multiple sources to get an accurate cost estimate.
How much does Geisinger health insurance cost per month?
The cost of Geisinger health insurance per month can vary based on factors like the type of plan, coverage level, age, location, and other individual factors. It’s advisable to request a personalized quote from Geisinger or compare quotes from multiple sources to get an accurate estimate.
How much is Geisinger health insurance?
The cost of Geisinger health insurance can vary widely depending on factors such as the type of plan, coverage level, age, location, and other individual factors. To get an accurate price, it’s best to request a personalized quote from Geisinger or compare quotes from multiple sources.
Is Geisinger family Medicaid?
Yes, Geisinger Health Plan offers Medicaid coverage, including options for families. Their Medicaid coverage provides comprehensive healthcare services for eligible individuals and families, including check-ups, immunizations, prescription drugs, eye care, dental care, and more.
Is Geisinger Gold a medicare advantage plan?
Yes, Geisinger Gold is a Medicare Advantage plan. These plans offer additional benefits beyond original Medicare coverage and typically include medical, hospital, and prescription drug coverage under one plan.
Is Geisinger only in Pennsylvania?
Yes, currently Geisinger Health Plan primarily operates in Pennsylvania. They have a significant presence in the state, offering a wide range of health insurance products and services to residents.
What is Geisinger 65 Forward?
Geisinger 65 Forward is an initiative aimed at providing specialized care for seniors. It offers comprehensive healthcare services tailored to the needs of older adults, including preventive care, chronic disease management, and wellness programs.
What is Geisinger Gold?
Geisinger Gold is a range of Medicare Advantage plans offered by Geisinger Health Plan. These plans provide comprehensive coverage for Medicare beneficiaries, including medical, hospital, and prescription drug coverage, along with additional benefits such as dental, vision, and wellness programs.
What is Geisinger Health Plan?
Geisinger Health Plan is a health insurance company that offers a variety of insurance products and services, including Medicare, Medicaid, individual and family plans, children’s plans, and business plans. They are known for their comprehensive coverage options and commitment to providing quality healthcare services.
What type of insurance is Geisinger Health Plan?
Geisinger Health Plan offers various types of insurance, including Medicare, Medicaid, individual and family plans, children’s plans, and business plans. They provide comprehensive coverage options tailored to the needs of their members.
Who accepts Geisinger Health Plan?
Geisinger Health Plan has a network of healthcare providers that accept their insurance plans. This network includes doctors, hospitals, specialists, and other healthcare facilities. It’s recommended to check with specific providers or Geisinger directly to confirm network participation.
Is Geisinger Health insurance good?
Geisinger Health Plan has received mixed reviews, with some customers expressing satisfaction with its coverage options and provider network, while others have reported issues with customer service and claims processing. It’s essential to research and compare Geisinger’s offerings to determine if it meets your specific healthcare needs and preferences.
How much does Geisinger Health insurance cost?
The cost of Geisinger Health insurance varies depending on factors such as the type of plan, coverage level, age, location, and other individual factors. To get an accurate cost estimate, it’s recommended to request a personalized quote from Geisinger or compare quotes from multiple insurance providers.
Does Aspen Dental take Geisinger insurance?
Aspen Dental may accept Geisinger insurance, but coverage may vary depending on the specific plan and services rendered. It’s advisable to contact both Aspen Dental and Geisinger directly to inquire about coverage and any potential out-of-pocket expenses.
Does Geisinger accept Aetna insurance?
Geisinger Health Plan may accept Aetna insurance for certain services or plans, but coverage acceptance can vary. It’s best to verify with both Geisinger and Aetna to determine the extent of coverage and any potential network restrictions.
Does Geisinger accept Highmark Insurance?
Geisinger Health Plan and Highmark Insurance may have certain agreements for network access, but coverage acceptance can vary depending on the specific plan and services. It’s advisable to confirm coverage details with both Geisinger and Highmark to ensure access to desired healthcare providers and services.
Does Geisinger accept United Healthcare insurance?
Geisinger Health Plan may accept United Healthcare insurance for certain services or plans, but coverage acceptance can vary. It’s recommended to verify with both Geisinger and United Healthcare to understand coverage options and any potential network limitations.
Does Geisinger accept UPMC insurance?
Geisinger Health Plan and UPMC insurance may have certain agreements for network access, but coverage acceptance can vary depending on the specific plan and services. It’s advisable to confirm coverage details with both Geisinger and UPMC to ensure access to desired healthcare providers and services.
Does Geisinger cover dental?
Geisinger Health Plan may offer dental coverage as part of its insurance plans, but coverage specifics can vary. It’s essential to review the details of your Geisinger Health insurance plan or contact Geisinger directly to inquire about dental coverage options and any associated costs.
Does Geisinger Gold cover dental?
Geisinger Gold plans may include dental coverage, but coverage specifics can vary depending on the specific plan and level of coverage selected. It’s recommended to review your Geisinger Gold plan documents or contact Geisinger directly to understand the extent of dental coverage and any associated costs.
Does Geisinger Gold cover dentures?
Geisinger Gold plans may offer coverage for dentures, but coverage specifics can vary depending on the specific plan and level of coverage selected. It’s advisable to review your Geisinger Gold plan documents or contact Geisinger directly to understand the extent of denture coverage and any associated costs.
Does Geisinger insurance cover chiropractic?
Geisinger Health Plan may offer coverage for chiropractic services as part of its insurance plans, but coverage specifics can vary. It’s essential to review the details of your Geisinger Health insurance plan or contact Geisinger directly to inquire about chiropractic coverage options and any associated costs.
What types of coverage does Geisinger Health Plan offer?
Geisinger Health Plan offers Medicare, Medicaid, individual and family plans, children’s plans, and business plans.
What is Geisinger Health Plan’s Gold Medicare Advantage plan?
The Gold Medicare Advantage plan offers additional benefits outside of what original Medicare covers, including dental and vision benefits, an annual out-of-pocket spending cap, savings on insulin, wellness programs, dental services, and more.
What is Geisinger Health Plan’s provenHealth Navigator?
ProvenHealth Navigator is a program that provides support and guidance for members with complex medical conditions.
Does Geisinger Health Plan provide coverage outside of Pennsylvania?
No, Geisinger Health Plan only provides coverage within Pennsylvania.
How can I contact Geisinger Health Plan?
You can contact Geisinger Health Plan by phone at 1-800-447-8255 or by visiting their website at www.geisinger.org/health-plan.
What is the provider network like for Geisinger Health Plan?
Geisinger Health Plan has a provider network of over 29,000 doctors and 100 hospitals across Pennsylvania.
Compare The Best Insurance Quotes In The Country
Compare quotes from the top insurance companies and save!
Secured with SHA-256 Encryption
Heidi Mertlich
Licensed Insurance Agent
Heidi works with top-rated life insurance carriers to bring her clients the highest quality protection at the most competitive prices. She founded NoPhysicalTermLife.com, specializing in life insurance that doesn’t require a medical exam. Heidi is a regular contributor to several insurance websites, including FinanceBuzz.com, Insurist.com, and Forbes. As a parent herself, she understands the ...
Licensed Insurance Agent
Editorial Guidelines: We are a free online resource for anyone interested in learning more about insurance. Our goal is to be an objective, third-party resource for everything insurance related. We update our site regularly, and all content is reviewed by insurance experts.