Geisinger Gold Medicare Advantage Plans 2025

With the rollout of Geisinger Gold Medicare Advantage plans 2025, you may be wondering what health coverage options are available, how they’ve evolved from previous years, and what the cost implications could be for your budget.

Learn about the best Medicare Advantage plans for the 2025 year!

We’ve distilled the key features and updates of the Geisinger Gold Medicare Advantage plans 2025 right here—no frills, just the facts you need to help decide your next steps.

 

Key Takeaways

  • Geisinger Gold Medicare Advantage plans offer comprehensive coverage with a variety of plan options including HMO, PPO, and HMO SNP, paired with the option of $0 premiums and additional benefits like dental, vision, and wellness programs.

 

  • Enrollment in Geisinger Gold plans takes place during the Annual Enrollment Period from October 15 to December 7 each year, with resources available like Medicare Advisors and an online Provider Search tool to assist members in making informed decisions.

 

  • Geisinger Gold emphasizes affordability and cost-effectiveness with benefits such as the Part B Giveback feature, capped out-of-pocket costs, and $0 deductible options, alongside unique programs like Geisinger 65 Forward and additional pharmacy services for member convenience.

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A Look at Geisinger Gold Medicare Advantage Plans for 2025

 

Geisinger Gold Medicare Advantage Plans 2025 A Look at Geisinger Gold Medicare Advantage Plans for 2025

 

Geisinger Gold Medicare Advantage plans will maintain their outstanding performance in 2025 by providing a diverse range of options that align with various member preferences and healthcare needs.

With a strong medicare contract, their mission revolves around meeting the specific health requirements of each member, making sure everyone finds a plan that optimally supports their needs.

Bundling the benefits of a Medicare Advantage plan with a Prescription Drug Plan, these plans offer comprehensive coverage under a single umbrella. From HMO to PPO and HMO SNP plans, Geisinger Gold serves a wide array of needs, providing all-encompassing health coverage that is both in-depth and breadth.

 

Comprehensive Health Coverage

Geisinger Gold plans offer impressively broad health coverage. With access to over 30,000 physicians, nearly 3,000 pharmacies, and more than 180 hospitals, members have a wide array of healthcare services at their fingertips.

But that’s not all. Recognizing the power of prevention, Geisinger Gold proactively engages with members, emphasizing the importance of preventive measures and recommended screenings through phone calls and mailings.

Their commitment to comprehensive healthcare, including health sciences, extends beyond just medical services at the health center. With the optional Health+ package, the health center offers comprehensive health coverage benefits like:

  • dental

 

  • vision

 

  • hearing

 

  • fitness services

 

Programs tailored to specific health needs, such as the Diabetes Prevention Program (DPP) and Freedom From Smoking® program, offer guidance and support to members at risk.

 

Affordability and Cost Savings

Though comprehensive healthcare is crucial, many consider affordability as a pivotal factor when selecting a health plan. That’s why Geisinger Gold Medicare Advantage plans go the extra mile to ensure cost savings for their members.

From the Geisinger Gold Classic 360 Rx (HMO) to the Geisinger Gold Preferred Complete Rx (PPO), members can choose from options that offer $0 premiums.

The benefits of Geisinger Gold plans include:

  • Part B Giveback feature, providing eligible members in certain counties a $15 reduction on their Part B premium

 

  • Capped maximum out-of-pocket costs

 

  • $0 deductible options

 

Geisinger Gold plans, offered by Geisinger Health Plan, highlight affordability without compromising on quality healthcare, and the satisfaction of members with Geisinger gold depends on this commitment. The Geisinger Health Plan President ensures that these values are upheld in Geisinger’s health plans.

 

The Annual Enrollment Period: Don’t Miss Out

 

Geisinger Gold Medicare Advantage Plans 2025 The Annual Enrollment Period: Don't Miss Out

 

Eligible seniors interested in signing up for a Geisinger Gold Medicare Advantage plan should be keen on the Annual Enrollment Period. Running from October 15 through December 7 each year, it’s essential to mark these dates in your calendar and ensure your enrollment is completed on time.

Keep in mind that enrolling in a Geisinger Gold plan requires an annual contract renewal. So, it’s not just about signing up once, but also about ensuring continued enrollment to maintain the comprehensive health coverage and benefits that Geisinger Gold provides.

 

How to Enroll

The arrival of the Annual Enrollment Period signals the need for action. Enrolling in a Geisinger Gold plan is straightforward. Here’s how:

  1. Prepare an enrollment application.
  2. Send the application using the provided pre-printed envelope to Geisinger Gold Attn. Enrollment.
  3. If the envelope is missing, you can mail it to the specific enrollment address indicated.

Once you’ve submitted the enrollment application, you should wait for a confirmation letter from Medicare that verifies your enrollment before discontinuing your current health plan coverage.

The new coverage under the Geisinger Gold Medicare Advantage Plan will start on January 1st of the following year, given that the enrollment occurred during the Annual Enrollment Period. If you need assistance throughout the enrollment phase, Geisinger Gold Medicare Advisors are ready to help, either via phone or the online platform.

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Access to Quality Healthcare Providers

 

Geisinger Gold Medicare Advantage Plans 2025 Access to Quality Healthcare Providers

 

A defining feature of Geisinger Gold Medicare Advantage Plans is their broad network of high-quality healthcare providers across Pennsylvania. This comprehensive network includes over 30,000 doctors, more than 180 hospitals, and nearly 3,000 pharmacies, ensuring that members have a wide array of options for their healthcare needs.

Choosing a primary care physician is an important decision, and Geisinger Gold makes it easier by providing an online Provider Search tool.

With this tool, members can identify their primary care physician, ensuring that they receive care from a healthcare provider that best fits their needs. If any assistance is required, Geisinger Gold member services are readily available to help.

 

Geisinger 65 Forward Program

Catering to the unique healthcare needs of seniors, Geisinger Gold introduced the revolutionary Geisinger 65 Forward program. Designed specifically for people aged 65 and older, this program takes a fresh approach to primary care.

As a component of the overall comprehensive health coverage, the Geisinger 65 Forward program helps fill coverage gaps by focusing on meeting the primary care needs of seniors and addressing health care gaps. Whether it’s regular check-ups or managing chronic conditions, this program ensures that seniors have access to the right care at the right time.

 

Additional Benefits and Programs

In addition to standard healthcare coverage, Geisinger Gold members reap the benefits of a variety of extra services and programs. These benefits are designed to support members in maintaining a healthy lifestyle and managing their overall well-being.

Personalized health assessments, wellness challenges, workshops on various conditions and lifestyle changes, and daily meal plans tailored to specific dietary needs are among the benefits that members can enjoy for better health.

Moreover, members also have access to online mental health tools, including a depression self-assessment and the MyStrength digital resource for managing stress, anxiety, and depression.

Certain Geisinger Gold plans also offer transportation assistance and varying monthly allowances for Over-The-Counter items to support health and well-being, which can contribute to lower emergency room visits.

 

Geisinger Pharmacy Services

 

Geisinger Gold Medicare Advantage Plans 2025 Additional Benefits and Programs

 

Geisinger Pharmacy Services are another perk that Geisinger Gold members can take advantage of. Offering convenient medication delivery and curbside pickup, members can receive their medications without the hassle of visiting the pharmacy.

The 90-day refill prescription program simplifies the process of managing medications, ensuring that members have an adequate supply of their prescribed medications without frequent refills.

The Geisinger Gold Preferred Advantage Rx (PPO) plan even offers a 100-day supply via mail-order pharmacy. Members can access Geisinger’s Mail Order Pharmacy services simply by calling the dedicated number, available Monday through Friday from 6:30 a.m. to 5 p.m.

 

HMO, PPO, and HMO SNP Plan Options

 

Geisinger Gold Medicare Advantage Plans 2025 HMO, PPO, and HMO SNP Plan Options

 

Recognizing the diverse health needs and preferences of each individual, Geisinger Gold provides a selection of Medicare Advantage plan types, which include HMO, PPO, and HMO SNP.

HMO options, such as the Geisinger Gold Classic Advantage Rx and Geisinger Gold Classic Complete Rx, feature a select network of healthcare providers for members. On the other hand, PPO plans like the Geisinger Gold Preferred Advantage Rx and Geisinger Gold Preferred Enhanced Rx offer members the flexibility to choose their healthcare providers.

For individuals with certain diseases or characteristics requiring specialized care, the HMO SNP plan, Geisinger Gold Secure Rx, is tailored to meet these specific needs.

 

Comparing Plan Features

Each Geisinger Gold plan has distinct features and policies, allowing members to choose a plan that best fits their healthcare needs, budgets, and preferences.

For example, HMO plans require choosing a primary care physician and obtaining referrals for specialist visits within the network. PPO plans, on the other hand, offer the flexibility to see providers outside of the network, albeit with potentially higher costs.

Certain Geisinger Gold plans also offer a Part B Giveback feature, providing a monthly reduction on the Part B premium depending on the plan and county. The Geisinger Gold Secure Rx is an HMO SNP plan designed for individuals who have both Medicare and Medicaid or certain chronic conditions.

Members are protected against unexpected out-of-network charges through the No Surprises Act, although out-of-network coverage in non-emergency situations typically results in higher out-of-pocket costs.

Support for Current Plan Members

Geisinger Gold pledges its commitment to Geisinger gold plan members by providing all the necessary information and assistance to optimize their health plan benefits. Members can review their plan details through Evidence of Coverage documents, providing a clear understanding of their coverage and benefits.

Customer support is readily available Monday through Friday from 8 a.m. to 8 p.m., with extended hours during the Annual Enrollment Period. For members with hearing impairments, Geisinger provides a TDD/TTY service that can be accessed by dialing 711 during normal business hours.

 

Member Services

The member services of Geisinger Gold extend far beyond simply addressing inquiries. They assist members with setting up and managing premium payments, which can be deducted from checking savings, or credit card accounts. Additionally, members have access to a dedicated contact number for any questions or concerns about their Medicare plans.

Geisinger Gold provides information to members on benefits documents, the process of filing grievances, and making coverage determinations. Members can also obtain information about Geisinger Gold’s Quality Improvement (QI) program by contacting the quality and accreditation department.

 

Summary

As we wrap up our exploration of Geisinger Gold Medicare Advantage Plans for 2025, it’s clear that these plans offer comprehensive health coverage, a variety of plan options, and affordability designed to cater to unique health needs and preferences.

With additional benefits and programs, a broad network of quality healthcare providers, and robust support for current plan members, Geisinger Gold is a clear choice for those seeking a Medicare Advantage plan that goes above and beyond.


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Frequently Asked Questions

 

What are some of the healthcare services covered by Geisinger Gold?

Geisinger Gold covers a wide range of healthcare services, including access to a vast network of physicians, pharmacies, and hospitals. This provides comprehensive coverage for various medical needs.

 

What are the dates of the Annual Enrollment Period for Geisinger Gold Medicare Advantage Plans?

The Annual Enrollment Period for Geisinger Gold Medicare Advantage Plans is from October 15 through December 7.

 

How can I enroll in a Geisinger Gold plan?

To enroll in a Geisinger Gold plan, fill out an enrollment application and send it to Geisinger Gold Attn. Enrollment during the Annual Enrollment Period.

 

What are the different plan types offered by Geisinger Gold?

Geisinger Gold offers a variety of Medicare Advantage plan types, including HMO, PPO, and HMO SNP. These plans provide different options to suit individual healthcare needs.

 

What kind of support is available for current Geisinger Gold plan members?

Geisinger Gold plan members can access a variety of support services, including plan reviews, customer support, and TDD/TTY services for hearing-impaired members.

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Compare Medicare Plans

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Speak with a licensed insurance agent

1-844-350-0776
TTY 711

Mon-Fri : 8am-9pm ET