Frequently asked questions
My insurance should have paid my bill, what should I do?
- Verify that your insurance company has received and processed the claim. If they have not,
- Review your insurance policy to determine if the service is covered. If you are unable to determine this, call your insurance company to determine if the procedure is covered. Your insurance company will have the most accurate and up to date information about your policy and your claim.
- If your insurance company has questions for Geisinger Health System, please have them call the Patient Service Call Center at 1-800-640-4206.
- Call the Patient Service Call Center at 1-800-640-4206 to verify we have the most up to date insurance information on file for you.
- We can bill your insurance company only if you provide us with accurate and up to date medical insurance information.
How is my insurance company billed?
1. If your insurance is Medicare, Geisinger Health Plan, or Pennsylvania Medical Assistance:
We submit all covered charges to your insurance company and receive direct payment to the extent of your coverage. You are responsible for deductible, co-insurance and non-covered service amounts, which are reflected on your billing statement. For more information regarding your insurance coverage, please use following links:
2. If your insurance is Pennsylvania Blue Shield:
We submit all covered charges to Pennsylvania Blue Shield. If we receive direct payment, your billing statement will reflect the deductible, co-insurance and non-covered service amounts. If Blue Shield sends payment to you, your billing statement from Geisinger will reflect full charges and you are responsible for such. For more information visit:
3. If your insurance is another insurance plan, commercial, worker's compensation, or no-fault:
We submit all covered charges to your insurance company and receive direct payment to the extent of your coverage if you have signed the appropriate authorization forms. If so, your billing statement will reflect only the deductible, co-insurance and non-covered service amounts and you are responsible for these charges. If you have not authorized your insurance company to make direct payment to Geisinger, you will be billed immediately for total charges.
4. If your insurance is Major Medical:
You are responsible for filing all Major medical claims. This statement can be used to file a claim to Major Medical. Please contact your insurance company or employer for how and where to submit your major medical claims.
5. Insurance Inquiries
If you have questions regarding your Geisinger billing statement, contact the Patient Service Call Center (PSCC) at 1-800-640-4206 or at 1-570-214-1804 during our normal business hours and one of our staff will assist you.
Please Note: if your insurance company (except Medicare and Medical Assistance) does not pay within 60 days or rejects claims in part or full, you will be billed directly for the unpaid balances.
Will my insurance cover my Geisinger visit?
Your insurance policy specifies whether or not services offered by Geisinger Health System will be covered. If you are not sure if a service is covered we suggest you contact your insurance company. Their telephone number should be on your policy and your insurance id card. Click for a list of insurance plans GHS accepts.
To identify insurance types your GHS clinic accepts, click for a list of clinic sites, enter your zip code, click on your clinic, and then click on the ‘insurance” link.
My insurance has changed, what should I do?
In order for your claims to be paid promptly, Geisinger needs your most up to date insurance information. Having this ensures that we bill the correct insurance company. Always bring your current insurance card to appointments and make sure that GHS has your most up to date insurance information. If your insurance has changed, please advise the receptionist when you check-in for services. You may also call the PSCC at 1-800-640-4206 to update your insurance information. Providing GHS with your most up to date insurance information will expedite the processing and payment of your claims.
I have insurance. Why did I get a bill?
As a courtesy to you, the patient, Geisinger Health System bills your insurance company directly for services rendered. The charges become your responsibility if your insurance company does not pay them, so it is important to provide accurate insurance policy information at the time of your appointment.
Can I pay all or part of my statement with my VISA, MasterCard or Discover card?
Write your credit card information in the space provided on the back of your statement or call a Patient Service Coordinator at 1-800-640-4206 or 570-214-1804, or pay on line at www.geisingerwebpay.org.
Payments received after the Statement Date will appear on your next statement.
How do I change the mailing address on my statement?
Fill out the change of address section of the statement when sending in your payment. The change of address section is on the back of page 1 of your statement.
Why is the physician's name on my statement different from the physician I saw?
Because Geisinger is a teaching facility, the physician name appearing on your statement is the supervising physician. This name may differ from the actual physician you saw.
Will my insurance pay for the charges listed on my statement?
The balance on your statement represents all of your charges less payment received from your insurance company. Geisinger Clinic requests payment in full for the patient balance indicated on this statement within 10 days of receipt of the statement. Payment arrangements can be made by calling the Patient Service Call Center at 1-800-640-4206 or 570-214-1804.
What/where is my medical record number?
Your Medical Record Number appears on both the return portion and the receipt portion of the statement. This is your unique patient identifying number.
In addition to personal checks & money orders Geisinger accepts Discover, MasterCard, & VISA. You can also pay your bill online at www.geisingerwebpay.org or you can mail your payment. Checks should be made out to Geisinger Health System and can be mailed to Geisinger Health System, P.O. Box 27727, Newark, NJ 07101-7727.