HMO Plan
Geisinger Gold Secure Rx (HMO DSNP) 2026†
Rating:4.5 / 5
Monthly Premium
$0
Varies by county
Annual Deductible
$0
Office Visit (PCP)
$0
Office Visit (Specialist)
$0
Inpatient Hospital Care - Acute
$0
Geisinger Gold Medicare Advantage Secure Rx (HMO D-SNP)
Keep your current Medicaid and Medicare benefits, plus get more.
Eligible for or enrolled in both Medicare and full Medicaid?* You may qualify for a Geisinger Gold Medicare Advantage Secure Rx (HMO D-SNP) plan. With a $0 monthly premium, you'll receive more benefits at no extra cost.
The Geisinger Gold Dual-Eligible Special Needs Plan is a specialized Medicare Advantage plan designed for individuals who qualify for both Medicare and full Medicaid. It coordinates both sets of benefits into one plan, offering $0 premiums and extra benefits like dental, vision, hearing and even transportation.
GHP rated best Medicare plans in Pennsylvania by U.S. News & World Report
For 2026, Geisinger Health Plan was rated as the best Medicare Advantage health plans in the state by U.S. News & World Report. Awarded overall 4.2 out of 5 stars, the plans were noted for care continuity and screening and prevention.
Just turned 65 and new to Medicare? Select the 2026 tab now to shop plans and make sure you have the coverage you need today.
Already 65 and shopping for a new Medicare plan for 2027? Select the 2027 tab and shop plans now for coverage starting Jan. 1, 2027.
Select a plan year
HMO Plan
Geisinger Gold Secure Rx (HMO DSNP) 20271
Rating:4.5 / 5
Monthly Premium
$0
Annual Deductible
$0
Office Visit (PCP)
$0
Office Visit (Specialist)
$0
Inpatient Hospital Care - Acute
$0
*The benefits mentioned are a part of the Special Supplemental Program for the Chronically Ill (SSBCI). Not all members qualify. Qualifying conditions include but are not limited to diabetes, dementia, behavioral health conditions, cancer and neurologic disorders. For more information, please review your Evidence of Coverage (EOC). Eligibility for these benefits cannot be guaranteed based solely on your condition. All applicable eligibility requirements must be met before the benefit is provided.
Extra Help: Get help paying for prescription drugs
Extra Help is a financial assistance program available for prescription costs, premiums, deductibles and coinsurance of Medicare prescription drug coverage. It’s administered by the Social Security Administration and Centers for Medicare and Medicaid Services.
However, if you don't qualify for Social Security Extra Help, your state may have programs that can help with prescription costs. You can also re-apply for Extra Help at any time if your income and resources change.
You may qualify for Extra Help
If you have limited financial resources and income, you may be eligible for Extra Help from Medicare. The program can help pay for costs related to a Medicare prescription drug plan, including monthly premiums, annual deductibles and prescription copays. To see if you qualify:
- Call 800-MEDICARE (800-633-4227), 24/7. TTY users should call 877-486-2048.
- Contact Social Security (800-772-1213), 7 a.m. – 7 p.m. ET, Monday – Friday. TTY users should call 800-325-0778.
- Visit your state's Medicaid office.
- Visit the Social Security Administration website for additional information about the program.
If you qualify for Extra Help, your premium may vary. The premium covers both medical services and prescription drug coverage. These amounts don't include any Medicare Part B premium you may have to pay.
You must continue to pay your Medicare Part B premium if it's not paid for under Medicaid or by another third party. To see what your premium would be, first find your plan and then the county you live in.
PACE or PACENET programs
Pennsylvania's prescription assistance programs for people age 65 and older, PACE and PACENET, offer low-cost prescription medication to qualified residents. To see if you're eligible, call 800-225-7223.
SSBCI: See if you’re eligible for more benefits
Some Geisinger Gold Secure Rx (HMO D-SNP) members may qualify for Special Supplemental Benefits for the Chronically Ill (SSBCI).
You’re eligible if you have certain chronic conditions and meet requirements. Most existing members should already be enrolled. Learn more and get the application for your provider with the SSBCI Provider Attestation Form.
Common questions about D-SNP
What does D-SNP mean?
D-SNP stands for Dual Eligible Special Needs Plan. A dual eligible special needs plan is a type of Medicare Advantage plan designed for people who qualify for both Medicare and Medicaid.
What is a D-SNP Medicare plan?
A D-SNP Medicare Advantage plan is tailored to people who are eligible for both Medicare and Medicaid programs. These plans integrate medical, hospital and prescription drug coverage while aligning with Medicaid to help lower out-of-pocket expenses. When you review D-SNP plans, check how the plan supports care coordination, transportation, dental, vision and other supplemental benefits.
What qualifies me for a D-SNP plan?
To qualify for a D-SNP plan, you must be enrolled in both Medicare and Medicaid. In Pennsylvania, that means meeting eligibility categories defined by the state. If you meet those requirements, you may enroll in D-SNP plans such as Geisinger Gold Medicare Advantage Secure Rx (HMO D-SNP).
How does a Dual Eligible Special Needs Plan differ from other Medicare options?
A Dual Eligible Special Needs Plan differs from Original Medicare and standard Medicare Advantage plans by coordinating Medicare and Medicaid benefits for those who qualify for both. Compared with other Medicare options, D-SNP plans focus on connecting members to community resources and managing complex care.
*For those who qualify.
Must be receiving full Medicaid benefits and assigned a qualifying category and program code as defined by Medicaid (Medical Assistance). Geisinger Gold Medicare Advantage HMO, PPO, and HMO D-SNP plans are offered by Geisinger Health Plan/Geisinger Indemnity Insurance Company/Geisinger Quality Options, Inc., health plans with a Medicare contract. Continued enrollment in Geisinger Gold depends on contract renewal. Geisinger Health Plan, Geisinger Indemnity Insurance Company, and Geisinger Quality Options, Inc. are part of Geisinger, an integrated health care delivery and coverage organization. Risant Health, Inc. is the parent organization of Geisinger. This plan is available to anyone who has both Medical Assistance from the State and Medicare. Premiums, co-pays, co-insurance, and deductibles may vary based on the level of Extra Help you receive. Please contact the plan for further details.
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