Clinical policies and guidelines for providers

Need help with a coverage decision based on plan documents? We can provide medical policy guidelines. Since coverage can vary, be sure to verify eligibility before applying terms to ensure effective benefits administration.

What's new: Clinical policy updates

Review updates to the GHP Medical Policy Portfolio.

• Medical policy updates (PDF)
Medical pharmaceutical policy updates (PDF)

Partner/vendor clinical guidelines

• MCG Health
• Cohere
• HealthHelp

Policy contacts

For information on medical and or/medical benefit pharmaceutical policies, contact us.

Mail: Medical Policy/Clinical Guidelines
Geisinger Health Plan
100 N. Academy Ave.
Danville, PA 17822-3234

Email: medicalpolicies@geisinger.edu

Phone: 800-544-3907

Your feedback

Give us your thoughts.

Our medical benefit policies are shaped by input from our Technology Assessment Committee, independent assessment vendors, peer-reviewed studies, plan medical directors, pharmacists and physician experts.

We review these policies annually, or sooner if we find important new data. As a participating provider, be sure to share your insights — supported by published research — whenever you'd like.

Comments and supporting documentation can be submitted by emailing medicalpolicies@geisinger.edu or by mailing to:

Geisinger Health Plan
Director of Medical Policy
100 N. Academy Ave.
Danville, PA 17822-3220