Detalles del beneficio de medicamentos recetados
- Cobertura de medicamentos recetados
- Excepciones, determinaciones y apelaciones de medicamentos recetados
- Administración de terapia con medicamentos (MTM)
- Política de transición de medicamentos
Documentos de beneficios de Geisinger Gold Medicare
2027 benefit documents
Download your 2027 benefit documents. (All files are PDFs.)
2027
2027 Summaries of Benefits documents
Geisinger Gold Preferred Advantage Rx (PPO) (updated 08/18/2026) – Servicing Counties: Blair, Bradford, Cambria, Cameron, Centre, Clearfield, Clinton, Columbia, Fulton, Huntingdon, Jefferson, Juniata, Lackawanna, Luzerne, Lycoming, Mifflin, Montour, Northumberland, Pike, Potter, Schuylkill, Snyder, Somerset, Sullivan, Susquehanna, Tioga, Union, Wayne, Wyoming
Geisinger Gold Preferred Advantage Rx (PPO) (updated 08/18/2026) – Servicing Counties: Adams, Berks, Bucks, Carbon, Chester, Cumberland, Dauphin, Franklin, Lancaster, Lebanon, Lehigh, Monroe, Northampton, Perry, York
Geisinger Gold Preferred Balance Rx (PPO) (updated 08/18/2026) – Servicing Counties: Adams, Berks, Blair, Bradford, Bucks, Cambria, Cameron, Carbon, Centre, Chester, Clearfield, Clinton, Columbia, Cumberland, Dauphin, Franklin, Fulton, Huntingdon, Jefferson, Juniata, Lackawanna, Lancaster, Lebanon, Lehigh, Luzerne, Lycoming, Mifflin, Monroe, Montour, Northampton, Northumberland, Perry, Pike, Potter, Schuylkill, Snyder, Somerset, Sullivan, Susquehanna, Tioga, Union, Wayne, Wyoming, York
Geisinger Gold Preferred Complete Rx (PPO) (updated 08/18/2026) – Servicing Counties: Adams, Berks, Blair, Bradford, Bucks, Cambria, Cameron, Carbon, Centre, Chester, Clearfield, Clinton, Columbia, Cumberland, Dauphin, Franklin, Fulton, Huntingdon, Jefferson, Juniata, Lackawanna, Lancaster, Lebanon, Lehigh, Luzerne, Lycoming, Mifflin, Monroe, Montour, Northampton, Northumberland, Perry, Pike, Potter, Schuylkill, Snyder, Somerset, Sullivan, Susquehanna, Tioga, Union, Wayne, Wyoming, York
Geisinger Gold Secure Rx (HMO D-SNP) (updated 08/18/2026) – Servicing Counties: Adams, Allegheny, Armstrong, Beaver, Bedford, Berks, Blair, Bradford, Bucks, Butler, Cambria, Cameron, Carbon, Centre, Chester, Clarion, Clearfield, Clinton, Columbia, Crawford, Cumberland, Dauphin, Delaware, Elk, Fayette, Forest, Franklin, Fulton, Greene, Huntingdon, Jefferson, Juniata, Lackawanna, Lancaster, Lebanon, Lehigh, Luzerne, Lycoming, McKean, Mifflin, Monroe, Montgomery, Montour, Northampton, Northumberland, Perry, Philadelphia, Pike, Potter, Schuylkill, Snyder, Somerset, Sullivan, Susquehanna, Tioga, Union, Venango, Warren, Washington, Wayne, Westmoreland, Wyoming, York
Geisinger Gold Classic Advantage Rx (HMO) (updated 08/18/2026) – Servicing Counties: Columbia, Luzerne, Montour, Northumberland, Schuylkill, Snyder, Union
Geisinger Gold Classic Advantage Rx (HMO) (updated 08/18/2026) – Servicing Counties: Bucks, Carbon, Centre, Clinton, Juniata, Lackawanna, Lehigh, Lycoming, Mifflin, Monroe, Northampton, Pike, Sullivan, Susquehanna, Wayne, Wyoming
Geisinger Gold Classic Advantage Rx (HMO) (updated 08/18/2026) – Servicing Counties: Adams, Berks, Blair, Bradford, Cambria, Cameron, Chester, Clearfield, Cumberland, Dauphin, Franklin, Fulton, Huntingdon, Jefferson, Lancaster, Lebanon, Perry, Potter, Somerset, Tioga, York
Geisinger Gold Classic Complete Rx (HMO) (updated 08/18/2026) – Servicing Counties: Adams, Berks, Blair, Bradford, Bucks, Cambria, Cameron, Carbon, Centre, Chester, Clearfield, Clinton, Cumberland, Dauphin, Franklin, Fulton, Huntingdon, Jefferson, Juniata, Lackawanna, Lancaster, Lebanon, Lehigh, Lycoming, Mifflin, Monroe, Northampton, Perry, Pike, Potter, Somerset, Sullivan, Susquehanna, Tioga, Wayne, Wyoming, York
Geisinger Gold Classic Complete Rx (HMO) (updated 08/18/2026) – Servicing Counties: Columbia, Luzerne, Montour, Northumberland, Schuylkill, Snyder, Union
Geisinger Gold Classic 360 Rx (HMO) (updated 08/18/2026) – Servicing Counties: Blair, Bucks, Cambria, Centre, Clearfield, Clinton, Huntingdon, Juniata, Lackawanna, Lehigh, Luzerne, Lycoming, Mifflin, Monroe, Northampton, Pike, Sullivan, Susquehanna, Wyoming
Geisinger Gold Classic Essential Rx (HMO) (updated 08/18/2026) – Servicing Counties: Adams, Berks, Blair, Bradford, Bucks, Cambria, Cameron, Carbon, Centre, Chester, Clearfield, Clinton, Columbia, Cumberland, Dauphin, Franklin, Fulton, Huntingdon, Jefferson, Juniata, Lackawanna, Lancaster, Lebanon, Lehigh, Luzerne, Lycoming, Mifflin, Monroe, Montour, Northampton, Northumberland, Perry, Pike, Potter, Schuylkill, Snyder, Somerset, Sullivan, Susquehanna, Tioga, Union, Wayne, Wyoming, York
Geisinger Gold Heritage (HMO) (updated 08/18/2026) – Servicing Counties: Adams, Allegheny, Armstrong, Beaver, Bedford, Berks, Blair, Bradford, Bucks, Butler, Cambria, Cameron, Carbon, Centre, Chester, Clarion, Clearfield, Clinton, Columbia, Crawford, Cumberland, Dauphin, Delaware, Elk, Fayette, Forest, Franklin, Fulton, Greene, Huntingdon, Jefferson, Juniata, Lackawanna, Lancaster, Lebanon, Lehigh, Luzerne, Lycoming, McKean, Mifflin, Monroe, Montgomery, Montour, Northampton, Northumberland, Perry, Philadelphia, Pike, Potter, Schuylkill, Snyder, Somerset, Sullivan, Susquehanna, Tioga, Union, Venango, Warren, Washington, Wayne, Westmoreland, Wyoming, York
Geisinger Gold Value Rx (HMO) (updated 08/18/2026) – Servicing Counties: Adams, Allegheny, Armstrong, Beaver, Bedford, Berks, Blair, Bradford, Bucks, Butler, Cambria, Cameron, Carbon, Centre, Chester, Clarion, Clearfield, Clinton, Columbia, Crawford, Cumberland, Dauphin, Delaware, Elk, Fayette, Forest, Franklin, Fulton, Greene, Huntingdon, Jefferson, Juniata, Lackawanna, Lancaster, Lebanon, Lehigh, Luzerne, Lycoming, McKean, Mifflin, Monroe, Montgomery, Montour, Northampton, Northumberland, Perry, Philadelphia, Pike, Potter, Schuylkill, Snyder, Somerset, Sullivan, Susquehanna, Tioga, Union, Venango, Warren, Washington, Wayne, Westmoreland, Wyoming, York
Enrollment Forms (2027)
Annual Notice of Changes (ANOC) (2027)
If you are a current Geisinger Gold member and will remain enrolled for 2027, view your 2027 Annual Notice of Changes (ANOC) below:
Geisinger Gold Preferred Advantage Rx (PPO) (updated 09/16/2026) – Servicing Counties: Blair, Bradford, Cambria, Cameron, Centre, Clearfield, Clinton, Columbia, Fulton, Huntingdon, Jefferson, Juniata, Lackawanna, Luzerne, Lycoming, Mifflin, Montour, Northumberland, Pike, Potter, Schuylkill, Snyder, Somerset, Sullivan, Susquehanna, Tioga, Union, Wayne, Wyoming
Geisinger Gold Preferred Advantage Rx (PPO) (updated 09/16/2026) – Servicing Counties: Adams, Berks, Bucks, Carbon, Chester, Cumberland, Dauphin, Franklin, Lancaster, Lebanon, Lehigh, Monroe, Northampton, Perry, York
Geisinger Gold Preferred Complete Rx (PPO) (updated 09/16/2026) – Servicing Counties: Adams, Berks, Blair, Bradford, Bucks, Cambria, Cameron, Carbon, Centre, Chester, Clearfield, Clinton, Columbia, Cumberland, Dauphin, Franklin, Fulton, Huntingdon, Jefferson, Juniata, Lackawanna, Lancaster, Lebanon, Lehigh, Luzerne, Lycoming, Mifflin, Monroe, Montour, Northampton, Northumberland, Perry, Pike, Potter, Schuylkill, Snyder, Somerset, Sullivan, Susquehanna, Tioga, Union, Wayne, Wyoming, York
Geisinger Gold Secure Rx (HMO D-SNP) (updated 09/16/2026) – Servicing Counties: Adams, Allegheny, Armstrong, Beaver, Bedford, Berks, Blair, Bradford, Bucks, Butler, Cambria, Cameron, Carbon, Centre, Chester, Clarion, Clearfield, Clinton, Columbia, Crawford, Cumberland, Dauphin, Delaware, Elk, Fayette, Forest, Franklin, Fulton, Greene, Huntingdon, Jefferson, Juniata, Lackawanna, Lancaster, Lebanon, Lehigh, Luzerne, Lycoming, McKean, Mifflin, Monroe, Montgomery, Montour, Northampton, Northumberland, Perry, Philadelphia, Pike, Potter, Schuylkill, Snyder, Somerset, Sullivan, Susquehanna, Tioga, Union, Venango, Warren, Washington, Wayne, Westmoreland, Wyoming, York
Geisinger Gold Classic Advantage Rx (HMO) (updated 09/16/2026) – Servicing Counties: Columbia, Luzerne, Montour, Northumberland, Schuylkill, Snyder, Union
Geisinger Gold Classic Advantage Rx (HMO) (updated 09/16/2026) – Servicing Counties: Bucks, Carbon, Centre, Clinton, Juniata, Lackawanna, Lehigh, Lycoming, Mifflin, Monroe, Northampton, Pike, Sullivan, Susquehanna, Wayne, Wyoming
Geisinger Gold Classic Advantage Rx (HMO) (updated 09/16/2026) – Servicing Counties: Adams, Berks, Blair, Bradford, Cambria, Cameron, Chester, Clearfield, Cumberland, Dauphin, Franklin, Fulton, Huntingdon, Jefferson, Lancaster, Lebanon, Perry, Potter, Somerset, Tioga, York
Geisinger Gold Classic Complete Rx (HMO) (updated 09/16/2026) – Servicing Counties: Adams, Berks, Blair, Bradford, Bucks, Cambria, Cameron, Carbon, Centre, Chester, Clearfield, Clinton, Cumberland, Dauphin, Franklin, Fulton, Huntingdon, Jefferson, Juniata, Lackawanna, Lancaster, Lebanon, Lehigh, Lycoming, Mifflin, Monroe, Northampton, Perry, Pike, Potter, Somerset, Sullivan, Susquehanna, Tioga, Wayne, Wyoming, York
Geisinger Gold Classic Complete Rx (HMO) (updated 09/16/2026) – Servicing Counties: Columbia, Luzerne, Montour, Northumberland, Schuylkill, Snyder, Union
Geisinger Gold Classic 360 Rx (HMO) (updated 09/16/2026) – Servicing Counties: Blair, Bucks, Cambria, Centre, Clearfield, Clinton, Huntingdon, Juniata, Lackawanna, Lehigh, Luzerne, Lycoming, Mifflin, Monroe, Northampton, Pike, Sullivan, Susquehanna, Wyoming
Geisinger Gold Classic Essential Rx (HMO) (updated 09/16/2026) – Servicing Counties: Adams, Berks, Blair, Bradford, Bucks, Cambria, Cameron, Carbon, Centre, Chester, Clearfield, Clinton, Columbia, Cumberland, Dauphin, Franklin, Fulton, Huntingdon, Jefferson, Juniata, Lackawanna, Lancaster, Lebanon, Lehigh, Luzerne, Lycoming, Mifflin, Monroe, Montour, Northampton, Northumberland, Perry, Pike, Potter, Schuylkill, Snyder, Somerset, Sullivan, Susquehanna, Tioga, Union, Wayne, Wyoming, York
Geisinger Gold Heritage (HMO) (updated 09/16/2026) – Servicing Counties: Adams, Allegheny, Armstrong, Beaver, Bedford, Berks, Blair, Bradford, Bucks, Butler, Cambria, Cameron, Carbon, Centre, Chester, Clarion, Clearfield, Clinton, Columbia, Crawford, Cumberland, Dauphin, Delaware, Elk, Fayette, Forest, Franklin, Fulton, Greene, Huntingdon, Jefferson, Juniata, Lackawanna, Lancaster, Lebanon, Lehigh, Luzerne, Lycoming, McKean, Mifflin, Monroe, Montgomery, Montour, Northampton, Northumberland, Perry, Philadelphia, Pike, Potter, Schuylkill, Snyder, Somerset, Sullivan, Susquehanna, Tioga, Union, Venango, Warren, Washington, Wayne, Westmoreland, Wyoming, York
Geisinger Gold Value Rx (HMO) (updated 09/16/2026) – Servicing Counties: Adams, Allegheny, Armstrong, Beaver, Bedford, Berks, Blair, Bradford, Bucks, Butler, Cambria, Cameron, Carbon, Centre, Chester, Clarion, Clearfield, Clinton, Columbia, Crawford, Cumberland, Dauphin, Delaware, Elk, Fayette, Forest, Franklin, Fulton, Greene, Huntingdon, Jefferson, Juniata, Lackawanna, Lancaster, Lebanon, Lehigh, Luzerne, Lycoming, McKean, Mifflin, Monroe, Montgomery, Montour, Northampton, Northumberland, Perry, Philadelphia, Pike, Potter, Schuylkill, Snyder, Somerset, Sullivan, Susquehanna, Tioga, Union, Venango, Warren, Washington, Wayne, Westmoreland, Wyoming, York
Evidence of Coverage (2027)
If you are a current Geisinger Gold member and will remain enrolled for 2027, view your 2027 Evidence of Coverage documents below:
Geisinger Gold Preferred Advantage Rx (PPO) (updated 10/10/2026) – Servicing Counties: Blair, Bradford, Cambria, Cameron, Centre, Clearfield, Clinton, Columbia, Fulton, Huntingdon, Jefferson, Juniata, Lackawanna, Luzerne, Lycoming, Mifflin, Montour, Northumberland, Pike, Potter, Schuylkill, Snyder, Somerset, Sullivan, Susquehanna, Union, Tioga, Wayne, Wyoming
Geisinger Gold Preferred Advantage Rx (PPO) (updated 10/10/2026) – Servicing Counties: Adams, Berks, Bucks, Carbon, Chester, Cumberland, Dauphin, Franklin, Lancaster, Lebanon, Lehigh, Monroe, Northampton, Perry, York
Geisinger Gold Preferred Balance Rx (PPO) (updated 10/10/2026) – Servicing Counties: Adams, Berks, Blair, Bradford, Bucks, Cambria, Cameron, Carbon, Centre, Chester, Clearfield, Clinton, Columbia, Cumberland, Dauphin, Franklin, Fulton, Huntingdon, Jefferson, Juniata, Lackawanna, Lancaster, Lebanon, Lehigh, Luzerne, Lycoming, Mifflin, Monroe, Montour, Northampton, Northumberland, Perry, Pike, Potter, Schuylkill, Snyder, Somerset, Sullivan, Susquehanna, Tioga, Union, Wayne, Wyoming, York
Geisinger Gold Preferred Complete Rx (PPO) (updated 10/10/2026) – Servicing Counties: Adams, Berks, Blair, Bradford, Bucks, Cambria, Cameron, Carbon, Centre, Chester, Clearfield, Clinton, Columbia, Cumberland, Dauphin, Franklin, Fulton, Huntingdon, Jefferson, Juniata, Lackawanna, Lancaster, Lebanon, Lehigh, Luzerne, Lycoming, Mifflin, Monroe, Montour, Northampton, Northumberland, Perry, Pike, Potter, Schuylkill, Snyder, Somerset, Sullivan, Susquehanna, Tioga, Union, Wayne, Wyoming, York
Geisinger Gold Secure Rx (HMO D-SNP) (updated 10/10/2026) – Servicing Counties: Adams, Allegheny, Armstrong, Beaver, Bedford, Berks, Blair, Bradford, Bucks, Butler, Cambria, Cameron, Carbon, Centre, Chester, Clarion, Clearfield, Clinton, Columbia, Crawford, Cumberland, Dauphin, Delaware, Elk, Fayette, Forest, Franklin, Fulton, Greene, Huntingdon, Jefferson, Juniata, Lackawanna, Lancaster, Lebanon, Lehigh, Luzerne, Lycoming, McKean, Mifflin, Monroe, Montgomery, Montour, Northampton, Northumberland, Perry, Philadelphia, Pike, Potter, Schuylkill, Snyder, Somerset, Sullivan, Susquehanna, Tioga, Union, Venango, Warren, Washington, Wayne, Westmoreland, Wyoming, York
Geisinger Gold Classic Advantage Rx (HMO) (updated 10/10/2026) – Servicing Counties: Columbia, Luzerne, Montour, Northumberland, Schuylkill, Snyder, Union
Geisinger Gold Classic Advantage Rx (HMO) (updated 10/10/2026) – Servicing Counties: Bucks, Carbon, Centre, Clinton, Juniata, Lackawanna, Lehigh, Lycoming, Mifflin, Monroe, Northampton, Pike, Sullivan, Susquehanna, Wayne, Wyoming
Geisinger Gold Classic Advantage Rx (HMO) (updated 10/10/2026) – Servicing Counties: Adams, Berks, Blair, Bradford, Cambria, Cameron, Chester, Clearfield, Cumberland, Dauphin, Franklin, Fulton, Huntingdon, Jefferson, Lancaster, Lebanon, Perry, Potter, Somerset, Tioga, York
Geisinger Gold Classic Complete Rx (HMO) (updated 10/10/2026) – Servicing Counties: Adams, Berks, Blair, Bradford, Bucks, Cambria, Cameron, Carbon, Centre, Chester, Clearfield, Clinton, Cumberland, Dauphin, Franklin, Fulton, Huntingdon, Jefferson, Juniata, Lackawanna, Lancaster, Lebanon, Lehigh, Lycoming, Mifflin, Monroe, Northampton, Perry, Pike, Potter, Somerset, Sullivan, Susquehanna, Tioga, Wayne, Wyoming, York
Geisinger Gold Classic Complete Rx (HMO) (updated 10/10/2026) – Servicing Counties: Columbia, Luzerne, Montour, Northumberland, Schuylkill, Snyder, Union
Geisinger Gold Classic 360 Rx (HMO) (updated 10/10/2026) – Servicing Counties: Blair, Bucks, Cambria, Centre, Clearfield, Clinton, Huntingdon, Juniata, Lackawanna, Lehigh, Luzerne, Lycoming, Mifflin, Monroe, Northampton, Pike, Sullivan, Susquehanna, Wyoming
Geisinger Gold Classic Essential Rx (HMO) (updated 10/10/2026) – Servicing Counties: Adams, Berks, Blair, Bradford, Bucks, Cambria, Cameron, Carbon, Centre, Chester, Clearfield, Clinton, Columbia, Cumberland, Dauphin, Franklin, Fulton, Huntingdon, Jefferson, Juniata, Lackawanna, Lancaster, Lebanon, Lehigh, Luzerne, Lycoming, Mifflin, Monroe, Montour, Northampton, Northumberland, Perry, Pike, Potter, Schuylkill, Snyder, Somerset, Sullivan, Susquehanna, Tioga, Union, Wayne, Wyoming, York
Geisinger Gold Heritage (HMO) (updated 10/10/2026) – Servicing Counties: Adams, Allegheny, Armstrong, Beaver, Bedford, Berks, Blair, Bradford, Bucks, Butler, Cambria, Cameron, Carbon, Centre, Chester, Clarion, Clearfield, Clinton, Columbia, Crawford, Cumberland, Dauphin, Delaware, Elk, Fayette, Forest, Franklin, Fulton, Greene, Huntingdon, Jefferson, Juniata, Lackawanna, Lancaster, Lebanon, Lehigh, Luzerne, Lycoming, McKean, Mifflin, Monroe, Montgomery, Montour, Northampton, Northumberland, Perry, Philadelphia, Pike, Potter, Schuylkill, Snyder, Somerset, Sullivan, Susquehanna, Tioga, Union, Venango, Warren, Washington, Wayne, Westmoreland, Wyoming, York
Geisinger Gold Value Rx (HMO) (updated 10/10/2026) – Servicing Counties: Adams, Allegheny, Armstrong, Beaver, Bedford, Berks, Blair, Bradford, Bucks, Butler, Cambria, Cameron, Carbon, Centre, Chester, Clarion, Clearfield, Clinton, Columbia, Crawford, Cumberland, Dauphin, Delaware, Elk, Fayette, Forest, Franklin, Fulton, Greene, Huntingdon, Jefferson, Juniata, Lackawanna, Lancaster, Lebanon, Lehigh, Luzerne, Lycoming, McKean, Mifflin, Monroe, Montgomery, Montour, Northampton, Northumberland, Perry, Philadelphia, Pike, Potter, Schuylkill, Snyder, Somerset, Sullivan, Susquehanna, Tioga, Union, Venango, Warren, Washington, Wayne, Westmoreland, Wyoming, York
2027 Plan Star Ratings from Centers for Medicare and Medicaid Services (CMS)
- Plan Contract H3954 (includes Geisinger Gold HMO and D-SNP plans) (updated 10/15/2026)
- Plan Contract H3924 (includes Geisinger Gold PPO plans) (updated 10/15/2026)
Documentos de beneficios de 2026
Descargue sus documentos de beneficios de 2026. (Todos los archivos son PDF).
2026
Documentos de resúmenes de beneficios 2026:
Geisinger Gold Preferred Advantage Rx (PPO) (actualizado en 08/26/2025). Condados donde se prestan servicios: Blair, Bradford, Cambria, Cameron, Centre, Clearfield, Clinton, Columbia, Fulton, Huntingdon, Jefferson, Juniata, Lackawanna, Luzerne, Lycoming, Mifflin, Montour, Northumberland, Pike, Potter, Schuylkill, Snyder, Somerset, Sullivan, Susquehanna, Tioga, Union, Wayne, Wyoming
Geisinger Gold Preferred Advantage Rx (PPO) (actualizado en 08/26/2025). Condados donde se prestan servicios: Adams, Berks, Bucks, Carbon, Chester, Cumberland, Dauphin, Franklin, Lancaster, Lebanon, Lehigh, Monroe, Northampton, Perry, York
Geisinger Gold Preferred Complete Rx (PPO) (actualizado en 08/26/2025). Condados donde se prestan servicios: Adams, Berks, Blair, Bradford, Bucks, Cambria, Cameron, Carbon, Centre, Chester, Clearfield, Clinton, Columbia, Cumberland, Dauphin, Franklin, Fulton, Huntingdon, Jefferson, Juniata, Lackawanna, Lancaster, Lebanon, Lehigh, Luzerne, Lycoming, Mifflin, Monroe, Montour, Northampton, Northumberland, Perry, Pike, Potter, Schuylkill, Snyder, Somerset, Sullivan, Susquehanna, Tioga, Union, Wayne, Wyoming, York
Geisinger Gold Secure Rx (HMO D-SNP) (actualizado en 08/26/2025). Condados donde se prestan servicios: Adams, Allegheny, Armstrong, Beaver, Bedford, Berks, Blair, Bradford, Bucks, Butler, Cambria, Cameron, Carbon, Centre, Chester, Clarion, Clearfield, Clinton, Columbia, Crawford, Cumberland, Dauphin, Delaware, Elk, Fayette, Forest, Franklin, Fulton, Greene, Huntingdon, Jefferson, Juniata, Lackawanna, Lancaster, Lebanon, Lehigh, Luzerne, Lycoming, McKean, Mifflin, Monroe, Montgomery, Montour, Northampton, Northumberland, Perry, Philadelphia, Pike, Potter, Schuylkill, Snyder, Somerset, Sullivan, Susquehanna, Tioga, Union, Venango, Warren, Washington, Wayne, Westmoreland, Wyoming, York
Geisinger Gold Classic Advantage Rx (HMO) (actualizado en 08/26/2025). Condados donde se prestan servicios: Columbia, Luzerne, Montour, Northumberland, Schuylkill, Snyder, Union
Geisinger Gold Classic Advantage Rx (HMO) (actualizado en 08/26/2025). Condados donde se prestan servicios: Bucks, Carbon, Centre, Clinton, Juniata, Lackawanna, Lehigh, Lycoming, Mifflin, Monroe, Northampton, Pike, Sullivan, Susquehanna, Wayne, Wyoming
Geisinger Gold Classic Advantage Rx (HMO) (actualizado en 08/26/2025). Condados donde se prestan servicios: Adams, Berks, Blair, Bradford, Cambria, Cameron, Chester, Clearfield, Cumberland, Dauphin, Franklin, Fulton, Huntingdon, Jefferson, Lancaster, Lebanon, Perry, Potter, Somerset, Tioga, York
Geisinger Gold Classic Complete Rx (HMO) (actualizado en 08/26/2025). Condados donde se prestan servicios: Adams, Berks, Blair, Bradford, Bucks, Cambria, Cameron, Carbon, Centre, Chester, Clearfield, Clinton, Cumberland, Dauphin, Franklin, Fulton, Huntingdon, Jefferson, Juniata, Lackawanna, Lancaster, Lebanon, Lehigh, Lycoming, Mifflin, Monroe, Northampton, Perry, Pike, Potter, Somerset, Sullivan, Susquehanna, Tioga, Wayne, Wyoming, York
Geisinger Gold Classic Complete Rx (HMO) (actualizado en 08/26/2025). Condados donde se prestan servicios: Columbia, Luzerne, Montour, Northumberland, Schuylkill, Snyder, Union
Geisinger Gold Classic 360 Rx (HMO) (actualizado en 08/26/2025). Condados donde se prestan servicios: Blair, Bucks, Cambria, Centre, Clearfield, Clinton, Huntingdon, Juniata, Lackawanna, Lehigh, Luzerne, Lycoming, Mifflin, Monroe, Northampton, Pike, Sullivan, Susquehanna, Wyoming
Geisinger Gold Classic Essential Rx (HMO) (actualizado en 08/26/2025). Condados donde se prestan servicios: Adams, Berks, Blair, Bradford, Bucks, Cambria, Cameron, Carbon, Centre, Chester, Clearfield, Clinton, Columbia, Cumberland, Dauphin, Franklin, Fulton, Huntingdon, Jefferson, Juniata, Lackawanna, Lancaster, Lebanon, Lehigh, Luzerne, Lycoming, Mifflin, Monroe, Montour, Northampton, Northumberland, Perry, Pike, Potter, Schuylkill, Snyder, Somerset, Sullivan, Susquehanna, Tioga, Union, Wayne, Wyoming, York
Geisinger Gold Heritage (HMO) (actualizado en 08/26/2025). Condados donde se prestan servicios: Adams, Allegheny, Armstrong, Beaver, Bedford, Berks, Blair, Bradford, Bucks, Butler, Cambria, Cameron, Carbon, Centre, Chester, Clarion, Clearfield, Clinton, Columbia, Crawford, Cumberland, Dauphin, Delaware, Elk, Fayette, Forest, Franklin, Fulton, Greene, Huntingdon, Jefferson, Juniata, Lackawanna, Lancaster, Lebanon, Lehigh, Luzerne, Lycoming, McKean, Mifflin, Monroe, Montgomery, Montour, Northampton, Northumberland, Perry, Philadelphia, Pike, Potter, Schuylkill, Snyder, Somerset, Sullivan, Susquehanna, Tioga, Union, Venango, Warren, Washington, Wayne, Westmoreland, Wyoming, York
Geisinger Gold Value Rx (HMO) (actualizado en 08/26/2025). Condados donde se prestan servicios: Adams, Allegheny, Armstrong, Beaver, Bedford, Berks, Blair, Bradford, Bucks, Butler, Cambria, Cameron, Carbon, Centre, Chester, Clarion, Clearfield, Clinton, Columbia, Crawford, Cumberland, Dauphin, Delaware, Elk, Fayette, Forest, Franklin, Fulton, Greene, Huntingdon, Jefferson, Juniata, Lackawanna, Lancaster, Lebanon, Lehigh, Luzerne, Lycoming, McKean, Mifflin, Monroe, Montgomery, Montour, Northampton, Northumberland, Perry, Philadelphia, Pike, Potter, Schuylkill, Snyder, Somerset, Sullivan, Susquehanna, Tioga, Union, Venango, Warren, Washington, Wayne, Westmoreland, Wyoming, York
Formularios de inscripción (2026)
Formulario de inscripción de 2026 para los planes Geisinger Gold Medicare Advantage (actualizado en 09/10/2025)
Aviso anual de cambios (ANOC) (2026)
Si actualmente es miembro de Geisinger Gold y permanecerá inscrito para 2026, consulte su carta de Aviso anual de cambios (Annual Notice of Changes, ANOC) para 2026 a continuación:
Geisinger Gold Preferred Advantage Rx (PPO) (actualizado en 09/16/2025). Condados donde se prestan servicios: Blair, Bradford, Cambria, Cameron, Centre, Clearfield, Clinton, Columbia, Fulton, Huntingdon, Jefferson, Juniata, Lackawanna, Luzerne, Lycoming, Mifflin, Montour, Northumberland, Pike, Potter, Schuylkill, Snyder, Somerset, Sullivan, Susquehanna, Tioga, Union, Wayne, Wyoming
Geisinger Gold Preferred Advantage Rx (PPO) (actualizado en 09/16/2025). Condados donde se prestan servicios: Adams, Berks, Bucks, Carbon, Chester, Cumberland, Dauphin, Franklin, Lancaster, Lebanon, Lehigh, Monroe, Northampton, Perry, York
Geisinger Gold Preferred Complete Rx (PPO) (actualizado en 09/16/2025). Condados donde se prestan servicios: Adams, Berks, Blair, Bradford, Bucks, Cambria, Cameron, Carbon, Centre, Chester, Clearfield, Clinton, Columbia, Cumberland, Dauphin, Franklin, Fulton, Huntingdon, Jefferson, Juniata, Lackawanna, Lancaster, Lebanon, Lehigh, Luzerne, Lycoming, Mifflin, Monroe, Montour, Northampton, Northumberland, Perry, Pike, Potter, Schuylkill, Snyder, Somerset, Sullivan, Susquehanna, Tioga, Union, Wayne, Wyoming, York
Geisinger Gold Secure Rx (HMO D-SNP) (actualizado en 09/16/2025). Condados donde se prestan servicios: Adams, Allegheny, Armstrong, Beaver, Bedford, Berks, Blair, Bradford, Bucks, Butler, Cambria, Cameron, Carbon, Centre, Chester, Clarion, Clearfield, Clinton, Columbia, Crawford, Cumberland, Dauphin, Delaware, Elk, Fayette, Forest, Franklin, Fulton, Greene, Huntingdon, Jefferson, Juniata, Lackawanna, Lancaster, Lebanon, Lehigh, Luzerne, Lycoming, McKean, Mifflin, Monroe, Montgomery, Montour, Northampton, Northumberland, Perry, Philadelphia, Pike, Potter, Schuylkill, Snyder, Somerset, Sullivan, Susquehanna, Tioga, Union, Venango, Warren, Washington, Wayne, Westmoreland, Wyoming, York
Geisinger Gold Classic Advantage Rx (HMO) (actualizado en 09/16/2025). Condados donde se prestan servicios: Columbia, Luzerne, Montour, Northumberland, Schuylkill, Snyder, Union
Geisinger Gold Classic Advantage Rx (HMO) (actualizado en 09/16/2025). Condados donde se prestan servicios: Bucks, Carbon, Centre, Clinton, Juniata, Lackawanna, Lehigh, Lycoming, Mifflin, Monroe, Northampton, Pike, Sullivan, Susquehanna, Wayne, Wyoming
Geisinger Gold Classic Advantage Rx (HMO) (actualizado en 09/16/2025). Condados donde se prestan servicios: Adams, Berks, Blair, Bradford, Cambria, Cameron, Chester, Clearfield, Cumberland, Dauphin, Franklin, Fulton, Huntingdon, Jefferson, Lancaster, Lebanon, Perry, Potter, Somerset, Tioga, York
Geisinger Gold Classic Complete Rx (HMO) (actualizado en 09/16/2025). Condados donde se prestan servicios: Adams, Berks, Blair, Bradford, Bucks, Cambria, Cameron, Carbon, Centre, Chester, Clearfield, Clinton, Cumberland, Dauphin, Franklin, Fulton, Huntingdon, Jefferson, Juniata, Lackawanna, Lancaster, Lebanon, Lehigh, Lycoming, Mifflin, Monroe, Northampton, Perry, Pike, Potter, Somerset, Sullivan, Susquehanna, Tioga, Wayne, Wyoming, York
Geisinger Gold Classic Complete Rx (HMO) (actualizado en 09/16/2025). Condados donde se prestan servicios: Columbia, Luzerne, Montour, Northumberland, Schuylkill, Snyder, Union
Geisinger Gold Classic 360 Rx (HMO) (actualizado en 09/16/2025). Condados donde se prestan servicios: Blair, Bucks, Cambria, Centre, Clearfield, Clinton, Huntingdon, Juniata, Lackawanna, Lehigh, Luzerne, Lycoming, Mifflin, Monroe, Northampton, Pike, Sullivan, Susquehanna, Wyoming
Geisinger Gold Classic Essential Rx (HMO) (actualizado en 09/16/2025). Condados donde se prestan servicios: Adams, Berks, Blair, Bradford, Bucks, Cambria, Cameron, Carbon, Centre, Chester, Clearfield, Clinton, Columbia, Cumberland, Dauphin, Franklin, Fulton, Huntingdon, Jefferson, Juniata, Lackawanna, Lancaster, Lebanon, Lehigh, Luzerne, Lycoming, Mifflin, Monroe, Montour, Northampton, Northumberland, Perry, Pike, Potter, Schuylkill, Snyder, Somerset, Sullivan, Susquehanna, Tioga, Union, Wayne, Wyoming, York
Geisinger Gold Heritage (HMO) (actualizado en 09/16/2025). Condados donde se prestan servicios: Adams, Allegheny, Armstrong, Beaver, Bedford, Berks, Blair, Bradford, Bucks, Butler, Cambria, Cameron, Carbon, Centre, Chester, Clarion, Clearfield, Clinton, Columbia, Crawford, Cumberland, Dauphin, Delaware, Elk, Fayette, Forest, Franklin, Fulton, Greene, Huntingdon, Jefferson, Juniata, Lackawanna, Lancaster, Lebanon, Lehigh, Luzerne, Lycoming, McKean, Mifflin, Monroe, Montgomery, Montour, Northampton, Northumberland, Perry, Philadelphia, Pike, Potter, Schuylkill, Snyder, Somerset, Sullivan, Susquehanna, Tioga, Union, Venango, Warren, Washington, Wayne, Westmoreland, Wyoming, York
Geisinger Gold Value Rx (HMO) (actualizado en 09/16/2025). Condados donde se prestan servicios: Adams, Allegheny, Armstrong, Beaver, Bedford, Berks, Blair, Bradford, Bucks, Butler, Cambria, Cameron, Carbon, Centre, Chester, Clarion, Clearfield, Clinton, Columbia, Crawford, Cumberland, Dauphin, Delaware, Elk, Fayette, Forest, Franklin, Fulton, Greene, Huntingdon, Jefferson, Juniata, Lackawanna, Lancaster, Lebanon, Lehigh, Luzerne, Lycoming, McKean, Mifflin, Monroe, Montgomery, Montour, Northampton, Northumberland, Perry, Philadelphia, Pike, Potter, Schuylkill, Snyder, Somerset, Sullivan, Susquehanna, Tioga, Union, Venango, Warren, Washington, Wayne, Westmoreland, Wyoming, York
Evidencia de cobertura (2026)
Si actualmente es miembro de Geisinger Gold y seguirá inscrito para 2026, consulte los documentos de su Evidencia de cobertura de 2026 a continuación:
Geisinger Gold Preferred Advantage Rx (PPO) (actualizado en 13/10/2025) Condados donde se prestan servicios: Blair, Bradford, Cambria, Cameron, Centre, Clearfield, Clinton, Columbia, Fulton, Huntingdon, Jefferson, Juniata, Lackawanna, Luzerne, Lycoming, Mifflin, Montour, Northumberland, Pike, Potter, Schuylkill, Snyder, Somerset, Sullivan, Susquehanna, Union, Tioga, Wayne, Wyoming
Geisinger Gold Preferred Advantage Rx (PPO) (actualizado en 13/10/2025) Condados donde se prestan servicios: Adams, Berks, Bucks, Carbon, Chester, Cumberland, Dauphin, Franklin, Lancaster, Lebanon, Lehigh, Monroe, Northampton, Perry, York
Geisinger Gold Preferred Complete Rx (PPO) (actualizado en 13/10/2025) Condados donde se prestan servicios: Adams, Berks, Blair, Bradford, Bucks, Cambria, Cameron, Carbon, Centre, Chester, Clearfield, Clinton, Columbia, Cumberland, Dauphin, Franklin, Fulton, Huntingdon, Jefferson, Juniata, Lackawanna, Lancaster, Lebanon, Lehigh, Luzerne, Lycoming, Mifflin, Monroe, Montour, Northampton, Northumberland, Perry, Pike, Potter, Schuylkill, Snyder, Somerset, Sullivan, Susquehanna, Tioga, Union, Wayne, Wyoming, York
Geisinger Gold Secure Rx (HMO D-SNP) (actualizado en 14/11/2025) Condados donde se prestan servicios: Adams, Allegheny, Armstrong, Beaver, Bedford, Berks, Blair, Bradford, Bucks, Butler, Cambria, Cameron, Carbon, Centre, Chester, Clarion, Clearfield, Clinton, Columbia, Crawford, Cumberland, Dauphin, Delaware, Elk, Fayette, Forest, Franklin, Fulton, Greene, Huntingdon, Jefferson, Juniata, Lackawanna, Lancaster, Lebanon, Lehigh, Luzerne, Lycoming, McKean, Mifflin, Monroe, Montgomery, Montour, Northampton, Northumberland, Perry, Philadelphia, Pike, Potter, Schuylkill, Snyder, Somerset, Sullivan, Susquehanna, Tioga, Union, Venango, Warren, Washington, Wayne, Westmoreland, Wyoming, York
Geisinger Gold Classic Advantage Rx (HMO) (actualizado en 13/10/2025) Condados donde se prestan servicios: Columbia, Luzerne, Montour, Northumberland, Schuylkill, Snyder, Union
Geisinger Gold Classic Advantage Rx (HMO) (actualizado en 13/10/2025) Condados donde se prestan servicios: Bucks, Carbon, Centre, Clinton, Juniata, Lackawanna, Lehigh, Lycoming, Mifflin, Monroe, Northampton, Pike, Sullivan, Susquehanna, Wayne, Wyoming
Geisinger Gold Classic Advantage Rx (HMO) (actualizado en 13/10/2025) Condados donde se prestan servicios: Adams, Berks, Blair, Bradford, Cambria, Cameron, Chester, Clearfield, Cumberland, Dauphin, Franklin, Fulton, Huntingdon, Jefferson, Lancaster, Lebanon, Perry, Potter, Somerset, Tioga, York
Geisinger Gold Classic Complete Rx (HMO) (actualizado en 13/10/2025) Condados donde se prestan servicios: Adams, Berks, Blair, Bradford, Bucks, Cambria, Cameron, Carbon, Centre, Chester, Clearfield, Clinton, Cumberland, Dauphin, Franklin, Fulton, Huntingdon, Jefferson, Juniata, Lackawanna, Lancaster, Lebanon, Lehigh, Lycoming, Mifflin, Monroe, Northampton, Perry, Pike, Potter, Somerset, Sullivan, Susquehanna, Tioga, Wayne, Wyoming, York
Geisinger Gold Classic Complete Rx (HMO) (actualizado en 13/10/2025) Condados donde se prestan servicios: Columbia, Luzerne, Montour, Northumberland, Schuylkill, Snyder, Union
Geisinger Gold Classic 360 Rx (HMO) (actualizado en 18/11/2025) Condados donde se prestan servicios: Blair, Bucks, Cambria, Centre, Clearfield, Clinton, Huntingdon, Juniata, Lackawanna, Lehigh, Luzerne, Lycoming, Mifflin, Monroe, Northampton, Pike, Sullivan, Susquehanna, Wyoming
Geisinger Gold Classic Essential Rx (HMO) (actualizado en 13/10/2025) Condados donde se prestan servicios: Adams, Berks, Blair, Bradford, Bucks, Cambria, Cameron, Carbon, Centre, Chester, Clearfield, Clinton, Columbia, Cumberland, Dauphin, Franklin, Fulton, Huntingdon, Jefferson, Juniata, Lackawanna, Lancaster, Lebanon, Lehigh, Luzerne, Lycoming, Mifflin, Monroe, Montour, Northampton, Northumberland, Perry, Pike, Potter, Schuylkill, Snyder, Somerset, Sullivan, Susquehanna, Tioga, Union, Wayne, Wyoming, York
Geisinger Gold Heritage (HMO) (actualizado en 18/11/2025) Condados donde se prestan servicios: Adams, Allegheny, Armstrong, Beaver, Bedford, Berks, Blair, Bradford, Bucks, Butler, Cambria, Cameron, Carbon, Centre, Chester, Clarion, Clearfield, Clinton, Columbia, Crawford, Cumberland, Dauphin, Delaware, Elk, Fayette, Forest, Franklin, Fulton, Greene, Huntingdon, Jefferson, Juniata, Lackawanna, Lancaster, Lebanon, Lehigh, Luzerne, Lycoming, McKean, Mifflin, Monroe, Montgomery, Montour, Northampton, Northumberland, Perry, Philadelphia, Pike, Potter, Schuylkill, Snyder, Somerset, Sullivan, Susquehanna, Tioga, Union, Venango, Warren, Washington, Wayne, Westmoreland, Wyoming, York
Geisinger Gold Value Rx (HMO) (actualizado en 18/11/2025) Condados donde se prestan servicios: Adams, Allegheny, Armstrong, Beaver, Bedford, Berks, Blair, Bradford, Bucks, Butler, Cambria, Cameron, Carbon, Centre, Chester, Clarion, Clearfield, Clinton, Columbia, Crawford, Cumberland, Dauphin, Delaware, Elk, Fayette, Forest, Franklin, Fulton, Greene, Huntingdon, Jefferson, Juniata, Lackawanna, Lancaster, Lebanon, Lehigh, Luzerne, Lycoming, McKean, Mifflin, Monroe, Montgomery, Montour, Northampton, Northumberland, Perry, Philadelphia, Pike, Potter, Schuylkill, Snyder, Somerset, Sullivan, Susquehanna, Tioga, Union, Venango, Warren, Washington, Wayne, Westmoreland, Wyoming, York
Calificaciones con estrellas del plan de los Centros de Servicios de Medicare y Medicaid (Centers for Medicare and Medicaid Services, CMS)
- Contrato del plan H3954 (incluye los planes Geisinger Gold HMO y D-SNP) (actualizado el 10/15/2025)
- Contrato del plan H3924 (incluye los planes Geisinger Gold PPO) (actualizado el 10/15/2025)
Actualizaciones del boletín informativo para miembros
Actualización para miembros de Geisinger Gold, trimestre 3 de 2026
Actualización para miembros de Geisinger Gold, trimestre 2 de 2026
Actualización para miembros de Geisinger Gold, trimestre 1 de 2026
Actualización para miembros de Geisinger Gold, trimestre 4 de 2025
Actualización para miembros de Geisinger Gold Secure Rx, trimestre 3 de 2026
Actualización para miembros de Geisinger Gold Secure Rx, trimestre 2 de 2026
Actualización para miembros de Geisinger Gold Secure Rx, trimestre 1 de 2026
Actualización para miembros de Geisinger Gold Secure Rx, trimestre 4 de 2025
Lo que debe saber
Información de calidad
Geisinger Gold se compromete a brindar atención de salud de calidad a nuestros miembros. Una manera en que podemos asegurarnos de mantener los más altos estándares es revisar nuestro desempeño comparándolo con los parámetros de atención y servicio aceptados. Por ejemplo, el Conjunto de datos e información sobre la eficacia de la atención médica (HEDIS®)* proporciona un conjunto de parámetros contra los que podemos juzgar nuestra eficacia.
El Comité Nacional de Aseguramiento de la Calidad (National Committee for Quality Assurance, NCQA) establece los indicadores de calidad, como HEDIS y otras iniciativas, para garantizar que los miembros de Gold reciban atención de alta calidad.
Geisinger Gold lleva a cabo un programa de salud preventiva agresivo, dirigido a los miembros con mayor riesgo de padecer diferentes enfermedades prevenibles.
Informe de equidad en la salud
A continuación, se muestra el último informe de autorización previa sobre los planes Medicare Advantage de Geisinger Health Plan.
Todos compartimos el mismo objetivo: asegurarnos de que usted y sus seres queridos reciban la atención que merecen. Por eso es importante realizar informes sobre la equidad en la salud. Los siguientes datos le permiten ver cómo Geisinger revisa y responde a las autorizaciones previas. Es una práctica de atención médica en la que creemos y confiamos, porque ayuda a nuestros miembros a obtener la atención adecuada, en el momento adecuado, con el médico adecuado y en el lugar adecuado.
Tasas de aprobación y denegación por población
| Grupo | Aprobación estándar | Denegación estándar | Aprobación acelerada | Denegación acelerada |
| Todos en Medicare | 97.97% | 2.03% | 96.14% | 3.86% |
| Gold HMO | 97.71% | 2.29% | 95.72% | 4.28% |
| Gold PPO | 98.38% | 1.62% | 96.62% | 3.38% |
| Población con DSNP | 96.95% | 3.05% | 91.01% | 8.99% |
| Población con indicador de discapacidad de los CMS | 97.43% | 2.57% | 95.62% | 4.38% |
Horas para tomar una decisión por población
| Grupo | Promedio estándar | Mediana estándar | Promedio acelerada | Mediana acelerada |
| Todos en Medicare | 13.87 | 0.00 | 7.12 | 1.00 |
| Gold HMO | 12.98 | 0.00 | 6.50 | 1.00 |
| Gold PPO | 15.28 | 0.00 | 7.83 | 1.00 |
| Población con DSNP | 14.75 | 0.00 | 6.89 | 1.00 |
| Población con indicador de discapacidad de los CMS | 15.30 | 0.00 | 5.59 | 1.00 |
Porcentaje de autorizaciones aprobadas con extensión
| Grupo | Porcentaje |
| Todos en Medicare | 0.010% |
| Gold HMO | 0.006% |
| Gold PPO | 0.017% |
| Población con DSNP | 0.005% |
| Población con indicador de discapacidad de los CMS | 0.009% |
Autorizaciones estándar aprobadas después de la apelación
| Grupo | Se revocaron porcentaje (aprobado) |
Cantidad de apelaciones revocadas | Cantidad total de apelaciones |
| Todos en Medicare | 47.65% | 71 | 149 |
| Gold HMO | 47.06% | 40 | 85 |
| Gold PPO | 48.44% | 31 | 64 |
| Población con DSNP | 0 | ||
| Población con indicador de discapacidad de los CMS | 54.55% | 12 | 22 |
Gestione su atención de la salud a través del portal para miembros de GHP
Utilice el portal para miembros para ver reclamaciones y beneficios, encontrar un proveedor y más.
Más información sobre los beneficios para miembros de Geisinger Gold
Decisiones de cobertura y apelaciones
Cómo comprender las decisiones y presentar apelaciones
Los planes Geisinger Gold Medicare Advantage HMO, PPO y HMO D-SNP son ofrecidos por Geisinger Health Plan/Geisinger Indemnity Insurance Company/Geisinger Quality Options, Inc., planes de salud con un contrato con Medicare. La continuidad de la inscripción en Geisinger Gold depende de la renovación del contrato. Geisinger Health Plan, Geisinger Indemnity Insurance Company y Geisinger Quality Options, Inc. forman parte de Geisinger, una organización integrada de prestación y cobertura de atención médica. Risant Health es la organización matriz de Geisinger.
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