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Documentos de beneficios de Geisinger Gold Medicare

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2026 benefit documents

Download your 2026 benefit documents. (All files are PDFs.)

Documentos de beneficios de 2025

Descargue sus documentos de beneficios de 2025. (Todos los archivos son PDF).

2026

2026 Summaries of Benefits documents:

Geisinger Gold Preferred Advantage Rx (PPO) (updated 08/26/2025) – 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 08/26/2025) – Servicing Counties: Adams, Berks, Bucks, Carbon, Chester, Cumberland, Dauphin, Franklin, Lancaster, Lebanon, Lehigh, Monroe, Northampton, Perry, York 

Geisinger Gold Preferred Complete Rx (PPO) (updated 08/26/2025) – 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 08/26/2025) – 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 08/26/2025) – Servicing Counties: Columbia, Luzerne, Montour, Northumberland, Schuylkill, Snyder, Union

Geisinger Gold Classic Advantage Rx (HMO) (updated 08/26/2025) – 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 08/26/2025) – 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 08/26/2025) – 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 08/26/2025) – Servicing Counties: Columbia, Luzerne, Montour, Northumberland, Schuylkill, Snyder, Union

Geisinger Gold Classic 360 Rx (HMO) (updated 08/26/2025) – 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 08/26/2025) – 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 08/26/2025) – 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 08/26/2025) – 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 (2026)
Annual Notice of Changes (ANOC) (2026)

If you are a current Geisinger Gold member and will remain enrolled for 2026, view your 2026 Annual Notice of Changes (ANOC) below:

Geisinger Gold Preferred Advantage Rx (PPO) (updated 09/16/2025) – 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 09/16/2025) – Servicing Counties: Adams, Berks, Bucks, Carbon, Chester, Cumberland, Dauphin, Franklin, Lancaster, Lebanon, Lehigh, Monroe, Northampton, Perry, York

Geisinger Gold Preferred Complete Rx (PPO) (updated 09/16/2025) – 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 09/16/2025) – 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 09/16/2025) – Servicing Counties: Columbia, Luzerne, Montour, Northumberland, Schuylkill, Snyder, Union

Geisinger Gold Classic Advantage Rx (HMO) (updated 09/16/2025) – 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 09/16/2025) – 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 09/16/2025) – 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 09/16/2025) – Servicing Counties: Columbia, Luzerne, Montour, Northumberland, Schuylkill, Snyder, Union

Geisinger Gold Classic 360 Rx (HMO) (updated 09/16/2025) – 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 09/16/2025) – 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 09/16/2025) – 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 09/16/2025) – 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 (2026 - Will be published by 10/15/25)

If you are a current Geisinger Gold member and will remain enrolled for 2026, view your 2026 Evidence of Coverage documents below:

Geisinger Gold Preferred Advantage Rx (PPO) – 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) – Servicing Counties: Adams, Berks, Bucks, Carbon, Chester, Cumberland, Dauphin, Franklin, Lancaster, Lebanon, Lehigh, Monroe, Northampton, Perry, York 

Geisinger Gold Preferred Complete Rx (PPO) – 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) – 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) – Servicing Counties: Columbia, Luzerne, Montour, Northumberland, Schuylkill, Snyder, Union

Geisinger Gold Classic Advantage Rx (HMO) – Servicing Counties: Bucks, Carbon, Centre, Clinton, Juniata, Lackawanna, Lehigh, Lycoming, Mifflin, Monroe, Northampton, Pike, Sullivan, Susquehanna, Wayne, Wyoming

Geisinger Gold Classic Advantage Rx (HMO) – 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) – 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) – Servicing Counties: Columbia, Luzerne, Montour, Northumberland, Schuylkill, Snyder, Union

Geisinger Gold Classic 360 Rx (HMO) – 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) – 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) – 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) – 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

Plan Star Ratings from Centers for Medicare and Medicaid Services (CMS)
Member newsletter updates
Things you should know
Quality information

Geisinger Gold is committed to providing quality healthcare to our members. One way we can ensure that we are holding ourselves to the highest standards is to review our performance against accepted care and service measures. For example, the Healthcare Effectiveness Data and Information Set (HEDIS®)* provides a set of measures against which we can judge our effectiveness.

Quality indicators, such as HEDIS and other initiatives, are set forth by the National Committee for Quality Assurance (NCQA) to ensure that Gold members receive high quality care.

Geisinger Gold conducts an aggressive preventive health program, geared toward members most at risk for a variety of preventable illnesses, ailments and diseases.

Health Equity Report
Geisinger Health Plan is sharing data on our prior authorization process for our Medicare Advantage members. The goal is to better understand the impact of prior authorization practices on enrollees with the specified social risk factors. The analysis compares metrics related to using prior authorization for enrollees with the specified social risk factors to enrollees without those risk factors. This lets Geisinger Health Plan, CMS and our membership see if using prior authorization causes any persistent disparities among enrollees with the specified social risk factors. Health Equity Report

2025

Documentos de resúmenes de beneficios 2025:

Geisinger Gold Preferred Advantage Rx (PPO) (actualizado el 08/30/2024) . 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 el 08/30/2024) . Condados donde se prestan servicios: Adams, Berks, Bucks, Carbon, Chester, Cumberland, Dauphin, Franklin, Lancaster, Lebanon, Lehigh, Monroe, Northampton, Perry, York

Geisinger Gold Preferred Enhanced Rx (PPO) (actualizado el 08/30/2024) . Condados donde se prestan servicios: Carbon, Clearfield, Huntingdon, Monroe, Perry, Pike, Sullivan, Susquehanna, Wayne

Geisinger Gold Preferred Enhanced Rx (PPO) (actualizado el 08/30/2024) . Condados donde se prestan servicios: Adams, Berks, Bucks, Cameron, Chester, Franklin, Fulton, Jefferson, Lancaster, Lebanon, Lehigh, Northampton, Potter, Somerset, Tioga, York

Geisinger Gold Preferred Enhanced Rx (PPO) (actualizado el 08/30/2024) . Condados donde se prestan servicios: Blair, Cambria, Centre, Clinton, Cumberland, Dauphin, Juniata, Lackawanna, Luzerne, Lycoming, Mifflin, Schuylkill, Wyoming

Geisinger Gold Preferred Enhanced Rx (PPO) (actualizado el 08/30/2024) . Condados donde se prestan servicios: Columbia, Montour, Northumberland, Snyder, Union

Geisinger Gold Preferred Complete Rx (PPO) (actualizado el 08/30/2024) . 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 el 08/30/2024) . 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, Indiana, 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 el 08/30/2024) . Condados donde se prestan servicios: Columbia, Luzerne, Montour, Northumberland, Schuylkill, Snyder, Union

Geisinger Gold Classic Advantage Rx (HMO) (actualizado el 08/30/2024) . 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 el 08/30/2024) . 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 el 08/30/2024) . 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 el 08/30/2024) . Condados donde se prestan servicios: Columbia, Luzerne, Montour, Northumberland, Schuylkill, Snyder, Union

Geisinger Gold Classic 360 Rx (HMO) (actualizado el 08/30/2024) . Condados donde se prestan servicios: Adams, Blair, Bradford, Bucks, Cambria, Carbon, Centre, Clearfield, Clinton, Cumberland, Dauphin, Franklin, Huntingdon, Juniata, Lackawanna, Lebanon, Lehigh, Luzerne, Lycoming, Mifflin, Monroe, Northampton, Perry, Pike, Schuylkill, Sullivan, Susquehanna, Wayne, Wyoming, York

Geisinger Gold Classic Essential Rx (HMO)  (actualizado el 08/30/2024) . 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 el 08/30/2024) . 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, Indiana, 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 el 08/30/2024) . Condados donde se prestan servicios: Adams, Allegheny, Armstrong, Beaver, Bedford, Berks, Blair, Bradford, Bucks, Butler, Cambria, Cameron, Carbon, Centre, Chester, Clarion, Clearfield, Clinton, Crawford, Cumberland, Dauphin, Delaware, Elk, Fayette, Forest, Franklin, Fulton, Greene, Huntingdon, Indiana, Jefferson, Juniata, Lackawanna, Lancaster, Lebanon, Lehigh, Luzerne, Lycoming, McKean, Mifflin, Monroe, Montgomery, Northampton, Perry, Philadelphia, Pike, Potter, Schuylkill, Somerset, Sullivan, Susquehanna, Tioga, Venango, Warren, Washington, Wayne, Westmoreland, Wyoming, York

Formularios de inscripción (2025)
Aviso anual de cambios (ANOC) (2025)

Si actualmente es miembro de Geisinger Gold y permanecerá inscrito para 2025, consulte su carta de Aviso anual de cambios (Annual Notice of Change, ANOC) para 2025 a continuación:

Geisinger Gold Preferred Advantage Rx (PPO) (actualizado el 09/17/2024). 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 el 09/17/2024). Condados donde se prestan servicios: Adams, Berks, Bucks, Carbon, Chester, Cumberland, Dauphin, Franklin, Lancaster, Lebanon, Lehigh, Monroe, Northampton, Perry, York

Geisinger Gold Preferred Enhanced Rx (PPO) (actualizado el 09/17/2024). Condados donde se prestan servicios: Carbon, Clearfield, Huntingdon, Monroe, Perry, Pike, Sullivan, Susquehanna, Wayne

Geisinger Gold Preferred Enhanced Rx (PPO) (actualizado el 09/17/2024). Condados donde se prestan servicios: Adams, Berks, Bucks, Cameron, Chester, Franklin, Fulton, Jefferson, Lancaster, Lebanon, Lehigh, Northampton, Potter, Somerset, Tioga, York

Geisinger Gold Preferred Enhanced Rx (PPO) (actualizado el 09/17/2024). Condados donde se prestan servicios: Blair, Cambria, Centre, Clinton, Cumberland, Dauphin, Juniata, Lackawanna, Luzerne, Lycoming, Mifflin, Schuylkill, Wyoming

Geisinger Gold Preferred Enhanced Rx (PPO) (actualizado el 09/17/2024). Condados donde se prestan servicios: Columbia, Montour, Northumberland, Snyder, Union

Geisinger Gold Preferred Complete Rx (PPO) (actualizado el 09/17/2024). 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 el 09/17/2024). 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, Indiana, 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 el 09/17/2024) . Condados donde se prestan servicios: Columbia, Luzerne, Montour, Northumberland, Schuylkill, Snyder, Union

Geisinger Gold Classic Advantage Rx (HMO) (actualizado el 09/17/2024) . 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 el 09/17/2024) . 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 el 09/17/2024). 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 el 09/17/2024). Condados donde se prestan servicios: Columbia, Luzerne, Montour, Northumberland, Schuylkill, Snyder, Union

Geisinger Gold Classic 360 Rx (HMO) (actualizado el 09/17/2024). Condados donde se prestan servicios: Adams, Blair, Bradford, Bucks, Cambria, Carbon, Centre, Clearfield, Clinton, Cumberland, Dauphin, Franklin, Huntingdon, Juniata, Lackawanna, Lebanon, Lehigh, Luzerne, Lycoming, Mifflin, Monroe, Northampton, Perry, Pike, Schuylkill, Sullivan, Susquehanna, Wayne, Wyoming, York

Geisinger Gold Classic Essential Rx (HMO) (actualizado el 09/17/2024). 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 el 09/17/2024). Condados donde se prestan servicios: Adams, Allegheny, Armstrong, Beaver, Bedford, Berks, Blair, Bradford, Bucks, Butler, Cambria, Cameron, Carbon, Centre, Chester, Clarion, Clinton, Clearfield, Columbia, Crawford, Cumberland, Dauphin, Delaware, Elk, Fayette, Forest, Franklin, Fulton, Greene, Huntingdon,  Indiana, 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 el 09/17/2024). Condados donde se prestan servicios: Adams, Allegheny, Armstrong, Beaver, Bedford, Berks, Blair, Bradford, Bucks, Butler, Cambria, Cameron, Carbon, Centre, Chester, Clarion, Clearfield, Clinton, Crawford, Cumberland, Dauphin, Delaware, Elk, Fayette, Forest, Franklin, Fulton, Greene, Huntingdon, Indiana, Jefferson, Juniata, Lackawanna, Lancaster, Lebanon, Lehigh, Luzerne, Lycoming, McKean, Mifflin, Monroe, Montgomery, Northampton, Perry, Philadelphia, Pike, Potter, Schuylkill, Somerset, Sullivan, Susquehanna, Tioga, Venango, Warren, Washington, Wayne, Westmoreland, Wyoming, York

Evidencia de cobertura (2025)

Si actualmente es miembro de Geisinger Gold y seguirá inscrito para 2025, consulte los documentos de su Evidencia de cobertura de 2025 a continuación:

Geisinger Gold Preferred Advantage Rx (PPO) (actualizado el 11/25/2024). Condados donde se prestan servicios: Blair, Bradford, Cambria, Cameron, Centre, Clearfield, Clinton, Columbia, Fulton, Jefferson, Juniata, Huntingdon, Lackawanna, Luzerne, Lycoming, Mifflin, Montour, Northumberland, Pike, Potter, Schuylkill, Snyder, Somerset, Sullivan, Susquehanna, Union, Tioga, Wayne, Wyoming

Geisinger Gold Preferred Advantage Rx (PPO) (actualizado el 11/25/2024). Condados donde se prestan servicios: Adams, Berks, Bucks, Carbon, Chester, Cumberland, Dauphin, Franklin, Lancaster, Lebanon, Lehigh, Monroe, Northampton, Perry, York

Geisinger Gold Preferred Enhanced Rx (PPO) (actualizado el 11/25/2024). Condados donde se prestan servicios: Carbon, Clearfield, Huntingdon, Monroe, Perry, Pike, Sullivan, Susquehanna, Wayne

Geisinger Gold Preferred Enhanced Rx (PPO) (actualizado el 11/25/2024). Condados donde se prestan servicios: Adams, Berks, Bucks, Cameron, Chester, Franklin, Fulton, Jefferson, Lancaster, Lebanon, Lehigh, Northampton, Potter, Somerset, Tioga, York

Geisinger Gold Preferred Enhanced Rx (PPO) (actualizado el 11/25/2024). Condados donde se prestan servicios: Blair, Cambria, Centre, Clinton, Cumberland, Dauphin, Juniata, Lackawanna, Luzerne, Lycoming, Mifflin, Schuylkill, Wyoming

Geisinger Gold Preferred Enhanced Rx (PPO) (actualizado el 11/25/2024). Condados donde se prestan servicios: Columbia, Montour, Northumberland, Snyder, Union

Geisinger Gold Preferred Complete Rx (PPO) (actualizado el 11/25/2024). 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 el 11/25/2024). Condados donde se prestan servicios: Adams, Allegheny, Armstrong, Beaver, Bedford, Berks, Blair, Bradford, Bucks, Butler, Cambria, Cameron, Carbon, Centre, Chester, Clarion, Clinton, Clearfield, Columbia, Crawford, Cumberland, Dauphin, Delaware, Elk, Fayette, Forest, Franklin, Fulton, Greene, Huntingdon, Jefferson, Juniata, Lackawanna, Lancaster, Lawrence, Lebanon, Lehigh, Luzerne, Lycoming, McKean, Mifflin, Monroe, Montgomery, Montour, Northampton, Northumberland, Perry, Philadelphia, Pike, Potter, Schuylkill, Snyder, Somerset, Sullivan, Susquehanna, Union, Tioga, Venango, Warren, Washington, Wayne, Westmoreland, Wyoming, York

Geisinger Gold Classic Advantage Rx (HMO) (actualizado el 11/25/2024). Condados donde se prestan servicios: Columbia, Luzerne, Montour, Northumberland, Schuylkill, Snyder, Union

Geisinger Gold Classic Advantage Rx (HMO) (actualizado el 11/25/2024). 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 el 11/25/2024). 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 el 11/25/2024). 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 el 11/25/2024). Condados donde se prestan servicios: Columbia, Luzerne, Montour, Northumberland, Schuylkill, Snyder, Union

Geisinger Gold Classic 360 Rx (HMO) (actualizado el 11/25/2024). Condados donde se prestan servicios: Adams, Blair, Bradford, Bucks, Cambria, Carbon, Centre, Clearfield, Clinton, Cumberland, Dauphin, Franklin, Huntingdon, Juniata, Lackawanna, Lebanon, Lehigh, Luzerne, Lycoming, Mifflin, Monroe, Northampton, Perry, Pike, Schuylkill, Sullivan, Susquehanna, Wayne, Wyoming, York

Geisinger Gold Classic Essential Rx (HMO)(actualizado el 11/25/2024). 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 el 11/25/2024). Condados donde se prestan servicios: Adams, Allegheny, Armstrong, Beaver, Bedford, Berks, Blair, Bradford, Bucks, Butler, Cambria, Cameron, Carbon, Centre, Chester, Clarion, Clinton, Clearfield, Columbia, Crawford, Cumberland, Dauphin, Delaware, Elk, Fayette, Forest, Franklin, Fulton, Greene, Huntingdon, Indiana, Jefferson, Juniata, Lackawanna, Lancaster, Lebanon, Lehigh, Luzerne, Lycoming, McKean, Mifflin, Monroe, Montgomery, Montour, Northampton, Northumberland, Perry, Philadelphia, Pike, Potter, Schuylkill, Snyder, Somerset, Sullivan, Susquehanna, Union, Tioga, Venango, Warren, Washington, Wayne, Westmoreland, Wyoming, York

Geisinger Gold Value Rx (HMO) (actualizado el 11/25/2024). Condados donde se prestan servicios: Adams, Allegheny, Armstrong, Beaver, Bedford, Berks, Blair, Bradford, Bucks, Butler, Cambria, Cameron, Carbon, Centre, Chester, Clarion, Clearfield, Clinton, Crawford, Cumberland, Dauphin, Delaware, Elk, Fayette, Forest, Franklin, Fulton, Greene, Huntingdon, Indiana, Jefferson, Juniata, Lackawanna, Lancaster, Lebanon, Lehigh, Luzerne, Lycoming, McKean, Mifflin, Monroe, Montgomery, Northampton, Perry, Philadelphia, Pike, Potter, Schuylkill, Somerset, Sullivan, Susquehanna, Tioga, 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)
Actualizaciones del boletín informativo para miembros
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
Geisinger Health Plan comparte datos sobre nuestro proceso de autorización previa para nuestros miembros de Medicare Advantage. El objetivo es comprender mejor el impacto de las prácticas de autorización previa en los afiliados con los factores de riesgo social especificados. El análisis compara los parámetros relacionados con el uso de la autorización previa para los afiliados con los factores de riesgo social especificados, con los afiliados sin esos factores de riesgo. Esto le permite a Geisinger Health Plan, a los CMS y a nuestra membresía ver si el uso de la autorización previa causa disparidades persistentes entre los afiliados con los factores de riesgo social especificados. Informe de equidad en la salud

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

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

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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