Materials
Brochures and flyers (2025, 2024)
Medicare information
2025
- 2025 Scope of Appointment
- 2025 Scope of Appointment – Spanish
- 2025 HMO Pre-enrollment Checklist – English
- 2025 HMO Pre-enrollment Checklist – Spanish
- 2025 HMO D-SNP Pre-enrollment Checklist – English
- 2025 HMO D-SNP Pre-enrollment Checklist – Spanish
- 2025 PPO Pre-enrollment Checklist – English
- 2025 PPO Pre-enrollment Checklist – Spanish
- 2025 Enrollment Application - English
- 2025 Enrollment Application - Spanish
- 2025 Annual Notice of Change (ANOC) letter-with Rx
- 2025 Annual Notice of Change (ANOC) letter-without Rx
- 2025 New Member Checklist & Reference Guide – English
- 2025 New Member Checklist & Reference Guide – Spanish
- 2025 Step by Step Guide
- 2025 Next Steps Trifold
- 2025 General Info Trifold
- 2025 General Info Trifold – Spanish
- 2025 Heritage Trifold
- 2025 D-SNP Trifold
- 2025 D-SNP Trifold – Spanish
- 2025 D-SNP Broker 4-Pager
- 2025 Quick Reference Guide
- 2025 Medicare Plans Guide – English
- 2025 Medicare Plans Guide – Spanish
- 2025 Value Rx Plan Guide – English
- 2025 Value Rx Plan Guide – Spanish
- 2025 Value Rx Flyer – Agent Use Only
- 2025 Participating Hospitals List
2024
- 2024 Geisinger Gold Application
- 2024 Geisinger Gold Quick Reference Guide
- Annual Notice of Change (ANOC) letter-with Rx
- Annual Notice of Change (ANOC) letter-without Rx
- Geisinger 2023 Heritage HMO Trifold
- Geisinger 2024 AEP brochure
- Geisinger 2024 AEP General Info Trifold
- Your step-by-step guide to Medicare
- Geisinger 2024 AEP Next Steps Trifold
- Geisinger Gold Medicare Advantage Enrollment Request
- 2024 Geisinger Gold Standard Rx Formulary
- 2024 Geisinger Gold $0 Deductible Rx Formulary
- 2024 Geisinger Gold Triple Tier Employer Group Rx Formulary
- Geisinger Pharmacy Mail Order Form
- Geisinger Gold Secure Rx (HMO D-SNP) Trifold
- Geisinger Gold Secure Rx (HMO D-SNP) Brochure (For agent use only)
- Geisinger Gold Value Rx (HMO) Medicare Advantage Plan (For agent use only)
- Medicare Advantage Community Plan Guide - Geisinger Gold Secure Rx (HMO D-SNP) - Heritage (HMO) Core Counties
- Medicare Advantage Community Plan Guide - Geisinger Gold Secure Rx (HMO D-SNP) - Heritage (HMO) Core Counties - Spanish
- Medicare Advantage Community Plan Guide - Geisinger Gold Secure Rx (HMO D-SNP) - Heritage (HMO) Expansion Counties
- Medicare Advantage Community Plan Guide - Geisinger Gold Secure Rx (HMO D-SNP) - Heritage (HMO) Expansion Counties - Spanish
- Select Products Guide - Geisinger Gold Medicare Advantage HMO Plans
- Select Products Guide - Geisinger Gold Medicare Advantage HMO Plans - Spanish
- Select Products Guide - Geisinger Gold Medicare Advantage PPO Plans
- Select Products Guide - Geisinger Gold Medicare Advantage PPO Plans - Spanish
- Select Products Guide - Geisinger Gold Medicare Advantage Secure Rx (HMO D-SNP)
- Select Products Guide - Geisinger Gold Medicare Advantage Secure Rx (HMO D-SNP) - Spanish
- Medicare Advantage 2024 Plan Highlights Guide
- Medicare Advantage 2024 Plan Highlights Guide - Spanish
Broker documents and forms
HIPAA form
Medicare brokers
- Provider Directory - Printed version available upon request. Sign into the broker portal and access the "Collateral Ordering" tab to request your order.
- Become a Geisinger Medicare Advantage broker
- Broker Contract Release Request Form
- Broker Contract Release-Policy and Procedure Manual
- Broker of Record Change Form
- Broker of Record Changes-Policy and Procedure Manual
Broker bulletins
Bulletins
2025
2024
- 12/16/2024 Gold Broker Bulletin
- 11/14/2024 Gold Broker Bulletin
- 10/25/2024 Gold Broker Bulletin
- 10/22/2024 (Payer Leaving Market Special Edition)
- 10/03/2024 Gold Broker Bulletin
- 09/29/2024 (Change Healthcare Member Breach Special Edition)
- 09/17/2024 Gold Broker Bulletin
- 08/27/2024 Gold Broker Bulletin
- 07/22/2024 Gold Broker Bulletin
- 07/05/2024 Gold Broker Bulletin
- 06/06/2024 Gold Broker Bulletin
- 05/16/2024 Gold Broker Bulletin
- 04/18/2024 Gold Broker Bulletin
- 04/02/2024 Gold Broker Bulletin (Risant Health Special Edition)
- 03/14/2024 Gold Broker Bulletin
- 02/26/2024 Gold Broker Bulletin (Change Healthcare Cyber Security Issue Special Edition)
- 01/11/2024 Gold Broker Bulletin
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