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Large group health plans
Group health plans for more than 51 employees
Fully-insured and self-funded healthcare coverage options
Highlights
Access and network
Find highly sought-after care — in your backyard and beyond. That includes more than 35,000 primary and specialty physicians and 200+ hospitals in Pennsylvania. Plus, enjoy access to the expansive national Cigna Healthcare® PPO Network,1 where qualified members have their choice of more than 1.5 million providers and nearly 6,500 hospitals.2
Affordability
Whether we're consolidating recordkeeping to be more efficient or coordinating care with insurance to maintain affordable rates, the upshot is more affordable healthcare for you and your employees.
Innovation and excellence
From innovative cancer treatments to telehealth, we're taking new approaches to historic healthcare challenges. All with a focus on improving health outcomes for our communities.
Plans
Geisinger Funding Alternative (GFA) level-funded
The Geisinger Funding Alternative (GFA) level-funded plan is available to groups with 5 to 199 enrolled subscribers. This plan combines the predictable payments of fully-insured plans with the cost savings of traditional self-funding. A GFA plan is ideal for businesses with generally healthy employees and a low number of high-cost claims.
Benefits of a GFA plan include:
- Standard plan designs with four Rx options
- Cost-efficient pricing
- Stop-loss coverage for protection against large claims
- Predictable monthly payments based on employees' health trends
- Experience credit (portion of unused claims funding returned)
Geisinger Self-Funded – Administrative Services Only
With a self-funded health plan, an organization takes on the responsibility and financial risk of providing health insurance benefits to their covered members. Meanwhile, we manage the day-to-day operations like processing claims, issuing ID cards, answering your covered members' questions and more.
Geisinger's Self-Funded Administrative Services Only (ASO) plans are a cost-effective and flexible solution for your business. We'll work closely with your broker or consultant to show you how much lower your costs can be with Geisinger — get started by requesting a quote.
Benefits include:
- Three ASO options:
- Geisinger ASO Traditional
- ASO A La Carte
- ASO A La Carte with Veris™ Stop Loss
- Business size: Offered to companies with 25+ enrolled subscribers.
- Low-cost base medical fee: Essential core services such as enrollment, claims processing, customer service and standard reporting — at a fraction of the cost.
- Choose your coverage options: Select options such as Teladoc, claims fiduciary, maternity management program, biometrics screenings and added wellness services, allowing you to choose the right plan for your organization.
- ASO members have in-network rates regardless of where they live
- Stop-loss options*: There are a variety of stop-loss options designed to protect against high-cost claims and maximum liability. Geisinger Health Plan can pair our own stop-loss coverage with our ASO offering for clients with 100+ enrolled subscribers.
- Proof of savings: Our new claims repricer tool takes your detailed claims file for the past year and reprices the claims as if we were the carrier to show how much you'll save. Carriers who reprice their claims see an average of 15% to 35% in savings.
- Analytics and reporting are available from MedInsight by Milliman.
*Size restrictions and fees may apply for certain benefit options. Stop-loss coverage is available for groups with 100+ subscribers, while level funding is available for groups with less than 199 subscribers.
Geisinger Health Plan Fully-Insured
We offer a variety of custom and standard fully-insured plans to help meet the needs of your business.
Benefits of fully-insured plans include:
- Robust HMO and PPO plans
- Extensive provider network locally and through our national provider network
- Nationally recognized condition management programs
- Wellness and care management programs
- Specially trained client and customer support teams
- Renowned medical and pharmacy management services
- Innovative population health management services
- Award-winning Centers of Excellence
- Health reimbursement and savings accounts
- Access group information and reporting on our secure employer portal
- Analytics and reporting for eligible groups from MedInsight by Milliman
National and local coverage
You’ll have access to the national Cigna Healthcare® PPO Network1 with hospitals and providers across the country. Visit our resource center for more information. For local coverage, see our Pennsylvania map for county-by-county details.
Geisinger group plan perks
Explore benefits like:
Health and wellness: Help your employees and their families live healthier and happier with our comprehensive, customized wellness programs.
Case management: Our care team helps your employees set and achieve personal health goals, from lifestyle changes to complex disease and condition management.
Geisinger Pharmacy: With our in-house pharmacists and drug specialists, your employees can rest easy knowing they’re getting the most value and best care.
Nationally recognized programs: Our integrated health system gives your employees access to innovative cost-saving programs like ProvenCare®, Fresh Food Farmacy® and numerous Centers of Excellence.
Chronic illness and behavioral health management: Have an employee who needs help with a chronic condition or behavioral health? They'll receive personalized support to manage and maintain their well-being.
Telemedicine: Telemedicine lets your employees and their families receive primary and specialty care right from the comfort of their couch.
Find help and answers
Contact us today
Call us at 800-554-4907, Monday through Friday, 8 a.m. to 5 p.m., to learn about your options.
1The Cigna Healthcare PPO Network refers to the health care providers (doctors, hospitals, specialists) contracted as part of the Cigna Healthcare PPO for Shared Administration. Cigna Healthcare is an independent company and is not affiliated with Geisinger Health Plan and its affiliates. Access to the Cigna Healthcare PPO Network is available through Cigna Healthcare’s contractual relationship with Geisinger Health Plan. All Cigna Healthcare products are provided exclusively by or through operating subsidiaries of The Cigna Group, including Cigna Health and Life Insurance Company. The Cigna Healthcare name, logo, and other marks are owned by Cigna Intellectual Property Inc.
2Cigna Healthcare analysis of actual providers contracted as part of the Cigna Healthcare PPO for Shared Administration as of July 2024. Data is subject to change.