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Frequently asked questions
Please note this is subject to all monthly premiums being paid and coverage offered on a uniform, non-discriminatory basis. You may not choose only certain people for whom you continue coverage and pay premium.
Please note that you must offer this coverage on a uniform, non-discriminatory basis. In other words, you may not choose only certain people for whom you continue coverage and pay premium.
If GHP is not your stop loss carrier, check with your stop loss carrier about any rules it may have regarding minimum enrollment of active employees for stop loss coverage. If the plan has no active employees, the plan is terminated and COBRA is not an option. In that case, employees would have a special enrollment period to enroll in individual or other coverage (for example, through a spouse).
Geisinger Health Plan can offer ACA-compliant Individual plans for those who have been laid off and lost employer-sponsored coverage, and those individuals may be able to benefit from premium subsidies (Advanced Premium Tax Credits). Those interested in an Individual plan should contact 800-918-5154 to speak with a Geisinger Health Plan Individual Sales Center Associate. Our associates can help consumers determine whether they qualify for premium subsidies to help reduce their monthly premium and, when applicable, can also refer individuals with qualifying income to be evaluated for Medicaid eligibility.
If you have furloughed employees/members that are 65 years of age or older, please have them call Geisinger Gold at 877-821-5056 to review their options into one of our Medicare Advantage plans. We offer all-in-one $0 deductible health plans that include prescription drugs, as well as optional supplemental benefits such as dental, vision, hearing, and even gym memberships all with monthly premiums as low as $0. We encourage them to call as soon as possible to review their eligibility.
Please note that premium subsidies may be available for plans purchased on the FFM. Premium subsidies are not available for off-exchange plans.
We are also allowing early refills on 90-day prescriptions from our mail order pharmacy, which delivers directly to the member’s home at no extra cost. Early refills are available for controlled substances but will not apply for prescriptions that contain opioids outside of certain conditions.