COVID-19 member coverage updates
Updated May 11, 2023
Public health emergency ending
The federal public health emergency (PHE) ended on Thursday, May 11. During the PHE, cost sharing for COVID-19-specific services (e.g., testing, vaccines, treatments, and telehealth services) was waived. Geisinger Health Plan will continue to cover the cost of vaccinations. If a member goes out of network their standard coverage and cost-sharing rules will apply. Cost share for inpatient treatment, COVID-19 testing performed at a provider, urgent care, or pharmacy, and telehealth services has been reinstated. Members will be responsible for their plan-specific copay, coinsurance, or deductible.
All Geisinger Health Plan members will continue to have no cost-sharing for the COVID-19 vaccine when administered in the GHP network. If a member goes out of network, their standard coverage and cost-sharing rules will apply.
The vaccine cost-share waiver will remain in place through Sept. 30, 2024, for GHP Family (Medicaid) and GHP Kids (CHIP) members.
Effective May 12, 2023, Geisinger Health Plan members will be responsible for plan-specific cost share for COVID-19 testing and treatment.*
- GHP Kids and GHP Family members will continue to have cost share waived for COVID-19 testing and associated treatment through Sept. 30, 2024.
- At-home tests:
- Effective May 12, 2023, Geisinger Health Plan will no longer cover at-home COVID-19 tests.
- Geisinger Health Plan will continue to cover at-home tests with no cost share for GHP Family and GHP Kids through Sept. 30, 2024.
*Benefits may differ for people with self-funded plans. Check with your employer.
TelehealthEffective May 12, 2023, Geisinger Health Plan members will be responsible for plan-specific cost-sharing for telehealth visits with participating network providers or through Teladoc, for medical or behavioral health needs.
The early refill allowance for 30 or 90-day prescriptions at retail and mail-order pharmacies ends on May 11, 2023. Members are encouraged to ask about and use home delivery, when available, for their prescriptions.
Questions about your coverage? Call the customer service phone number on the back of your member ID card.
Helpful services for our members:
As a GHP member, you deserve access to mental health services if you need them. We can connect you with community mental health services, including doctors and healthcare providers offering telepsychiatry appointments.
How to get started
This service is available now, and year-round, to most GHP members. Just call 888-839-7972 (or find the number on the back of your insurance card) to get started. Our team is standing by Monday through Friday from 8 a.m. to 5 p.m. to help.