Geisinger Gold 2018 benefit documents
Download the benefit documents for Geisinger Gold plans. All files are PDFs.
Summaries of Benefits
Classic Advantage (HMO), Classic Advantage Rx (HMO), Classic Complete Rx (HMO), Essential Rx (HMO)
Preferred Advantage Rx (PPO), Preferred Complete Rx (PPO)
Secure Rx (HMO SNP)
PEBTF
Enrollment Forms
For Classic, Preferred and Secure plans
Evidences of Coverage
Classic Advantage (HMO)
Classic Advantage Rx (HMO)
Classic Complete Rx (HMO)
Essential Rx (HMO)
Preferred Advantage Rx (PPO)
Preferred Complete Rx (PPO)
Secure Rx (HMO SNP)
PEBTF
If you are a current Geisinger Gold member and will remain enrolled for 2018, view your 2018 Annual Notice of Change (ANOC) letter.
Plan Quality Ratings from Centers for Medicare and Medicaid Services (CMS)
Plan Contract H3954 (includes Classic and Secure plans)
Plan Contract H3924 (includes Preferred plans)
Geisinger Gold Medicare Supplement
Outline of Coverage
Plan A Policy
Plan B Policy
Plan C Policy
Plan F Policy
Plan F (High Deductible) Policy
Plan M Policy
Plan N Policy
Y0032_18270_1_M File and Use 10/1/18
Related Information
Learn more about Geisinger Gold.
Find a doctor, pharmacy or prescription
See which doctors, pharmacies and prescriptions are available with Geisinger Gold.
Health and wellness programs
Our online, telephone and in-person programs will help you stay on track with your health goals.