Geisinger Gold 2019 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), Classic Essential Rx (HMO)
Preferred Advantage Rx (PPO), Preferred Complete Rx (PPO), Preferred Enhanced Rx (PPO)
Secure Rx (HMO SNP)
PEBTF
Verizon
Enrollment Forms
For Classic, Preferred and Secure plans
Evidences of Coverage
Classic Advantage (HMO) (Columbia, Luzerne, Montour, Northumberland, Schuylkill, Snyder, Union counties)
Classic Advantage (HMO) (all other counties)
Classic Advantage Rx (HMO) (Columbia, Luzerne, Montour, Northumberland, Schuylkill, Snyder, Union counties)
Classic Advantage Rx (HMO) (all other counties)
Classic Complete Rx (HMO) (Columbia, Luzerne, Montour, Northumberland, Schuylkill, Snyder, Union counties)
Classic Complete Rx (HMO) (all other counties)
Classic Essential Rx (HMO)
Preferred Advantage Rx (PPO)
Preferred Complete Rx (PPO)
Preferred Enhanced Rx (PPO)
Secure Rx (HMO SNP)
PEBTF
Verizon
If you are a current Geisinger Gold member and will remain enrolled for 2019, view your 2019 Annual Notice of Change (ANOC) letter.
Fitness Program Information
Classic AdvantageClassic Advantage Rx
Preferred Advantage Rx (PPO) with Health+
Preferred Complete Rx (PPO) with Health+
Classic Rx Employer Group Plans with Fitness Benefits Secure Rx
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
Enrollment Application
Plan A Policy
Plan B Policy
Plan C Policy
Plan F Policy
Plan F (High Deductible) Policy
Plan M Policy
Plan N Policy
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.