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Meet the Geisinger Gold plans

Learn the costs, coverage and benefits of Geisinger Gold Medicare Advantage plans

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GHP rated best Medicare plans in Pennsylvania by U.S. News & World Report

For 2026, Gesinger Health Plan was rated as the best Medicare Advantage health plans in the state by U.S. News & World Report. Awarded overall 4.2 out of 5 stars, the plans were noted for care continuity and screening and prevention. 
US News & World Report Best Insurance Companies Medicare Advantage Pennsylvania 2026

Showing All Plans

HMO Plan

Geisinger Gold Classic 360 Rx (2026)

Rating:4.5 / 5

Monthly Premium

$0

Part B Insulin Capped At

$35

Annual Deductible

$0

Maximum Out-Of-Pocket

$7,100

Office Visit (PCP)

$0

Office Visit (Specialist)

$0 - $25

Plan Highlights

  • Inpatient hospital care – acute: $175/day (days 1–5), $0 per day (days 6–90)
  • Dental: $0 - 2 exams per year, X-rays: $0, $1,000 annual limit
  • Vision: $20 – 1 exam per year, $300 eyewear benefit limit per year
  • Hearing: $20 – 1 exam per year, hearing aids not covered
  • OTC: $50/quarter
  • Fitness: $25 annual fee to Silver & Fit facilities
  • Vaccines: $0 copay
  • Telehealth e-visits (PCP): $0 copay
  • Pharmacy benefits including: $0 Tier 1 and 2 mail order copays; 100-day supply mail-order pharmacy, 1 pharmacy network with the same copay regardless of which pharmacy you use
HMO Plan

Geisinger Gold Classic Advantage Rx (2026)

Rating:4.5 / 5

Monthly Premium

$113.90 - $135.90

Varies by county

Part B Insulin Capped At

$35

Annual Deductible

$0

Maximum Out-Of-Pocket

$3,450

Office Visit (PCP)

$0

Office Visit (Specialist)

$20

Plan Highlights

  • Inpatient hospital care – acute: $150/day (days 1–5) not to exceed $750 annually, $0/day (days 6–90)
  • Dental: $0 - 2 exams per year, X-rays: $0, $1,250 annual limit
  • Vision:  $20 - 1 exam per year, $200 eyewear benefit limit per year
  • Hearing: $20 - 1 exam per year, hearing aids: $500 copay/ear, $1,250 limit per ear every 3 years
  • Fitness: $90/every 3 months
  • Vaccines: $0 copay
  • Telehealth e-visits (PCP): $0
  • Pharmacy benefits including: $0 Tier 1 and Tier 2 mail order copays; 100-day supply mail-order pharmacy, 1 pharmacy network with the same copay regardless of which pharmacy you use
HMO Plan

Geisinger Gold Classic Complete Rx (2026)

Rating:4.5 / 5

Monthly Premium

$48

Part B Insulin Capped At

$35

Annual Deductible

$0

Maximum Out-Of-Pocket

$5,700

Office Visit (PCP)

$0

Office Visit (Specialist)

$35

Plan Highlights

  • Inpatient hospital care – acute: $200/day (days 1–5), $0/day (days 6–90)
  • Dental:  $0 - 2 exams per year, X-rays: $0, $750 annual limit
  • Vision: $20 - 1 exam per year, $100 eyewear benefit limit per year
  • Hearing: $20 - 1 exam per year, hearing aids: $500 copay/ear, $1,250 limit per ear every 3 years
  • Fitness: $90 every 3 months
  • Vaccines: $0 copay
  • Telehealth e-visits (PCP): $0
  • Pharmacy benefits including: $0 Tier 1 and 2 mail order copays; 100-day supply mail-order pharmacy, 1 pharmacy network with the same copay regardless of which pharmacy you use

HMO Plan

Geisinger Gold Classic Essential Rx (2026)

Rating:4.5 / 5

Monthly Premium

$0

Part B Insulin Capped At

$35

Annual Deductible

$0

Maximum Out-Of-Pocket

$6,750

Office Visit (PCP)

$0

Office Visit (Specialist)

$30

Plan Highlights

  • Inpatient hospital care – acute: $225/day (days 1–5), $0/day (days 6–90)
  • Hearing: $20 – 1 exam per year, hearing aids not covered
  • Vaccines: $0 copay
  • Telehealth e-visits (PCP): $0
  • Pharmacy benefits including: $0 Tier 1 and 2 mail order copays; 100-day supply mail-order pharmacy, 1 pharmacy network with the same copay regardless of which pharmacy you use
HMO Plan

Geisinger Gold Heritage (2026)

Rating:4.5 / 5

Monthly Premium

$0

Part B Insulin Capped At

$35

Annual Deductible

$0

Maximum Out-Of-Pocket

$6,700

Office Visit (PCP)

$0

Office Visit (Specialist)

$20

Plan Highlights

  • Inpatient hospital care – acute: $150/day (days 1–5) not to exceed $750 annually, $0/day (days 6–90)
  • Dental: $0 - 2 exams per year, X-rays: $0, $1,250 annual limit
  • Vision: $20 - 1 exam per year, $200 eyewear benefit limit per year
  • Hearing: $20 - 1 exam per year, hearing aids: $500 copay/ear, $1,250 limit per ear every 3 years
  • OTC: $40/month
  • Fitness: $90 every 3 months
  • Telehealth e-visits (PCP): $0
  • Part B buyback: $70
HMO Plan

Geisinger Gold Value Rx (2026)

Rating:4.5 / 5

Monthly Premium

$23

Part B Insulin Capped At

$25

Annual Deductible

$0

Maximum Out-Of-Pocket

$9,250

Office Visit (PCP)

$0

Office Visit (Specialist)

$0 - $35

Plan Highlights

  • Inpatient hospital care – acute: $225/day (days 1-6), $0/day (days 6-90)
  • Dental: $0 – 2 exams per year, X-rays: $0, $100 benefit limit per year
  • Vision: $20 – 1 exam per year, $135 eyewear limit per year
  • Hearing: $20 – 1 exam per year, hearing aids not covered
  • OTC: $70 per month
  • Fitness: $0 annual fee to Silver&Fit facilities
  • Vaccines: $0 copay
  • Telehealth e-visits (PCP): $0
  • Pharmacy benefits including: $0 Tier 1 and 2 mail order copays; 100-day supply mail-order pharmacy, 1 pharmacy network with the same copay regardless of which pharmacy you use
  • Flex card: $250 yearly allowance for eligible dental and vision expenses
PPO Plan

Geisinger Gold Preferred Advantage Rx (2026)

Rating:4.5 / 5

Monthly Premium

$96 - $114

Varies by county

Part B Insulin Capped At

$35

Annual Deductible

$0

Maximum Out-Of-Pocket

$4,000

Office Visit (PCP)

$10

Office Visit (Specialist)

$25

Plan Highlights

  • Inpatient hospital care – acute: $200/day (days 1–6) not to exceed $1,200 annually, $0/day (days 7–90)
  • Optional Health+ package ($38 monthly premium)
    • Dental: $0 copay - 2 exams per year, unlimited X-rays, $1,000 annual limit
    • Vision: $20 copay - 1 exam per year, $150 eyewear limit per year
    • Hearing: $20 copay - 1 exam per year, $500 hearing aid allowance per year
    • Fitness: $90 allowance every 3 months
  • Vaccines: $0 copay
  • Telehealth e-visits (PCP): $0
  • Pharmacy benefits including: $0 Tier 1 and 2 mail order copays; 100-day supply mail-order pharmacy, 1 pharmacy network with the same copay regardless of which pharmacy you use
PPO Plan

Geisinger Gold Preferred Complete Rx (2026)

Rating:4.5 / 5

Monthly Premium

$0

Part B Insulin Capped At

$35

Annual Deductible

$0

Maximum Out-Of-Pocket

$7,200

Office Visit (PCP)

$0

Office Visit (Specialist)

$35

Plan Highlights

  • Inpatient hospital care – acute: $225/day (days 1–6) not to exceed $1,350 annually, $0/day (days 7-90)
  • Optional Health+ package ($38 monthly premium)
    • Dental: $0 copay - 2 exams per year, unlimited X-rays, $1,000 annual limit
    • Vision: $20 copay - 1 exam per year, $150 eyewear limit per year
    • Hearing: $20 copay - 1 exam per year, $500 hearing aid allowance per year
    • Fitness: $90 allowance every 3 months
  • Vaccines: $0 copay
  • Telehealth e-visits (PCP): $0
  • Pharmacy benefits including: $0 Tier 1 and 2 mail order copays; 100-day supply mail-order pharmacy, 1 pharmacy network with the same copay regardless of which pharmacy you use

Eligible for or enrolled in both Medicare and Medicaid?

You may qualify for a Geisinger Gold Medicare Advantage Secure Rx (HMO D-SNP) plan.

Learn about Medicare

Find out the parts of Medicare, how to shop for a plan, what to expect as you enroll and when to switch plans.

Tailored support and personalized attention

Talk to a Medicare advisor

Speak 1:1 with an advisor for a no-pressure Q&A about your health coverage options.

Attend an event

Prefer a face-to-face discussion? Come to one of our events and ask your questions in person.

Schedule a home visit

Make life simpler — enjoy the personalized convenience of having an advisor visit you at home.

Geisinger Gold Medicare Advantage HMO, PPO, and HMO D-SNP plans are offered by Geisinger Health Plan/Geisinger Indemnity Insurance Company/Geisinger Quality Options, Inc., health plans with a Medicare contract. Continued enrollment in Geisinger Gold depends on contract renewal. Geisinger Health Plan, Geisinger Indemnity Insurance Company, and Geisinger Quality Options, Inc. are part of Geisinger, an integrated health care delivery and coverage organization. Risant Health is the parent organization of Geisinger.

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