Marketplace FAQs
Find answers to frequently asked questions about individual and family health coverage.
Geisinger Marketplace
Let us help you find the right health plan.
HEALTH COVERAGE THAT MEETS YOUR NEEDS
Whether you're self-employed, don't have coverage from your employer or are retiring early, Geisinger Marketplace offers plans that meet your needs.
10/09/2022|00:30
Geisinger Marketplace has you covered
Whatever your future holds, find a plan that's just right for you or your family.
Choose Geisinger Health Plan for individual coverage
Find quality coverage and the exceptional value you want — in a variety of plans to meet your budget.
More than 500,000 members choose Geisinger Health Plan for its high-quality, affordable healthcare benefits. Maybe you will, too.
Affordability and flexibility
Browse a variety of health insurance plans with different monthly premiums, deductibles and copays to fit your budget and healthcare needs. Choose from HMO or PPO plans or browse our plans on the insurance marketplace.
Concierge-type customer service
Our team members are knowledgeable, trained and available by phone, online or in person to answer your health plan questions.
Mail-order pharmacy
Receive 3-month supplies of your covered prescription drugs, mailed right to your home. Save time and money with free shipping.
Nationwide discounts
You'll have access to our local and nationwide discounts program for health- and wellness-related products.
Offering mental health support
Caring for your behavioral health is just as important as your physical health.
A network of more than 10,000 providers: You can work with psychiatrists, psychologists, licensed social workers, professional counselors or therapists. We offer in-person appointments or online options.
Treatment for substance use: Those needing help with substance use have options for in-patient, intensive outpatient, outpatient, medication assisted treatment and telehealth care, depending on their needs.
Quick access virtual providers: A broad network of telehealth providers — some specializing in children or certain conditions — have appointments available in as little as 7 days.
Care connectors link you to local resources for social needs, including behavioral health services, while coordinating your care and working with your other providers.
Explore Geisinger Marketplace
Answer your questions, find unique benefits and learn about qualifying life events.
Benefits and perks
Learn about personalized health and wellness programs offered by Geisinger Health Plan.
Qualifying life events
Learn what major life changes allow you to add or adjust coverage outside open enrollment.
Geisinger Extra
Pay less for primary care at specific locations with this option offered on some plans.
Transparency reporting
Attention: This website is operated by Geisinger Health Plan and is not pennie.com, the official health insurance marketplace for the Commonwealth of Pennsylvania. This website does not display all Qualified Health Plans available through pennie.com. To see all available Qualified Health Plans, go to pennie.com.
If you’re applying for financial assistance through pennie.com for you or members of your household, we can help. Call us at 800-918-5154 and speak to a Pennie-certified agent with Geisinger Health Plan.
Geisinger Health Plan Individual
Geisinger Health Plan has proposed an overall base rate increase of 11.6% for Individual HMO/POS members renewing in the Marketplace effective January 1, 2026 through December 1, 2026. The actual range of proposed rate changes vary from 7.7% to 14.7%. The key drivers of this increase are changes in the normalized risk pool experience and morbidity. The total projected 2026 administrative costs are slightly higher than those used for the current 2025 rates. As required by federal regulations and using the Federally prescribed MLR methodology, the projected loss ratio exceeds 80%. There were minimal benefit changes proposed for 2026 to maintain the desired metallic levels.
Geisinger Quality Options Individual
Geisinger Quality Options has proposed an overall base rate increase of 13.8% for Individual PPO members renewing in the Marketplace effective January 1, 2026 through December 1, 2026. The actual range of proposed rate changes vary from 11.4% to 15.3%. The key drivers of this increase are changes in the normalized risk pool experience and morbidity. The total projected 2026 administrative costs are slightly higher than those used for the current 2025 rates. As required by federal regulations and using the Federally prescribed MLR methodology, the projected loss ratio exceeds 80%. There were minimal benefit changes proposed for 2026 to maintain the desired metallic levels.
We're here to help
Explore your options
Speak with a Geisinger Health Plan advisor.
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Shop online
Browse plans online through Pennie, PA’s individual insurance exchange.