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If they need specialty services, they’ll need a referral too.

Referring your Geisinger Health Plan patient for specialty services? Check to see if they’re a PEBTF or REHP member. If they are, you’ll need to submit a referral on NaviNet or use our hardcopy referral form.

How to refer your Geisinger Health Plan PEBTF and REHP Custom HMO patients

Use the Referral Submission function under Workflows for this Plan on NaviNet or complete and fax the paper referral form.

Referral tips:

  • Do not backdate referrals.
  • Do not submit referrals by regular mail.
  • Best option is to use NaviNet Referral Submission function.
  • While there is a duration option, no referral is good for more than 12 months. Exceptions: cancer (hematology, oncology, and radiation medicine)

Paper referral tips:

  • GHP ID # and Referred-to specialty are required fields. Forms submitted without these fields complete will be rejected.
  • Fax completed forms to 570-214-1384.

Specialty drug carve-out through CVS Specialty

PEBTF members must use the CVS Specialty care pharmacy for most specialty medications. Learn more.

Changes to your PEBTF patient’s plans

Learn more about important changes to allergy serum and gene therapy benefits beginning Jan. 1, 2025.

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