GHP Family vision benefits update

As of Sunday, July 6, Geisinger Health Plan (GHP) Family will implement changes to vision benefits for members age 21 and older, including those diagnosed with aphakia.

Key updates:

• For members age 21 and older without aphakia:
  Coverage will include up to 2 routine vision exams per calendar year at no cost to the member. No prior authorization is required.
• For members age 21 and older with a diagnosis of aphakia:
  Coverage will include:
• 2 routine vision exams per calendar year
• 4 standard eyeglass lenses per calendar year
• 2 standard eyeglass frames per calendar year (excludes deluxe frames)
• 4 standard contact lenses per calendar year

All services are covered at no cost to the member and do not require prior authorization.

Provider guidance:

• Members may see any in-network eye care provider; they are not required to select a single provider.
• Routine vision care appointments can be scheduled directly with participating providers.
• For specialty eye care (e.g., treatment for eye injuries or diseases), members should first talk to their primary care provider before connecting with a specialist.

Support and resources:

To help members locate an eye care provider:

• Visit ghpfamily.com or geisinger.org/health-plan/find.
• Call GHP Family Customer Care at 855-227-1302 (PA Relay 711).