Coverage, appeals, transition policy and MTM
To see if your drugs are covered, sign in to the member portal and we'll preselect your plan to make your search easier. Or visit the Geisinger Gold formularies section to view without logging in.
Don't see your drug in the formulary? Contact Gold Customer Care Team at 800-498-9731 (TTY: 711) to check coverage.
If it's not covered, you have 2 options:
You can ask Geisinger Gold to make an exception to our coverage rules. The types of exceptions you can request are:
We'll generally approve an exception if the alternative drug is on the plan's formulary or if more restrictions would be less effective or cause adverse effects.
Complete the CMS Request for Medicare Prescription Drug Determination form (updated 04/19/2006) and GHP Formulary Exception / Prior Authorization Request form (updated 09/12/2024).
Complete and send the CMS Redetermination form (updated 12/29/2024) to us.
Standard (7-day review) appeals must be submitted in writing. However, if your life, health or ability to regain maximum function is at risk, you, your representative or your prescribing physician can verbally request an expedited appeal.
Medication Therapy Management, or MTM, is a program provided by pharmacists and other healthcare professionals to help you get the most out of your medications. Through the program, we'll review your over-the-counter and prescription medications and educate you on the right way to use them. We'll also look for drug interactions and possible ways you can save on costs.
You'll be automatically enrolled in the MTM program if you:
OR
If you have Part D coverage and don’t meet these criteria, you can still request enrollment in the program.
If you'd like more information about the MTM program, call us toll-free at 800-988-4861 (TTY: 711). We're ready to answer your questions on weekdays from 8 a.m. to 4:30 p.m. ET.
Eligible patients are notified by mail and receive a follow-up call to complete the review or schedule an appointment. MTM sessions usually last 15 to 30 minutes but can be extended if needed.
This program is included free of charge as part of your Medicare Part D prescription coverage and is not considered a benefit.
During the MTM consultation, the pharmacist will:
After the call, you'll get a personalized medication list.
See sample medication list and to-do list.
Our pharmacists will continue to monitor your medications for the rest of the year using Targeted Medication Reviews (TMRs). We may contact you or your provider if we identify additional opportunities to help you use your medications better or enhance your care.
Participation is voluntary. To withdraw, call 800-988-4861 (TTY: 711), weekdays, 8 a.m. to 4:30 p.m. ET.
Remember, this program is at no cost to you — and it lets us work with your doctor to be sure you're getting the best care possible.
As a new or continuing member, you may be taking drugs that are not on our formulary or have usage limits. For example, you may need a prior authorization from us before you can fill your prescription. Consult your doctor to decide if you should switch to a covered drug or request a formulary exception.
While you talk to your doctor to determine the right course of action for you, we may cover your drug in certain cases during the first 90 days you are a member of our plan.
If you're a resident of a long-term care facility:
Are you a Medicare member with high drug costs? You can spread your drug coverage and out-of-pocket drug costs across the year with the Medicare Prescription Payment Plan (M3P).
Learn more in this fact sheet from the Centers for Medicare and Medicaid Services.
For more information, call 833-696-2087 (TTY: 711) or visit the CMS website.
Questions about exceptions, determinations or Medication Therapy Management?
Call the Gold Customer Care Team at 800-498-9731 (TTY: 711):
Use the member portal to view claims and benefits, find a provider and more.
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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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