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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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Showing All Plans

HMO Plan

Geisinger Gold Classic 360 Rx

Rating:4.5 / 5

Monthly Premium

$0

Part B Insulin Capped At

$35

Annual Deductible

$0

Maximum Out-Of-Pocket

$8,000

Office Visit (PCP)

$0

Office Visit (Specialist)

$25

Plan Highlights

  • Inpatient hospital care – acute: $150/day (days 1–5), $0 per day (days 6–90)
  • Dental: Exam: $0, 2 per year, X-rays: $0, $1,500 annual limit
  • Vision: $20 – 1 exam per year, $100 eyewear limit per year
  • Hearing: $20 – 1 exam per year, hearing aids not covered
  • OTC: $35 every month
  • Fitness: $25 annual fee to Silver & Fit facilities
  • Vaccines: $0 copay
  • Telehealth e-visits (PCP): $0 copay
  • Pharmacy benefits including: 100-day supply mail-order pharmacy, one pharmacy network with the same copay regardless of which pharmacy you use
HMO Plan

Geisinger Gold Classic Advantage Rx

Rating:4.5 / 5

Monthly Premium

$98 - $127

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: Exam: $0, 2 per year, X-rays: $0, $1,250 annual limit
  • Vision: Exam: $20, 1 per year, eyewear: $200 benefit limit per year
  • Hearing: Exam: $20, 1 per year, hearing aids: $500 copay/ear, $1,250 limit per ear every 3 years
  • Fitness: $90/every 3 months
  • Vaccines: $0
  • Telehealth e-visits (PCP): $0
  • Pharmacy benefits including: 100-day supply mail-order pharmacy, one pharmacy network with the same copay regardless of which pharmacy you use.
HMO Plan

Geisinger Gold Classic Complete Rx

Rating:4.5 / 5

Monthly Premium

$39 - $43

Varies by county

Part B Insulin Capped At

$35

Annual Deductible

$0

Maximum Out-Of-Pocket

$4,400

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: Exam: $0, 2 per year, X-rays: $0, $750 annual limit
  • Vision: Exam: $20, 1 per year, eyewear: $100 benefit limit per year
  • Hearing: Exam: $20, 1 per year, hearing aids: $500 copay/ear, $1,250 limit per ear every 3 years
  • Fitness: $90 every 3 months
  • Vaccines: $0
  • Telehealth e-visits (PCP): $0 copay
  • Pharmacy benefits including: 100-day supply mail-order pharmacy, one pharmacy network with the same copay regardless of which pharmacy you use

HMO Plan

Geisinger Gold Classic Essential Rx

Rating:4.5 / 5

Monthly Premium

$0

Part B Insulin Capped At

$35

Annual Deductible

$0

Maximum Out-Of-Pocket

$7,550

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
  • Telehealth e-visits (PCP): $0
  • Pharmacy benefits including: 100-day supply mail-order pharmacy, one pharmacy network with the same copay regardless of which pharmacy you use
HMO Plan

Geisinger Gold Heritage

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: Exam: $0, 2 per year, X-rays: $0, $1,250 annual limit
  • Vision: Exam: $20, 1 per year, eyewear: $200 benefit limit per year
  • Hearing: Exam: $20, 1 per year, hearing aids: $500 copay/ear, $1,250 limit per ear every 3 years
  • OTC: $40 every month
  • Fitness: $90 every 3 months
  • Telehealth e-visits (PCP): $0 copay
  • Part B buyback: $43
HMO Plan

Geisinger Gold Value Rx

Rating:4.5 / 5

Monthly Premium

$23

Part B Insulin Capped At

$25

Annual Deductible

$0

Maximum Out-Of-Pocket

$8,850

Office Visit (PCP)

$0

Office Visit (Specialist)

$35

Plan Highlights

  • Inpatient hospital care – acute: $225/day (days 1–5), $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
  • Flex card: $250 yearly allowance for dental and vision services
  • OTC: $70 per month
  • Fitness: $0 annual fee to Silver & Fit facilities
  • Vaccines: $0
  • Telehealth e-visits (PCP): $0
  • Pharmacy benefits including: 100-day supply mail-order pharmacy, one pharmacy network with the same copay regardless of which pharmacy you use
  • Office Visit (Specialist): Office visits range from $0 to $35
PPO Plan

Geisinger Gold Preferred Advantage Rx

Rating:4.5 / 5

Monthly Premium

$82 - $97

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)
  • Dental, vision, hearing and fitness: Included with purchase of optional Health+ package
  • Vaccines: $0
  • Telehealth e-visits (PCP): $10
  • Pharmacy benefits including: 100-day supply mail-order pharmacy, one pharmacy network with the same copay regardless of which pharmacy you use

PPO Plan

Geisinger Gold Preferred Complete Rx

Rating:4.5 / 5

Monthly Premium

$0

Part B Insulin Capped At

$35

Annual Deductible

$0

Maximum Out-Of-Pocket

$8,000

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)
  • Dental, vision, hearing and fitness: Included with purchase of optional Health+ package
  • Vaccines: $0
  • Telehealth e-visits (PCP): $0
  • Pharmacy benefits including: 100-day supply mail-order pharmacy, one pharmacy network with the same copay regardless of which pharmacy you use
PPO Plan

Geisinger Gold Preferred Enhanced Rx

Rating:4.5 / 5

Monthly Premium

$0 - $76

Varies by county

Part B Insulin Capped At

$35

Annual Deductible

$0

Maximum Out-Of-Pocket

$7,550

Office Visit (PCP)

$0

Office Visit (Specialist)

$35

Plan Highlights

  • Inpatient hospital care – acute: $165/day (days 1-5), $0/day (days 6-90)
  • Dental: $0/2-year exam, $0 X-ray, up to $1,000 annual allowance
  • Vision: $20 – 1 exam per year
  • Hearing: $20 – 1 exam per year
  • Flex card: $165 yearly allowance for dental, vision, and hearing services
  • OTC: $25 per quarter
  • Fitness: $25 annual fee in-network to Silver & Fit facilities, 20% coinsurance out-of-network
  • Vaccines: $0 copay
  • Telehealth e-visits (PCP): $0 copay
  • Pharmacy benefits including: 100-day supply mail-order pharmacy, one 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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