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GHP Family – Medical Assistance plan
Medicaid is a joint federal-state program that offers affordable health insurance at little to no cost for those who qualify. GHP Family is an insurance plan that provides health coverage to Pennsylvania residents eligible for Medicaid.
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Why choose GHP Family?
Geisinger Health Plan offers quality, comprehensive coverage for all eligible Medical Assistance recipients.
Each year, more than 260,000 members throughout Pennsylvania choose GHP Family for our high-quality Medicaid plan. Need a routine doctor’s visit? Or something more involved, like diabetes care or an eye exam? We cover it all — to keep you and your family healthy.
A few reasons why GHP Family might be right for you:
Our large provider network
- More than 31,000 primary care physicians and specialists available to you
- Hospitals across Pennsylvania
Customer service
- Our teams are specially trained to handle questions about specific plans
- Available by phone or online, 6 days a week
Health and wellness programs
- Innovative wellness programs available online, in person and by phone
- Personalized services support and educate you to cover all your healthcare needs
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Enhanced Member Supports Unit
We’re here to support you. Every GHP Family member can get help from the Enhanced Member Supports Unit (EMSU). Nurse case managers work with various healthcare providers and community resources to support your specific needs. Contact us if you need help managing your or your family member's complex health related matters. We can also help if you:
- Need help scheduling or getting to your medical appointments
- Take multiple prescription medications
- Have a child with special needs
Our staff can help you take the next step toward better health, like finding behavioral healthcare, scheduling healthcare appointments or connecting you with community agencies for added support. And they're just a call away, Monday through Friday, 8 a.m. to 5 p.m., at 855-214-8100 (PA Relay 711).
Cost
What is the cost for GHP Family?
If you are eligible for Medical Assistance in Pennsylvania, there is no monthly premium for your GHP Family coverage.
Many services are available at no cost or require only a small copay.
The GHP Family Member Handbook gives you details on costs and coverage.
Enrollment
How do I enroll in GHP Family?
To enroll in GHP Family, first you need to apply for Medical Assistance.
Then, if you're eligible for Medical Assistance and live in Pennsylvania, you can choose GHP Family to provide your healthcare coverage.
How do I enroll a new family member?
How to add a baby:
- If you have a baby while you’re a GHP Family member, your baby will be covered by GHP Family from the moment they’re born. Call 855-227-1302 (PA Relay 711) as soon as possible after the big event so we can help you choose a primary care provider (PCP) for your new baby. After, you’ll receive a GHP Family member ID card for your baby. You’ll also need to contact your PA county assistance office to be sure your baby is enrolled in Medical Assistance.
How to add other family or household members:
- Anytime someone other than a newborn joins your family or household, contact your county assistance office to find out if that person is eligible for Medical Assistance. If they are eligible, your county assistance office caseworker will help them enroll in Medical Assistance. Then your new family member can enroll in GHP Family online by visiting the PA Enrollment Services website or by calling 800-440-3989 (PA Relay 711).
You may also call the Statewide Customer Service Center at 1-877-395-8930, or if you live in Philadelphia, the Philadelphia County Change Center at 215-560-7226 for assistance.
Finding care, a provider or transportation
How can I find a primary care physician or other healthcare provider?
To find a family doctor or other healthcare provider, use our online Find a Provider tool. You can find a list of primary care physicians and providers who are in the GHP Family network.
Or call our customer service team at 855-227-1302 (PA Relay 711) for help.
Who can I call if I need additional support?
Do you or a family member have special needs, such as complex medical conditions or difficulty managing multiple medications? Having trouble scheduling or finding transportation to your medical appointments?
Call our Enhanced Member Supports Unit (EMSU) at 855-214-8100 (PA Relay 711).