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Community HealthChoices (CHC) is Pennsylvania’s mandatory Medicaid managed care program for people who qualify for both Medicare and Medicaid and individuals with physical disabilities. CHC uses Managed Care Organizations (MCOs) to coordinate physical health care and long-term services and supports (LTSS).

  • Geisinger Gold Secure Rx members with a CHC MCO as secondary coverage can still be seen by all Geisinger providers for Medicare covered services. 
  • Geisinger providers do not need to participate with the CHC MCO to bill them as a secondary insurer for Medicare covered services.
  • Geisinger Gold Secure Rx members do not need to change their primary Medicare Advantage coverage to the CHC MCO. 

Call 800-498-9731 for more information, or review Pennsylvania’s Medicaid/ Medicare billing guidance.

 
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