Cigna Healthcare® to provide new PPO wrap network for Geisinger Health Plan commercial and marketplace members

Starting Sunday, June 1, Geisinger Health Plan (GHP) commercial group and marketplace members will have even greater access to care across the country with a new wrap (expanded) network provided through our recent affiliation with Cigna Healthcare. This network replaces the First Health^® Network for nationwide access. The Cigna Healthcare PPO Network¹ features even greater access to provider locations along with seamless claims administration.

Members will receive new ID cards in the coming months. The member’s plan type (HMO or PPO), benefit type (e.g., emergency, travel and pharmacy) and service location may determine how healthcare providers direct claims and requests for prior authorization. 

Network coverage area

As of Sunday, June 1, the GHP network coverage area will consist of the counties shaded in blue.

Network coverage area implications for GHP-contracted providers

• GHP-contracted providers within the GHP network coverage area:

  Nothing will change. You’ll still send claims to GHP and request prior authorization through the appropriate GHP medical management partner application (e.g. Cohere, HealthHelp) for these members.

• GHP-contracted providers outside the GHP network coverage area:
  
  Starting June 1, you’ll need to send your claims for PPO members to Cigna Healthcare. Medical benefit prior authorization requests will also need to be made through Cigna Healthcare for PPO members.
  
  Claims and prior authorization requests for HMO members will still go through GHP.
  
  Pharmacy benefit prior authorization for both PPO and HMO members will still go through Navitus. 

Member ID card samples

Geisinger PPO Cigna primary

PPO members who primarily receive care outside the GHP network coverage area. These members can be identified by the Cigna Healthcare logo appearing on the front of their member ID card.

Geisinger PPO wrap accessing the Cigna Healthcare PPO Network

PPO members who use the GHP network as their primary network. 

Geisinger HMO (solutions HMO)

HMO members will continue to use the GHP network for their care. 

ID cards above are not inclusive of all Geisinger Health Plan ID card types.  Geisinger Health Plan ID cards will include the Cigna Healthcare logo and claim submission information, when applicable. Self-funded plan sponsor ID cards may contain the plan sponsor logo.

Need to check on a claim or member benefits?

You can now view GHP member eligibility and benefit information, submit and check claims status through Availity. More features will be accessible through Availity as we transition from NaviNet throughout 2025. Or call 844-GHP-PROV (844-447-7768).

See what we’re telling members

Visit our Cigna Healthcare PPO Network resource page to see how we’re keeping members informed.

This Operations Bulletin and the information contained herein amend the GHP Participating Provider Guide, effective June 1, 2025. 

¹The Cigna Healthcare PPO Network refers to the health care providers (doctors, hospitals, specialists) contracted as part of the Cigna Healthcare PPO for Shared Administration. Cigna Healthcare is an independent company and is not affiliated with Geisinger Health Plan and its affiliates. Access to the Cigna Healthcare PPO Network is available through Cigna Healthcare’s contractual relationship with Geisinger Health Plan. All Cigna Healthcare products are provided exclusively by or through operating subsidiaries of The Cigna Group, including Cigna Health and Life Insurance Company. The Cigna Healthcare name, logo, and other marks are owned by Cigna Intellectual Property Inc.

Geisinger Health Plan may refer collectively to health care coverage sponsors Geisinger Health Plan, Geisinger Quality Options, Inc., and Geisinger Indemnity Insurance Company, unless otherwise noted. Geisinger Health Plan is part of Geisinger, an integrated health care delivery and coverage organization.