Geisinger Health Plan Insurance Review & Ratings (2024) | USInsuranceAgents.com (2024)

Welcome to our comprehensive guide on Geisinger Health Plan Insurance. In this article, we’ll explore the various coverage options provided by Geisinger Health Plan (GHP), including Medicare Advantage, Medicaid, and individual and family plans. We’ll delve into the benefits and services offered by GHP, such as their provenHealth Navigator program and exclusive policyholder perks.

• Geisinger Health Plan (GHP) is a Pennsylvania health insurance company that provides a variety of quality health insurance plans
• Geisinger Health Plan offers Medicare, Medicaid, family, individual, children, and business insurance coverage
• The BBB rates GHP poorly, while J.D. Power has given it a prestigious award

Additionally, we’ll analyze customer ratings and reviews to provide you with an unbiased assessment of GHP’s performance. To ensure you find the best insurance coverage, we invite you to enter your ZIP code and compare rates from the top insurance providers in your area. Take control of your healthcare journey and make an informed decision today.

Geisinger Health Plan History

Geisinger began in 1972 as a rural, prepaid plan offered as a pilot program to Geisinger Medical Center employees and the residents of five counties surrounding Danville, Pennsylvania. In 1985, under the authority of the Pennsylvania Health Maintenance Act of 1973, Geisinger Health Plan received its Certificate of Authority to operate an HMO.

GHP has offered a significant premium advantage since the 80s. It has gone from less than 100,000 members to over half a million in only a couple of decades. It has a provider network of over 29,000 doctors and 100 hospitals across Pennsylvania and boasts national recognition for its innovative techniques for effectively managing medical costs and improving outcomes.

GHP Coverage Options

Geisinger Health Plan is a one-stop shop for health insurance of all kinds, including Medicare, Medicaid, and coverage for individuals and families, children, and businesses of all shapes and sizes.

Geisinger Health Plan Medicare Advantage

One of the most popular insurance coverage options at Geisinger Health Plan is its Gold Medicare Advantage plan. Medicare Advantage policies offer additional benefits outside what original Medicare covers and keep all of your benefits — medical, hospital, and prescription coverage — under one plan.

Geisinger’s Gold includes dental and vision benefits, as well an annual out-of-pocket spending cap. There are nine separate plans, including HMO, PPO, and HMO SNP.

Other benefits of Geisinger’s Gold Medicare Advantage include:

• Geisinger mail-order pharmacy
• Savings on insulin
• Wellness programs
• Dental services
• Silver Circle and Geisinger 65 Forward memberships
• Hip and knee replacement guarantees

These benefits are targeted toward the older adult who would need these kinds of services from GHP. Hip and knee replacements are very common procedures for those over 65. Not to mention, the mail-order pharmacy is excellent for those who can no longer drive.

Geisinger Health Plan Medicaid

Do you qualify for medical assistance? Geisinger Health Plan Medicaid coverage might be an option for you and your family. GHP Family provides complete healthcare coverage, which may include check-ups, immunizations, prescription drugs, eye care, dental care, and more. Other benefits and services with GHP Family are:

• No limit on prescriptions
• ProvenHealth Navigator
• Wellness programs
• Women’s and children’s health services

Those who cannot afford health insurance on their own benefit from these services. Families in need can have access to the medical assistance that they need.

Individual and Family

GHP Marketplace plans provide coverage for those under 65 and families without employee coverage, and the good news is that it won’t empty your bank account. Other family plans offer basic or comprehensive coverage depending on your needs. Marketplace coverage includes benefits like:

• Affordable and quality coverage
• Basic care plans for those under 30
• Flexibility
• HMO and PPO plans
• Access to a larger provider network
• Coverage for one person or the whole family

If you’re looking for health insurance for your child, Geisinger also has the Children’s Health Insurance Program (CHIP). For children and teens 19 and under, CHIP provides coverage for everything from routine immunization and wellness visits to emergency care.

Benefits and Services Geisinger Health Plan Offers Policyholders

Not only does GHP provide quality and affordable coverage, but it also has exclusive benefits and services for members.

• Pharmacies. There are more than 3,000 pharmacies in-network with GHP, including large retail chains and neighborhood drug stores throughout the state of Pennsylvania.
• Providers and care locations. There are more than 29,000 Geisinger Health Plan providers and 100 in-network hospitals. It also offers access to emergency room care and urgent care services.
• Quality and service first. GHP’s customer service agents are ready to help at the touch of a button. You can contact them by phone or an online patient portal account.
• Health and wellness programs. There are many wellness programs available online, in person, and by phone to help you get personalized support and education for all your healthcare needs.
• Health navigator. The Geisinger Health Plan has a health navigator that includes everything you need to know to get the healthcare you need.
• Health management. A team at GHP will work with your primary and specialty care physicians, facilities, GHP nurses, and others to monitor your use of healthcare services. You’ll have a personal plan to get you feeling better after inpatient care.

All of these benefits and services are available to all Geisinger Health Plan policyholders at no extra cost.

Grasping the Claim Process at Geisinger Health Plan Insurance

Ease of Filing a Claim

Geisinger Health Plan (GHP) offers a convenient claims filing process for its policyholders. The company provides multiple channels for filing claims, ensuring flexibility and ease for its customers. You can file a claim with GHP through their online portal, over the phone, or even through their mobile app.

This variety of options allows policyholders to choose the method that suits them best, whether they prefer the convenience of digital submissions or the personal touch of speaking with a representative.

Average Claim Processing Time

One crucial aspect of the claims process is the time it takes for claims to be processed. GHP has worked to streamline its claims processing, aiming for efficient and timely resolutions. While specific processing times may vary depending on the nature and complexity of the claim, Geisinger Health Plan strives to expedite the process, ensuring that policyholders receive their claim payouts as quickly as possible.

Customer Feedback on Claim Resolutions and Payouts

Customer feedback is invaluable when assessing an insurance provider’s performance in handling claims. Policyholders’ experiences with claim resolutions and payouts can provide insight into GHP’s effectiveness in this regard. It’s important to note that while GHP has received recognition from J.D. Power, individual customer experiences may vary.

We recommend reviewing customer reviews and ratings to gauge overall satisfaction with GHP’s claim resolution and payout processes.

Revolutionizing Insurance: Geisinger Health Plan Insurance Cutting-Edge Digital and Technological Features

Mobile App Features and Functionality

Geisinger Health Plan offers a user-friendly mobile app with a range of features and functionalities. The app allows policyholders to access their insurance information on the go. Users can view their policy details, track claims, and even find nearby healthcare providers.

Additionally, the app provides a convenient way to submit claims digitally, making the claims process smoother for those who prefer mobile solutions.

Online Account Management Capabilities

GHP provides robust online account management capabilities through their website. Policyholders can log in to their accounts to access and manage their insurance policies. This includes reviewing coverage details, making premium payments, and updating personal information. The online portal offers a convenient and secure way for customers to take control of their insurance accounts and make necessary adjustments.

Digital Tools and Resources

In addition to the mobile app and online account management, Geisinger Health Plan offers various digital tools and resources to assist policyholders in navigating their healthcare journey. These resources may include educational materials, cost calculators, and wellness programs.

GHP’s commitment to providing digital tools can help policyholders make informed decisions about their healthcare and take proactive steps to maintain their well-being.

In-Depth Review of Geisinger Health Plan: Coverage, Services, and Benefits

Geisinger Health Plan is highly regarded for its comprehensive range of insurance products and services. Among these, the Geisinger dental coverage stands out, offering a variety of options through Geisinger dental plans that cater to different needs and budgets. For providers, the Geisinger dental provider portal facilitates easy access to patient information and billing services, enhancing the efficiency of dental care management.

Additionally, the Geisinger family plan Medicaid is designed to support low-income families with essential health services, ensuring that everyone has access to quality medical care. For seniors, the Geisinger gold advantage plans provide robust coverage options, including the versatile Geisinger gold flex card, which offers flexible spending options on medical expenses.

In terms of Medicare, Geisinger offers several competitive plans. The Geisinger gold medicare advantage and Geisinger gold medicare plans are popular for their comprehensive benefits, including the Geisinger gold member services that ensure personalized support for enrollees. The Geisinger gold prescription drug plan offers extensive medication coverage, while the Geisinger gold vision benefits address essential eye care needs.

The Geisinger Health Plan medical policy ensures that all plans adhere to high standards of care. Managing expenses is made easy with the Geisinger Health Plan pay my bill feature. For those needing extra assistance, Geisinger medical assistance programs provide additional support.

The transparent Geisinger price list allows members to understand costs upfront.Overall, the Geisinger Health Plan is known for its Geisinger quality options and commitment to Geisinger wellness, making it a trusted choice for many.

Comprehensive Review of Geisinger Health Plan Insurance and Ratings

Geisinger Health Plan (GHP) offers a comprehensive range of insurance options designed to meet the diverse needs of its members. The Geisinger enhanced plan provides extensive coverage, ensuring that policyholders receive top-tier medical services. The Geisenger Health Plan is highly regarded for its inclusive benefits, including Geisinger eye care and Geisinger eye insurance, which cater to the vision needs of its members.

According to numerous Geisinger Health Plan reviews, members appreciate the broad network and the quality of care provided. Additionally, Geisinger insurance reviews frequently highlight the convenience and accessibility of Geisinger GHP family dental providers, offering comprehensive dental coverage alongside their medical plans.

GHP also offers tailored plans such as Geisinger medical insurance for general health needs and the 65 forward Geisinger initiative, which provides specialized care for seniors. The Geisenger goldand Geisinger 65 forward kingston plans cater specifically to older adults, ensuring they receive the necessary attention and services.

The plans are designed to maximize Geisinger benefits, including access to Geisinger convenient care centers for urgent needs. Positive Geisinger Danville reviews reflect satisfaction with the local healthcare services, and Geisinger dental insurance ensures members have access to essential dental care. Overall, GHP’s offerings are well-rounded, aiming to deliver comprehensive and convenient healthcare solutions.

Geisinger Health Plan Ratings and Consumer Reviews

Geisinger Health Plan has a D- rating with the Better Business Bureau (BBB). The BBB bases its ratings on complaints filed with the company and how the company responds. A D- is not a good rating, but it appears that several of the complaints against GHP consist of problems that aren’t directly Geisinger’s fault.

On the other hand, the Geisinger Health Plan won a 2021 J.D. Power award for the best Pennsylvania health plan in customer satisfaction. J.D. Power is a global leader in consumer insights, so an award from them is a big deal. They’ve also won several awards from the Business Group on Health for excellence in health and well-being.

How to Contact GHP

Geisinger wants it to be easy for its consumers to purchase insurance policies, locate providers in their network, and pay their bills. Contacting Geisinger Health Plan is relatively simple. There are several ways to get in touch with a representative. You can call the main Geisinger Health Plan phone number at (800) 275-6401, or write to them at their headquarters in Danville. Just address the envelope to Geisinger at 100 North Academy Avenue in Danville, Pennsylvania 17822. If you want to contact them online, you can navigate an easy-to-use digital FAQ.

Geisinger Health Plan: The Bottom Line

GHP is a health insurance company that started small in rural Pennsylvania but now serves over half a million customers on the east coast. Geisinger offers health plans for all situations, whether it’s a Medicare Advantage policy for someone over 65, or for children. Plus, there are free benefits for all policyholders. While the company has less than favorable reviews from the BBB, it has won an award from J.D. Power for customer satisfaction. And it’s easy to get in contact with Geisinger, too.