Geisinger Gold Classic 3 (HMO)

A traditional HMO plan. Covers routine office visits, physicals, immunizations, diagnostic tests and x- rays to keep you healthy. Coverage for eyeglasses, hearing aids, preventive dental benefits, toe-nail trimmings and fitness center memberships are included. Copays and cost-sharing apply. Part D prescription drug coverage is available with this plan.
view pdf Summary of Benefits
Geisinger Gold Classic 3 (HMO)
Plan Summary
Medicare
General
In-Network
  • You must go to network doctors,specialists, and hospitals.
  • Referral required for network specialists (for certain benefits)
If you would like to compare this plan to Medicare, click on Show summary.
Monthly Premium
Amount depends on your county
RX Coverage Included
This plan is available with and without prescription drug coverage. See more details
Enhanced Benefits
Eyeglasses, hearing aids, preventive dental benefits, world-wide emergency coverage, fitness center membership
Deductible
$1300
Co-insurance after Deductible
0%
Out-of-pocket annual maximum
$1500
PCP Visits
$10
Specialist Visits
$25
In-patient co-pays
Non-mental health - Deductible;
Mental health - $100 (Days 1-5);
Skilled Nursing Facility - Deductible
Out-patient copays
Deductible (except as described below)
Emergency room copays
$50
Ambulatory Surgical Center
Deductible
Hospital surgery
Deductible
Radiology - General
Deductible
Radiology - MRI/CAT/PET
Deductible
Pathology
Deductible
PT/OT/ST
$25
Enroll Online Anytime
Ready to enroll now? You can apply online 24 hours a day, 7 days a week.
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Contact us in the way that's most convenient for you
By Phone
Our Pennsylvania-based Geisinger Gold Sales Counselors are here to help you seven days a week from 8am-8pm October 15 - February 14 all other dates 8am - 8pm Monday – Friday.
If you are NOT yet a Geisinger Gold member:  1 (800) 482-8163 (phone)711 (TTY/TDD)
If you are currently a Geisinger Gold member:  1 (800) 498-9731 (phone)711 (TTY/TDD)
By Email
Fill out an online form and a Gold counselor will contact you with more information.
By US mail
Our address is: Geisinger Health Plan PO Box 8200 Danville, PA 17821-8200
Request an Info Packet
Complete an online form and we will mail an Info packet to you. 
Request a Home Visit
Learn about Geisinger Gold in the privacy and comfort of your home. One of our specially trained Gold Sales Counselors will come to your home at your convenience. 
A health plan with a Medicare contract
Y0032_H2792_13105_1  CMS Approved 04/15/13
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