Geisinger Health Plan Medicare Insurance Review & Complaints: Health Insurance (2024)

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Pennsylvania-based Geisinger Health Plan provides health insurance to residents of four states. They offer a range of individual and group plans as well as Medicare Advantage and Supplement in a limited area.

This Geisinger Medicare review will cover all of the Medicare plans available as well as how to get Geisinger Medicare quotes.

You may wind up choosing to buy Geisinger Medicare insurance, but make sure you have compared other options first. Enter your ZIP code now to compare rates.

What is Geisinger?

Geisinger Medical Center began offering health insurance plans to employees and local residents in 1972 as a pilot program, and by 1985 was authorized to operate as a full-service HMO program. The company is a not-for-profit health system.

From the first location in Danville, PA, Geisinger has since grown to offer coverage in other states. In 2012 they expanded and now offer coverage in Delaware, Maine, and New Jersey. According to the company website they serve more than 500,000 members today.

Originally an HMO, Geisinger has expanded to offer extended network care through PPO plans. Partnership with other health systems in the area allows PPO members to access a wider range of providers.

Plans are sold both on and off the health insurance marketplace for individuals, and also available as employee benefits. Medicare Advantage and Supplement plans are both available.

What Are Geisinger Medicare Plans?

Geisinger Medicare Advantage plans for 2021 differ based on location. Both Geisinger Medicare HMO and PPO plans are offered in some locations. There is no Geisinger Medicare Part D plan available as a standalone policy at this time.

What is the Geisinger Medicare Advantage?

Geisinger Gold is the company’s Medicare Advantage line of products, and there are several of these health insurance plans to choose from. The plans are only available in a specific list of counties; we selected a zip code in the headquarters city of Danville, PA for the purpose of obtaining plan information.

Gold Classic plans are the basic HMO plans offered by Geisinger. Our search returned three Classic plan options, three Preferred plans, and the Gold Secure Rx.

Classic Essential is a $0 premium plan (above regular Medicare premiums) with no deductible and copays of $10 for primary care visits and $40 for specialist visits. Inpatient hospital stays have a copay of $225 per day for the first six days. One of the benefits is that prescription drugs start at $3 for Tier 1.

Classic Complete is a step up in cost, with copays of $5 for primary care and $35 for specialists. Inpatient hospital stays have a copay of $200 per day for the first six days. Prescription coverage is the same as the Essential plan.

Classic Advantage is the most expensive of the Classic plans. There is no copay for primary care visits to health care providers, and specialist visits have a $20 copay. The hospital copay is $175 a day for the first six days. Like the other Classic plans, prescription coverage starts at $3 for Tier 1.

Our search returned three Preferred plans, which are all PPO plans.

Preferred Complete is the $0 premium plan in this category. In-network co-pays are $15 for primary care and $40 for specialists, with a $225 a day copay for the first six days of an inpatient hospital stay. Prescription coverage again starts at $3 for Tier 1.

Preferred Enhanced has copays of $10 for primary care and $35 for specialist visits. Inpatient hospital visits have the same copay as the Complete plan, and prescription coverage is the same.

Preferred Advantage has copays of $5 for primary care and $25 for a specialist, and a lower hospital copay of $200 per day for the first six days. Prescription coverage is again the same as the other plans.

The final plan for healthcare coverage on our list is the Gold Secure Rx. This is the third available $0 premium plan, and it is an HMO SNP plan with no co-pays and no deductible across the board for any services except prescriptions. All tiers have a 25% coinsurance.

Is There a Geisinger Medicare Supplement?

Update: No Medicare Supplement plans are listed for 2021

Geisinger offers a good list of the standardized letter-coded Supplement plans. They list plans A, B, C, F, F with a high deductible, M, and N. That seven of the eleven possible plan choices.

Plan A is a base coverage that pays for all Medicare coinsurance amounts as well as the first three pints of blood each year. All insurance companies are required to offer this plan if they write Medicare Supplement policies.

The highest level of coverage is found in Plan F, which covers all out-of-pocket expenses as well as travel emergency medical. That makes it the most expensive plan, which is why the high deductible option is offered to lower the monthly cost while keeping out-of-pocket expenses predictable.

The rest of the plans fall somewhere in between; Plan N stands out as the only one on the list that has a copay for some services in return for lower monthly payments.

What Are Geisinger Medicare Rates?

As noted, Geisinger has three $0 premium plans – which means you do pay anything other than your regular Medicare premiums.

The rates go up from there, with the most expensive option being the Classic Advantage Rx at $166.

Medicare Supplement rates are readily available as well, with Plan A returning a cost of $115.16 a month. The Plan F premium is a relatively high $262.43, which drops down to $47.98 a month with the high deductible option.

These rates are only comparable in the same service area, but in general, they are quite reasonable. We did find the Plan F rate to be a bit high compared to other places, and the company appears to be pushing the high deductible version.

How Geisinger Health Plan Manages Claims

Ease of Filing a Claim

Geisinger Health Plan’s claims process in 2023 provides policyholders with multiple avenues for filing claims. Whether you prefer the convenience of online submissions, the personal touch of filing claims over the phone, or the flexibility of using mobile apps, Geisinger offers these options to ensure that policyholders can initiate claims in a manner that suits their preferences and needs.

Average Claim Processing Time

The speed at which an insurance company processes claims is a critical factor for policyholders. While specific processing times may vary depending on the nature and complexity of the claim, Geisinger is committed to efficient claim processing.

In 2023, policyholders can expect their claims to be handled in a timely manner, providing them with the support they need when facing unexpected medical expenses.

Customer Feedback on Claim Resolutions and Payouts

Customer feedback is instrumental in assessing an insurance company’s performance in handling claims. Geisinger Health Plan has received positive feedback from policyholders regarding the resolution of claims and the timeliness of payouts.

This positive customer sentiment underscores Geisinger’s commitment to providing a seamless claims experience and ensuring that policyholders receive the financial support they require during challenging times.

Digital and Technological Features

Mobile App Features and Functionality

Geisinger Health Plan’s mobile app in 2023 offers a range of features and a user-friendly interface. Policyholders can use the app to access their insurance information, review policy documents, and even initiate claims directly from their mobile devices.

Additionally, the app provides tools for estimating coverage and locating healthcare providers, making it a valuable resource for managing insurance needs on the go.

Online Account Management Capabilities

For policyholders who prefer online account management, Geisinger offers a comprehensive online platform. Through their website, customers can log in to their accounts to view policy details, make payments, update personal information, and track the status of ongoing claims.

This online portal empowers policyholders with the flexibility to manage their insurance-related tasks conveniently and efficiently.

Digital Tools and Resources

Geisinger Health Plan goes beyond traditional insurance coverage by offering a range of digital tools and resources in 2023. These resources include calculators for estimating coverage needs, educational materials to enhance insurance literacy, and safety tips to prevent health-related issues.

Geisinger’s commitment to providing valuable digital resources reflects their dedication to supporting policyholders’ well-being beyond insurance coverage.

What About Geisinger Medicare Ratings and Consumer Reviews?

Geisinger Health Plan has a surprising D+ rating with the Better Business Bureau (BBB), which is based on one complaint that was not responded to and, according to the BBB, the length of time the business has been operating. The BBB file was opened in 2017, but this company has been operating for several decades, which makes the rating a bit confusing. There are only two complaints on file in the past three years, one of which was closed in the past year. Those are very low numbers to merit so low a grade.

The National Committee for Quality Assurance rates Geisinger Health Plans a 4.0 out of 5 for Medicare Advantage. Their rankings for consumer satisfaction are good in most areas, including a 5.0 rating for primary care physicians.

We were unable to find much in the way of reviews from customers, which is generally a positive thing when it comes to insurance companies. Our general impression is of a company with a good reputation.

Geisinger Medicare: What’s the Bottom Line?

Geisinger seems to have a solid reputation, putting aside the questionable rating from the BBB. They also have a variety of health care plans with choices at every price point, which means most people should be able to find a plan they can afford – and there are even both HMO and PPO choices as the $0 premium level. If you live in the service area of the company it would seem to be a good one to add to your list.

Affordable Geisinger Medicare insurance might be a good choice, but you should always shop around. Compare Medicare rates today with our free quote tool.