Fast Facts
Welcome to Geisinger Gold's fast facts. In this section you will find the most up-to-date information about the Health Plan.
Geisinger Gold
Begun in 1985, Geisinger Health Plan is a not-for-profit managed care organization that serves the health-care needs of members in 42 counties throughout central and northeastern Pennsylvania. Geisinger Gold has been offered by Geisinger Health Plan, a health plan with a Medicare contract, since 1994.
Headquarters
Danville, Pennsylvania
Membership: 37,174 *
Participating Hospitals: 75 *
Primary Care Physicians & Specialists: more than 15,500 *
* as of 9/30/07
Service Area
Berks, Blair, Bradford, Cambria, Carbon, Centre, Clearfield, Clinton, Columbia, *Cumberland, Dauphin, Huntingdon, Juniata, Lackawanna, Lancaster, Lebanon, Luzerne, Lycoming, Mifflin, Monroe, Montour, Northumberland, *Perry, Schuylkill, Snyder, Sullivan, Susquehanna, Tioga, Union, Wyoming, York
*Denotes partial counties
Click here to see map
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History
A rural, prepaid Health Plan was offered as a pilot program in 1972 to Geisinger Medical Center employees and residents of the five-counties that surrounded the hospital. The five counties included Montour, Columbia, Northumberland, Snyder and Union. In 1985, the Health Plan received its Certificate of Authority to operate an HMO under the authority of the Pennsylvania Health Maintenance Act of 1973.
In 1994, Geisinger Health Plan received approval from the Department of Insurance to offer Medicare Advantage plans.
Geisinger Gold offers a variety of plan options to meet members' needs, including prescription drug coverage. In addition, most Geisinger Gold plans offer more benefits than original Medicare including vision and hearing benefits and fitness center memberships.
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Products
For a list of plans in your area, click here.
Quality Performance
National Committee for Quality Assurance (NCQA)
NCQA is an independent, not-for-profit organization dedicated to measuring the quality of America's health care.
- Received a three-year "Excellent" Accreditation for Geisinger Gold during NCQA's 2006 review (2006)
- Received "Full" Accreditation for eight disease management programs from NCQA (2006)
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Awards
- Geisinger Health Plan was awarded the Gold Award in the Pennsylvania Division Cancer Control Impact Awards by the American Cancer Society for the 2005/2006 Colorectal Cancer campaign. (American Cancer Society, 2006)
- Geisinger Health Plan was awarded the Silver Award in the Pennsylvania Division Cancer Control Awards by the American Cancer Society for the 2004/2005 Colorectal Cancer campaign. (American Cancer Society, 2005)
- Geisinger Gold rated number one in customer service of all HMOs in Pennsylvania. (Medicare Advantage Consumer Assessment of Health Plans, National Committee for Quality Assurance [NCQA], 2004, 2005 and 2006)
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Health Management
For members with a complex medical history, our case management nurses can help them and their families navigate through the wide variety of health-care services available.
We also offer programs that provide members with specialized instruction on how to deal with specific disorders, better manage their symptoms and improve their quality of life.
These programs include:
- Adult and Pediatric Asthma Care Program
- Chronic Kidney Disease
- Chronic Obstructive Pulmonary Disease (COPD) Program
- Chronic Heart Failure (CHF) Program
- Diabetes Care Program
- HeartWise Program (coronary artery disease)
- Hypertension Program
- Osteoporosis Program
- Tobacco Cessation Program
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We do more to keep our members healthy
- Tobacco cessation. This 12-week program is extremely successful in helping members to quit smoking. For all participants, whether or not they complete the course, our quit rate is two times the success rate of other programs.
- Health reminders by phone. For members who scheduled a recommended appointment, we'll contact them directly at home to remind them about childhood and adolescent immunizations, breast and cervical cancer screenings, and diabetic eye exams.
- Out-of-network services. If a member is outside our service area and requires medical attention, we'll still see to it he or she gets the needed care. In fact, if necessary, we'll even arrange to have the member transported back home to be cared for by his or her own physician.
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Structure
Geisinger Health Plan is an integral part of what is collectively referred to as Geisinger Health System. The System is a large, comprehensive health-care network that provides health-care services throughout 40 counties.
The System is dedicated to
- community-focused, not-for-profit, physician-led health care
- medical research and education
- service to rural areas
Initially, Geisinger Health Plan was a group practice HMO, meaning its provider network was composed of Geisinger Health System providers only. The Health Plan has since expanded into a network model to better serve the residents of central and northeastern Pennsylvania. Sites throughout our service area provide additional convenience to our members and better meet their needs.
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Information updated 11/7/07
H3924_H3954_H5812_H8468_S4248_8015_1_a_r 1/21/08
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