What benefits does the Geisinger Health Plan offer to members?

Geisinger Health Plan operates as part of the Geisinger Health System, which serves over 3 million patients across 45 counties in Pennsylvania, making it a significant healthcare provider in the region.

Following its acquisition by Risant Health in March 2024, Geisinger continues to function under its established name, allowing it to maintain its identity while benefiting from additional resources.

The health plan provides a variety of insurance options, including plans tailored for individuals, families, seniors, and employers, which can be crucial for meeting diverse healthcare needs.

Members have access to a comprehensive provider network, which allows them to choose from a wide range of healthcare professionals and facilities, enhancing their ability to receive timely care.

Geisinger Health Plan emphasizes care coordination, which is a systematic approach to ensuring that a patient's healthcare services are organized and aligned, potentially leading to better health outcomes.

The plan features wellness programs designed to promote proactive health management, such as preventive screenings and lifestyle coaching, which can significantly reduce the risk of chronic diseases.

Geisinger is known for its innovative approach to healthcare delivery, including the implementation of technology such as electronic health records (EHR), which improve communication and data sharing among healthcare providers.

The health plan includes prescription management services, which help members navigate their medication needs, ensuring they receive the correct medications at the best prices.

Geisinger Health Plan offers access to Life Flight, an air ambulance service, which provides critical care transportation for patients in emergencies, highlighting its commitment to timely and effective emergency services.

Members can utilize a member portal that allows them to manage their benefits, track claims, and find in-network providers, which streamlines the healthcare experience and enhances accessibility.

Geisinger Gold Medicare Advantage plans include benefits that go beyond traditional Medicare, such as vision and dental coverage, recognizing the importance of comprehensive care for older adults.

The health plan also offers a Children’s Health Insurance Program (CHIP), ensuring that children from low-income families have access to necessary health services, which is vital for their development and well-being.

Geisinger Health Plan’s quality ratings are monitored by the National Committee for Quality Assurance (NCQA), reflecting its commitment to meeting high standards in healthcare delivery and patient satisfaction.

The health plan has integrated behavioral health services, recognizing the interconnectedness of mental and physical health and providing comprehensive support for members’ overall well-being.

Geisinger Health Plan promotes value-based care, which focuses on patient outcomes rather than the volume of services provided, potentially leading to more effective and efficient care.

Geisinger’s innovative programs, such as the "ProvenCare" initiative, aim to standardize care processes for specific conditions, which can enhance consistency and improve patient outcomes.

The plan's emphasis on preventive care can lead to significant long-term cost savings for both members and the healthcare system by reducing the need for more expensive interventions later on.

Geisinger Health Plan has been recognized for its efforts in addressing social determinants of health, understanding that factors such as housing and food security can significantly impact health outcomes.

The integrated nature of the Geisinger Health System allows for seamless transitions between primary care, specialty care, and hospital services, which can enhance the overall patient experience and health outcomes.