Frequently Asked Questions
Take a look at information about our organization:
- General
- Registration/Log In
- Confidentiality/Web Security
- Members
- Health Care Providers
- Employers
- Brokers
- Requesting Information
General
- Where is Geisinger Health Plan headquartered?
- How many members do you serve?
- Does the plan have much experience?
- Does the plan have relationships with a wide range of health care providers?
We are based in Danville, Pennsylvania, with regional offices throughout our service area.
Approximately 220,000 are enrolled in our health coverage products.
Geisinger Health Plan, a not-for-profit health maintenance organization (HMO), serves the health-care needs of members in 42 counties throughout central and northeastern Pennsylvania. Begun in 1985, the Health Plan has steadily evolved into one of the nation’s largest rural HMOs by providing high quality, affordable health-care benefits.
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.
Yes. More than 18,000 health care providers participate in our network including:
• 3766 Primary Care Physicians
• 11,713 Specialist Physicians
• 1,234 Primary Care Sites
• 84 Participating Hospitals
Registration/Log-In
- I am a member of the Plan. How do I register?
Take the following steps to register:
• Go to the Home Page.
• Click on the User Registration button on the left-hand side of your screen.
• You will be asked to select your affiliation with the Plan.
• Please click on Member. A registration form will appear.
• Please fill in all required fields on the registration form: your member ID number (you can find this number on the front of your member ID card), your date of birth, your zip code, and the last 4 digits of your Social Security Number. Click Register.
• After all required fields are entered and submitted, you will be taken to our terms and conditions section.
• Once you accept them, you can choose a user name and password. On the profile screen, you will need to pick a challenge question. The challenge question will help out later if you forget your password.
A confirmation letter will be sent to you via U.S. Mail. You can expect to receive it within 5 to 7 business days.
Back to top - I am a participating provider. How do I register?
- Go to the Home Page.
- Click on the User Registration button on the left-hand side of your screen.
- You will be asked to select your affiliation with the Health Plan. Please click on Provider.
- A registration form will appear. Please fill in all required fields on the registration form: your Health Plan provider number, your date of birth, your medical license number , the state in which you are licensed and the last 4 digits of your Social Security Number. Click Register.
- After all required fields are entered and submitted, you will be taken to our terms and conditions section. Once you accept them, you can choose a user name and password. On the profile screen, you will need to pick a challenge question. The challenge question will help out later if you forget your password.
- I am an employer. How do I request a Personal Identification Number?
- I am an employer that has received my PIN. How do I register?
- I am an appointed broker for the Plan. How do I register?
- I am a provider and a member. Do I register twice?
- I recently changed my name. Do I need to re-register?
- I forgot my password. What should I do?
- Help! I'm having problems logging in.
Take the following steps to register:
A confirmation letter will be sent to you via U.S. Mail. You can expect to receive it within 5 to 7 business days.
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To request a PIN, please call your Health Plan service representative to complete the Employer Group Super User Registration form. Once this form is completed and returned to the Health Plan, we will send you an e-mail with your PIN (usually within 2 business days).
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Go to the Home Page. Click on the User Registration button on the left-hand side of your screen. You will be asked to select your affiliation with the Health Plan. Please click on Employer. A registration form will appear. Please fill in all required fields on the registration form: your Health Plan group number, your company zip code and your Personal Identification Number. Click Register. After all required fields are entered and submitted, you will be taken to our terms and conditions section. Once you accept them, you can choose a user name and password. On the profile screen, you will need to pick a challenge question. The challenge question will help out later if you forget your password.
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Go to the Home Page. Click on the User Registration button on the left-hand side of your screen. You will be asked to select your affiliation with the Health Plan. Please click on Broker. A registration form will appear. Please fill in all required fields on the registration form: your PA Producer License number, your agency zip code, and the last 4 digits of your Social Security Number. Click Register. After all required fields are entered and submitted, you will be taken to our terms and conditions section. Once you accept them, you can choose a user name and password. On the profile screen, you will need to pick a challenge question. The challenge question will help out later if you forget your password. A confirmation letter will be sent to you via U.S. Mail. You can expect to receive it within 5 to 7 business days.
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Yes, if you would like to access both the secured provider and member sections you will need to register for each section separately.
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At this point in time, you will not be able to change your user name, until further notice. We do ask that if you recently changed your name, please be sure to contact your customer service representative (an 800-number is located on the back of your member ID card) to notify the Plan of the change.
When you log-in to the Web site, however, be sure to use the user name that you chose initially. You can update some information in your profile screen, (which is the greeting that appears when you login and your E-mail address). We thank you for your patience.
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If you cannot remember your password you will get three attempts until the site will lock you out. (Refer to Help! I'm having problems logging in). Before that happens you can pick a new password. Click here to go to the Forgot Your Password screen. Choose your affiliation with the Plan. Enter the information you did when you initially registered. (Refer to Registration /Log-in How do I register?) You will see your user ID and the challenge question you picked at registration. Answer the challenge question correctly and you will be able to pick a new password. Verify the new password. If you cannot remember the answer to the challenge question you picked click here to report that you have forgotten your password.
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If you are having problems logging in, you can E-mail a brief description of the problem by clicking here. Please note that if you are logging in with an invalid password, you will be allowed three attempts before you will be locked out. If you have already tried to log-in three times unsuccessfully, please click here to fill out a form to have your account unlocked. If you are having problems registering, you should notify us to verify that the information you are entering matches the information in our database.
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Confidentiality & Web Security
- Is E-mail safe?
- Is the information I provide in an E-mail confidential?
- Is your Web site secured?
- How long can I stay logged on in a secured section?
- I received a GHP secure e-mail message. How do I retrieve it?
E-mail is a great communication tool, but the Health Plan cannot guarantee the security of E-mail transmitted over the Internet. While we encourage you to ask questions about Geisinger Health Plan or request information, we urge you not to submit personal health information via E-mail at this time. We offer secured messaging in the password-protected sections of our Web site that is not transmitted over the Internet.
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If you choose to use E-mail as a communication tool, please be aware that the Health Plan cannot guarantee the security of E-mail transmitted over the Internet. We will not communicate members' personal health information via E-mail. We offer secured messaging in the password-protected sections of our Web site that is not transmitted over the Internet. We encourage you to refer to Terms of Use and Privacy Policy/HIPAA, both are located at the bottom of this screen.
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For your protection, we have upgraded security on our Web site. Some features on our site require 128-bit encryption, which is the highest level of protection to ensure the security of transmitted information. Therefore, if you'd like to upgrade your browser, you may do so, by clicking the appropriate icon below.
If you do not wish to upgrade your browser, you can still view information on the General Access section of the home page.
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After 30 minutes with no activity, security measures will prompt the site to automatically logout the user. Activity means you must be clicking from page to page. (Note: Typing information into a form does not constitute activity.)
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All outbound e-mail is screened by Zix software for potential confidential information or protected health information (PHI). If you have received a secure e-mail message, please click here for the steps needed to retrieve it. For Customer Support, send an e-mail to support@zixcorp.com.
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Updating Personal Information
- How do I change my E-mail address?
- How do I change my challenge question?
- How do I change my password?
To change your E-mail address you log in using your user name and password. Click on the Profile button on the left-hand side of the screen. Then, click on Change E-mail. Enter your new E-mail address. Click submit.
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To change your challenge question log in using your user name and password. Click on the Profile button on the left-hand side of the screen. In the body of the text you will see challenge information and an edit button. Click on Edit and you will be able to change your challenge question, type in your answer. Click update. (Remember - you will need to answer this challenge question in order to be able to change your password if you forget it.)
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To change your password log in using your user name and password. Click on the Profile button on the left-hand side of the screen. Click on Change Password. Enter your new password and verify. Click submit.
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Members
- I lost my member ID card. Can I request a new one?
- I'm a member, where can I mail a claim form if I receive one in the mail?
- I received a monthly premium payment bill in the mail. Where do I mail my payment?
Yes, if you are a registered user. Log-in to the member section, and click on Request ID Card on the left-hand side of your screen, under Service Center. A request form will appear. Please fill in all required fields. After you submit your request, you should expect to receive your new member ID card in the mail within 7 to 10 business days.
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Claims may be mailed to this address:
Geisinger Health Plan
P.O. Box 8200
Danville, PA 17821-8200
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If you are not covered through your employer and are responsible for paying your monthly premium, the easiest way to make payments is to use our online Premium Payment tool. Register or login to the secured member section and click on the "Premium Payment" link. You can choose a recurring monthly payment or a one time payment by using a credit card or bank account.
You can also pay your premium over the phone by calling the Customer Service Team at the phone number found on the back of your ID Card.
If you prefer to mail your payment, please select the correct address from the list below. If you're unsure of the name, it can be found on the front of your ID card.
| If your plan is: | Mail your payment to: |
| Geisinger Health Plan Geisinger Gold Classic |
Geisinger Health Plan P.O. Box 827502 Philadelphia, PA 19182-7502 |
|
Geisinger Gold Open Geisinger Gold Preferred Geisinger Gold Reserve Geisinger Gold Rx Geisinger Gold Secure |
Geisinger Indemnity Insurance Co. P.O. Box 822242 Philadelphia, PA 19182-2242 |
| Geisinger Choice | Geisinger Quality Options, Inc. P.O. Box 822476 Philadelphia, PA 19182-2476 |
- How do I find out if my prescription drugs are covered?
Click on the Find Covered Drugs button on the left-hand side of your screen. Then, type in either the drug name or search by the member category drop-down listing which lists all covered brand and generic drugs in that category in alphabetical order. - How can I search for a participating provider on your Web site?
You can search for a provider even if you are not a registered user. Go to the Home Page, and click on Find Doctors on the left-hand side of your screen. You will be able to search for participating primary care providers (PCP), specialists, behavioral health providers, as well as participating hospitals and pharmacies. You may also enter your zip code and the radius in miles that you are willing to travel, so that you can select a provider that is close to your home or work. If you are looking for a specific doctor, you will also be able to search by name.
NOTE: If you are looking for a specialist, in most cases, a referral for a specialist must be obtained by your primary care physician (PCP). - What is the Accessories Program and how do I access it?
The Accessories Program offers members access to a variety of discounted, health related products and services. Log-in to the member or employer section and click on Accessories Program under Health & Wellness on the left-hand side of your screen. Then, click on the accessories program you're interested in. Click go. You may be linked to an external web site. If so, a warning screen will indicate you're leaving the GHP site. Just close the window and you will see the new site which explains the discount or, provides a search for locations close to your work or home. When you are finished viewing the site just close the window and you will be back at the Health Plan site again. Remember, after 30 minutes with no activity, security measures will require you to log in again. - Do you offer Conversion plans?
Yes, if you are no longer covered under your employer-sponsored plan, you can convert to individual coverage. Click here for more information.
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Health Plan Providers
- I'm a participating provider. Why should I register?
If you are a registered user you will be able to access all of this information: the Quality Summary program, provider guides, operational bulletins, newsletters, care coordination information (including clinical guidelines), provider searches and the provider formulary. Go to the Home Page to log-in. Look on the left-hand side of the screen and buttons for all of these topics will be there. You will also see a button to change your user profile here.
Click here to view the information available to providers without logging in. - I'm a provider, how do I find out if a prescription drug is on the formulary?
Click here to view the Provider Formulary Search. Then, type in either the drug name or search by the therapeutic category or therapeutic sub-category drop-down listings to see if the prescription drugs are covered. Be sure to verify the spelling of the drug as you may not obtain an existing match on drugs spelled incorrectly. Please note: Certain prescription drugs listed in this formulary may not be covered for all members. A member's prescription drug benefits are dependent upon the coverage selected by the member or the member's employer. - I'm a pharmacist, how do I submit a Medicare Part D claim for Geisinger Gold members?
For Geisinger Gold members who have Medicare Part D prescription drug coverage, please use NCPDP version 5.1 and provide the following required information for each claim submitted:
If your system requires that a group number be submitted, please us the PCN in this field.
Processor Control Number (PCN): 03640000
BIN: 012353
Enter the Member ID number. (Click here to view a sample ID card.)
Pharmacy's Usual & Customary Price (U&C)
Physician's DEA Number
Date of Birth
Important: Carrier Code is required for claims submission. Chains please provide stores with the appropriate Carrier Code.
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Employers
- I'm an employer super user. How do I add additional users?
To add or terminate users of the secured Employers section for your company, login to the employer section and click on the Manage Web Access button. For detailed information, please click here to view our Employer Web Manual.
Brokers
- I'm an appointed broker. May I request sales literature?
Yes. Login to the secured Brokers section. Then, click on Sales Literature and Forms Request. An order form will appear. Please fill in all required fields and submit order. Your order will be forwarded to our Broker Department and will be filled as quickly as possible.
Requesting Information
- I am not a member of the Plan, but I'd like some information.
Click here for coverage information for individuals and families. For general information about the Plan, click on About GHP or call (800) 631-1656 and a representative will help to answer any of your questions. Thank you!
If you are no longer covered under your employer-sponsored plan, you can convert to individual coverage. Click here for more information.
