Geisinger Health Plan

Questions? We have answers.

Here is a listing of the most commonly asked questions about our Web site. If you can't find the answer to your question here, please E-mail us by clicking here.

Registration/Log-in

Member FAQ's

Provider FAQ's

Employer FAQ's

Pharmacist FAQ's

Requesting Information

Confidentiality/Web Security

Updating Information

Registration/Log-in

I am a member of the Plan. How do I register?

Go to the Home Page. Click on the New User Registration button on the right-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.

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I am a participating provider. How do I register?

Go to the Home Page. Click on the New User Registration button on the right-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. 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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I am an employer. How do I request a Personal Identification Number?

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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I am an employer that has received my PIN. How do I register?

Go to the Home Page. Click on the New User Registration button on the right-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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I am an appointed broker for the Plan. How do I register?

Go to the Home Page. Click on the New User Registration button on the right-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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I am a provider and a member. Do I register twice?

Yes, if you would like to access both the secured provider and member sections you will need to register for each section seperately.

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I recently changed my name. Do I need to re-register?

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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I forgot my password. What should I do?

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 E-mail a brief description of the problem by clicking here to report that you have forgotten your password.

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Help! I'm having problems logging in.

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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Member FAQ's

I lost my member ID card. Can I request a new one?

Yes, if you are a registered user. Log-in to the member section, and click on Request ID Card on the right-hand side of your screen. 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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I'm a member, where can I mail a claim form if I receive one in the mail?

Claims may be mailed to this address:

Geisinger Health Plan
P.O. Box 8200
Danville, PA 17821-8200

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I'm a member, how do I find out if my prescription drugs are covered?

Log-in to the member section and click on the Formulary Search button on the right-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.

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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 Provider/Pharmacy Search on the navigation bar at the top 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).

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What is the accessories program and how do I access it?

The accessories program offers members of Geisinger Health Plan access to a variety of discounted, health related products and services. Log-in to the member or employer section and click on the Accessories button on the right-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.

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Provider FAQ's

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 right-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.

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I'm a provider, how do I find out if a prescription drug is on the formulary?

Log-in to the provider section and click on the Formulary Search button on the right-hand side of your screen. 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.

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What is the accessories program and how do I access it?

The accessories program offers members of Geisinger Health Plan access to a variety of discounted, health related products and services. Log-in to the member or employer section and click on the Accessories button on the right-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.

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Employer FAQ's

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.

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Pharmacist FAQ's

I'm a pharmacist, how do I submit a Medicare Part D claim for Geisinger Health Plan Gold members?

For Geisinger Health Plan member who have Medicare Part D prescription drug coverage, please use NCPDP version 5.1 and provide the following required information for each claim submitted:

Important: Carrier Code is required for claims submission. Chains please provide stores with the appropriate Carrier Code.

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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!

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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.

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Confidentiality/Web Security

Is E-mail safe?

E-mail as 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.

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Is the information I provide in an E-mail confidential?

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 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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Is your Web site secured?

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.

Get Internet Explorer 128-bit        Netscape Upgrade

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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How long can I stay logged on in a secured section?

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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I received a GHP secure e-mail message. How do I retrieve it?

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 Information

How do I change my E-mail address?

To change your E-mail address you log in using your user name and password. Click on the User Profile button on the right-hand side of the screen. Then, click on Change E-mail. Enter your new E-mail address. Click submit.

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How do I change my challenge question?

To change your challenge question log in using your user name and password. Click on the User Profile button on the right-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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How do I change my password?

To change your password log in using your user name and password. Click on the User Profile button on the right-hand side of the screen. Click on Change Password. Enter your new password and verify. Click submit.

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6171-6-a-r
6/20/06