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Member Cost Sharing

A member's financial liability for certain covered services may be determined by reviewing his/her Geisinger Health Plan insurance card.

Click here to access member cost-sharing information tools.

When a member's benefit structure denotes financial liability in the form of a copayment, such liability typically applies to evaluation and management (E&M) services performed in the following setting: office, consultation, preventive medicine and emergency department.

Additionally, certain members may have a per day or per visit copayment responsibility for certain outpatient rehabilitative services, outpatient radiology tests, home health services, ambulance services and outpatient surgery.

Providers should contact the applicable Customer Service Team and review the Health Plan's Explanation of Payment (EOP) to appropriately determine a member's financial liability.

Customer Service Contacts

If you need information or have questions, please contact the appropriate Customer Service Team and review the Health Plan's Explanation of Payment (EOP) to appropriately determine a member's financial liability.

Service Areas

Review counties where our health care plans are available.

For Participating Provider Offices

Please login to the secured Provider Manager section to view Member eligibility, see claims status, find pre-certification information, and more.