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.
- Geisinger Health Plan HMO / Solutions
- Geisinger Health Options (TPA)
- Geisinger Gold
- Geisinger Choice PPO with Referral
- Geisinger Choice PPO with No Referral
- Behavioral Health for HMO
- TTY/TDD for the hearing impaired (all products)
(800) 447-4000 or (570) 271-8760
Monday-Friday, 8 a.m. to 6 p.m.
(800) 504-0443 or (570) 271-8770
Monday-Friday, 8 a.m. to 5 p.m.
(800) 498-9731 or (570) 271-8771
Monday-Friday, 8 a.m. to 5 p.m.
(800) 447-4000 or (570) 271-8760
Monday-Friday, 8 a.m. to 6 p.m.>
(800) 504-0443 or (570) 271-8770
Monday-Friday, 8 a.m. to 5 p.m.
Mental health and substance abuse services for the above product lines are required to be coordinated through Optum Health Behavioral Solutions at (888) 839-7972.
711
Monday-Friday, 8 a.m. to 4:30 p.m.
Service Areas
Review counties where our health care plans are available.
