Geisinger Health Plan Insurance Review & Ratings (2024)

Geisinger Health Plan is a non-profit health insurance company that offers a variety of health insurance products in Pennsylvania and parts of New Jersey. The company has a strong focus on providing affordable, high-quality healthcare to its customers, with a network of more than 31,000 healthcare providers and facilities in Pennsylvania.

Geisinger Health Plan offers a range of health insurance products, including HMO, PPO, EPO, and Medicare Advantage plans, as well as dental and vision plans.

While Geisinger Health Plan has received a mix of positive and negative reviews from customers, many customers have praised the company’s large network of providers and facilities, as well as its emphasis on wellness and prevention. Some customers have noted issues with claims processing and difficulty finding in-network providers, but individual experiences can vary widely.

What You Should Know About Geisinger Health Plan Insurance

Welcome to our comprehensive guide on Geisinger Health Plan Insurance. In this article, we will provide you with valuable information and insights about Geisinger Health Plan Insurance, including coverage options, customer reviews, and available discounts. We will delve into key topics such as overall satisfaction, claims process, cost, and billing.

• Geisinger Health Plan has a strong focus on improving the health and wellbeing of its customers. The company offers a range of wellness programs, such as health coaching and disease management, to help customers live healthier lives.
• The company has been recognized for its commitment to quality care. Geisinger Health Plan has received numerous awards for its customer service, health plan quality, and member satisfaction.
• Geisinger Health Plan offers a variety of insurance products to meet the needs of its customers. Whether you’re an individual looking for a basic plan or a family in need of comprehensive coverage, Geisinger Health Plan has a plan that can meet your needs.

To ensure you find the best insurance rates and coverage for your needs, we encourage you to enter your zip code and compare quotes from top insurance providers. Don’t miss out on the opportunity to make an informed decision and secure the right health insurance for you and your family.

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Geisinger Health Plan Insurance History and Mission

Geisinger Health Plan was established in 1985 as a part of Geisinger Health System, a non-profit health system based in Danville, Pennsylvania. The Geisinger Health System was founded in 1915 by Abigail Geisinger, who wanted to create a hospital that would provide high-quality healthcare to the rural population of Pennsylvania.

Today, Geisinger Health System is one of the largest healthcare providers in the region, with over 32,000 employees and a network of 13 hospital campuses, 2 research centers, and over 500 primary and specialty care clinics. Geisinger Health Plan’s mission is to provide affordable and comprehensive healthcare to its customers while also improving their overall health and wellbeing.

The company operates under the belief that health insurance should be more than just a financial transaction. Geisinger Health Plan is committed to building relationships with its customers and working with them to improve their health and wellbeing. The company’s focus on preventative care and wellness programs is a testament to its commitment to improving the overall health of its customers.

Geisinger Health Plan’s mission is reflected in its core values, which include:

• Kindness: Treating customers, employees, and partners with kindness and compassion.
• Excellence: Striving for excellence in everything the company does, from customer service to medical care.
• Learning: Embracing a culture of continuous learning and improvement.
• Innovation: Embracing new ideas and technologies to improve healthcare and customer experience.
• Community: Investing in the communities it serves and working to improve the health and wellbeing of its residents.

Geisinger Health Plan Insurance Coverage Options

Geisinger Health Plan offers a range of health insurance products and services to individuals, families, and employers in Pennsylvania and parts of New Jersey. Here are the main products and services offered by Geisinger Health Plan:

• Individual and family health insurance plans: Geisinger Health Plan offers a variety of health insurance plans for individuals and families, including HMO, PPO, and EPO plans. These plans cover a range of medical services, including hospitalization, emergency care, primary care, and specialist visits. Some plans also cover prescription drugs, dental, and vision care.
• Medicare advantage plans: Geisinger Health Plan offers several Medicare Advantage plans that provide comprehensive medical coverage, including hospitalization, doctor visits, prescription drugs, and other services. These plans also offer additional benefits, such as wellness programs, fitness benefits, and transportation services.
• Medicaid plans: Geisinger Health Plan offers several Medicaid plans that provide medical coverage to eligible individuals and families. These plans cover a range of medical services, including doctor visits, hospitalization, prescription drugs, and other services.
• Employer health plans: Geisinger Health Plan offers a range of employer health plans, including HMO, PPO, and EPO plans. These plans can be customized to meet the needs of individual employers and their employees. They offer comprehensive medical coverage, as well as additional benefits, such as wellness programs and fitness benefits.
• Behavioral health services: Geisinger Health Plan also offers behavioral health services, including mental health and substance abuse treatment. These services are covered under most of its health insurance plans, and the company has a network of mental health professionals and facilities to provide these services.

States Where Geisinger Health Plan Insurance Is Available

Geisinger Health Plan offers health insurance products in Pennsylvania and parts of New Jersey. Geisinger Health Plan is one of the largest health insurers in Pennsylvania, with a network of more than 31,000 healthcare providers and facilities in the state.

In Pennsylvania, Geisinger Health Plan offers a variety of health insurance products, including HMO, PPO, EPO, and Medicare Advantage plans, as well as dental and vision plans. Geisinger Health Plan’s health insurance products are available to individuals, families, and businesses.

In New Jersey, Geisinger Health Plan offers Medicare Advantage plans with prescription drug coverage. These plans are available in select counties in the state.

To locate the states where Geisinger Health Plan insurance is available, follow these five steps:

• Go to Geisinger Health Plan’s website.
• Click on the “Plans” tab at the top of the page.
• Click on the type of plan you are interested in, such as “Individual & Family Plans” or “Medicare Plans.”
• Click on the “Coverage Area” link to see a map of the states where the plan is available.

Hover over the state you are interested in to see the counties where Geisinger Health Plan is offered.

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Geisinger Health Plan Insurance Rates Breakdown

The cost of Geisinger Health Plan’s insurance products varies depending on the specific plan, coverage level, and location. Here are some factors that can affect the cost of Geisinger Health Plan insurance:

• Type of plan: The cost of Geisinger Health Plan insurance varies depending on the type of plan chosen, such as HMO, PPO, EPO, or Medicare Advantage plans. Generally, HMO plans are more affordable than PPO and EPO plans, but they also have more limited provider networks.
• Coverage level: The level of coverage also affects the cost of Geisinger Health Plan insurance. Plans with higher deductibles and out-of-pocket maximums typically have lower monthly premiums, while plans with lower deductibles and out-of-pocket maximums have higher premiums.
• Age: The age of the individual or family also affects the cost of Geisinger Health Plan insurance. Generally, older individuals and families may pay more for health insurance, as they are more likely to need medical care.
• Location: The cost of Geisinger Health Plan insurance also varies depending on the location of the individual or family. Geisinger Health Plan offers insurance products in Pennsylvania and parts of New Jersey, and the cost of insurance can vary by region.

Geisinger Health Plan Insurance Discounts Available

Geisinger Health Plan offers a variety of discounts and programs to help customers save money on their health insurance premiums. Here are some of the discounts and programs available:

• Healthy rewards program: Geisinger Health Plan’s Healthy Rewards program is a wellness program that rewards customers for participating in healthy activities, such as completing a health risk assessment, getting a flu shot, and participating in a weight management program. Customers can earn up to $150 in rewards each year.
• Fitness discounts: Geisinger Health Plan offers discounts on gym memberships and fitness programs through its Healthy Rewards program. Customers can save up to 50% on the cost of fitness memberships and programs.
• Safe driver discount: Geisinger Health Plan offers a safe driver discount to customers who complete a defensive driving course or have a good driving record. Customers can save up to 10% on their auto insurance premiums.
• Multi-policy discount: Geisinger Health Plan offers a multi-policy discount to customers who have more than one insurance policy with the company, such as health and dental insurance. Customers can save up to 10% on their insurance premiums.
• Family discount: Geisinger Health Plan offers a family discount to customers who enroll multiple family members in the same health insurance plan. Customers can save up to 5% on their insurance premiums.

Geisinger Health Plan Insurance – Streamlined Claims Process

Ease of Filing a Claim

Geisinger Health Plan Insurance offers multiple convenient options for filing claims. Customers can file claims online through the company’s website, over the phone with the help of customer service representatives, or even via mobile apps for added convenience. This flexibility in the claims filing process ensures that policyholders can choose the method that suits them best.

Average Claim Processing Time

The average claim processing time with Geisinger Health Plan Insurance is an essential factor for customers. The company aims to streamline the claims process to minimize delays and provide quick resolutions. However, specific processing times may vary depending on the complexity of the claim and the required documentation. Policyholders can inquire about the estimated processing time when filing a claim.

Customer Feedback on Claim Resolutions and Payouts

Customer feedback is invaluable in assessing the effectiveness of an insurance company’s claims process. Geisinger Health Plan Insurance values customer satisfaction and strives to provide fair and prompt claim resolutions. Customer reviews and ratings on their experiences with claim resolutions and payouts can provide valuable insights into the company’s performance in this critical aspect of insurance service.

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Unleashing Innovation With Geisinger Health Plan Insurance Digital and Technological Features

Mobile App Features and Functionality

Geisinger Health Plan Insurance offers a mobile app that provides policyholders with convenient access to their insurance information. This app may include features such as the ability to view policy details, track claims, make premium payments, and even locate in-network healthcare providers. The functionality and user-friendliness of the mobile app play a significant role in enhancing the customer experience.

Online Account Management Capabilities

Online account management is a crucial feature for modern insurance customers. Geisinger Health Plan Insurance’s online portal allows policyholders to manage their accounts easily. This includes tasks such as updating personal information, reviewing policy documents, and making changes to coverage options. The availability and usability of these online tools contribute to a seamless customer experience.

Digital Tools and Resources

In today’s digital age, insurers often provide additional digital tools and resources to assist policyholders in making informed decisions about their health insurance. Geisinger Health Plan Insurance may offer resources like health and wellness information, cost calculators, and provider directories. These tools aim to empower customers with the knowledge and resources they need to make the most of their insurance coverage.

How Geisinger Health Plan Insurance Ranks Among Providers

Geisinger Health Plan has received a mix of positive and negative reviews from customers. Here is an overview of what customers are saying about the company’s strengths and weaknesses:

Strengths:

• Many customers have praised Geisinger Health Plan for its large network of providers and facilities, which makes it easy to find a doctor or hospital in their area.
• Some customers have noted that the company’s customer service is responsive and helpful in resolving issues and answering questions.
• Customers appreciate the company’s emphasis on wellness and prevention, as well as its rewards program that incentivizes healthy behaviors.

Weaknesses:

• Some customers have reported issues with the company’s claims processing, with delays and denials of claims being a common complaint.
• A few customers have reported difficulty finding in-network providers or facilities, despite the company’s large network.
• A small number of customers have reported issues with the company’s billing and payment processes.

Geisinger Health Plan Ratings and Consumer Reviews

Geisinger Health Plan has a D- rating with the Better Business Bureau (BBB). The BBB bases its ratings on complaints filed with the company and how the company responds. A D- is not a good rating, but it appears that several of the complaints against GHP consist of problems that aren’t directly Geisinger’s fault.

On the other hand, the Geisinger Health Plan won a 2021 J.D. Power award for the best Pennsylvania health plan in customer satisfaction. J.D. Power is a global leader in consumer insights, so an award from them is a big deal. They’ve also won several awards from the Business Group on Health for excellence in health and well-being.

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How to Contact GHP

Geisinger wants it to be easy for its consumers to purchase insurance policies, locate providers in their network, and pay their bills. Contacting Geisinger Health Plan is relatively simple. There are several ways to get in touch with a representative. You can call the main Geisinger Health Plan phone number at (800) 275-6401, or write to them at their headquarters in Danville. Just address the envelope to Geisinger at 100 North Academy Avenue in Danville, Pennsylvania 17822. If you want to contact them online, you can navigate an easy-to-use digital FAQ.

Geisinger Health Plan: The Bottom Line

GHP is a health insurance company that started small in rural Pennsylvania but now serves over half a million customers on the east coast. Geisinger offers health plans for all situations, whether it’s a Medicare Advantage policy for someone over 65, or for children. Plus, there are free benefits for all policyholders. While the company has less than favorable reviews from the BBB, it has won an award from J.D. Power for customer satisfaction. And it’s easy to get in contact with Geisinger, too.

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