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Geisinger Quality Options

Geisinger Health Plan: A Choice for the Better

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.

Headquarters

Danville, Pennsylvania

Regional Sales Offices

Danville, Moosic, State College, Wilkes-Barre

Membership: 209,183 *
Participating Hospitals: 74 *
Primary Care Sites: 1,091 *
Primary Care Physicians: 2,736 *
Specialists: 13,614 *

* as of 6/30/07

Geisinger Quality Options Health Plans in Pennsylvania




Service Area

Adams, *Bedford, Berks, Blair, Bradford, Cambria, Cameron, Carbon, Centre, Clearfield, Clinton, Columbia, *Cumberland, Dauphin, *Elk, Huntingdon, Jefferson, Juniata, Lackawanna, Lancaster, Lebanon, Lehigh, Luzerne, Lycoming, Mifflin, Monroe, Montour, Northumberland, Northampton, *Perry, Pike, Potter, Schuylkill, Somerset, Snyder, Sullivan, Susquehanna, Tioga, Union, Wayne, Wyoming, York

*Denotes partial counties

History

A rural, prepaid Health Plan was offered as a pilot program in 1972 to Geisinger Medical Center employees and residents of the five-counties that surrounded the hospital. The five counties included Montour, Columbia, Northumberland, Snyder and Union. In 1985, the Health Plan received its Certificate of Authority to operate an HMO under the authority of the Pennsylvania Health Maintenance Act of 1973. The Health Plan had a significant premium advantage during the period of escalating health-care costs in the 1980s and '90s. Membership grew rapidly, and in 1990, the Health Plan reached its 100,000-member milestone.

Geisinger Health Plan offers coverage for businesses of all sizes, individuals and families, and Medicare beneficiaries. PPO and high deductible plans are sold through Geisinger Quality Options, Inc. Self-funded and indemnity plans are sold through Geisinger Indemnity Insurance Company.

Products

>HMO coverage for groups

>PPO coverage for groups and individuals

>a small business plan

>high deductible health plans with or without a health savings account

>Medicare Advantage products with prescription drug options, Geisinger Gold

>stand-alone Medicare prescription drug plan

>a third-party administrator (TPA) service, Geisinger Health Options, for self-funded employers

>a fully insured point-of-service (POS) product

>Geisinger Indemnity Insurance Company (GIIC) for employers who want to provide coverage options for employees who reside outside of the Health Plan's service area.

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