Geisinger Gold Heritage (HMO)
Pennsylvania Medicare Advantage Plan (2024 Plan)
Monthly Premium
Additional Coverage
Overall Government Star Rating
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Plan Overview
Geisinger Gold Heritage (HMO) is a Medicare Advantage Plan Without Prescription Drugs, which is available in Pennsylvania and offered by the health insurance company Geisinger Gold. This plan’s network type is HMO which determines in-network doctors who accept the health plan and whether a referral is needed.
Cost Summary
Geisinger Gold Heritage (HMO) has a monthly premium cost of $0 per month, with an annual deductible of $0 and a maximum out of pocket cost sharing of $6,700 In-network. The most common benefit costs which people evaluate when choosing a plan are costs for a primary doctor visit, specialist doctor visit, emergency room visit, and ambulance. These costs are listed in this summary section and a full list of benefit costs for Geisinger Gold Heritage (HMO) are defined below.
Additional Benefits and Coverage
Geisinger Gold Heritage (HMO) is a Medicare Advantage plan which does not include Medicare Part D Prescription Drug coverage. Other common benefits included with Medicare Advantage plans are coverage for dental, vision, and hearing. Geisinger Gold Heritage (HMO) includes coverage for hearing, vision, dental.
Medicare Advantage health plans can offer even more additional benefits. Geisinger Gold Heritage (HMO) includes coverage for the following additional benefits:
Other benefits
Comparing the Quality Score of Geisinger Gold Heritage (HMO) to Other Plans in Pennsylvania
Each year the federal government evaluates the quality of Medicare Advantage and Part D Prescription Drug plans based on a 5-star scoring system. For 2024, Geisinger Gold Heritage (HMO) received an overall government quality rating of 4.0 stars out of 5 stars.
Geisinger Gold Heritage (HMO) performed worse than Pennsylvania’s State average overall quality score of 4.2 stars.
The government calculates an “Overall star rating” based on ratings for sub components including “Health plan star rating” and “Drug plan star rating”, which includes further subcomponents of each.
Geisinger Gold Heritage (HMO) received 4 stars for its health plan quality score which is worse than the Pennsylvania State average health plan quality score of 4.1 stars.
Plan Benefits and Coverage Details
Medical Benefits
Doctor Services
Tests, labs, & imaging
Hospital Services
$0 per day for days 6 through 90
Skilled nursing facility
$160 per day for days 21 through 62
$0 per day for days 63 through 100
Preventive services
Ambulance
Therapy services
Mental health services
Opioid treatment services
Other services
Prescription Drug Benefits
Tier drug costs for: Standard retail pharmacy drug cost for 1-month
Part B Drugs
Extra Benefits
Hearing
Preventive Dental
Comprehensive dental
Vision
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