Geisinger - Geisinger Marketplace HMO 20/40/3000

Pennsylvania, 2017

  • Plan Type

    HMO

  • Metal Tier

    Gold

  • Out of Pocket Maximum

    $4,000

  • Deductible

    $3,000

Enroll Now
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Call (855) 866-5590 to speak with a licensed agent about a new health plan.

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Cost Sharing Benefits (In Network)

Policyholders are generally responsible for 100% of costs until the deductible amount is met. After the deductible has been met the policyholder is responsible for the coinsurance / copay until the out of pocket maximum is reached at which point the insurance company assumes 100% of all costs.

Deductible (Individual) $3,000
Deductible (Family) $6,000
Coinsurance Not applicable
Out of Pocket Maximum (Individual) $4,000
Out of Pocket Maximum (Family) $8,000

Doctor Visits

Primary Care Visit Data Not Available
Specialist Visit Data Not Available
Inpatient Facility $250 Copay per stay after deductible
Inpatient Physician No charge
Emergency Room Services Data Not Available

Tests and Imaging

Imaging (CT/PET Scans, MRIs) Data Not Available
Laboratory Outpatient and Professional Services Data Not Available
X-Ray and Diagnostic Imaging Data Not Available

Health Management Programs

Asthma Available
Depression Not available
Diabetes Available
Heart Disease Available
High Blood Pressure / High Cholesterol Available
Lower Back Pain Not available
Pain Management Not available
Pregnancy Not available
Weight Loss Not available

Other

Mental / Behavioral Health Inpatient $250 Copay per stay after deductible
Mental / Behavioral Health Outpatient Data Not Available
Rehabilitative Speech Therapy Data Not Available
Rehabilitative Occupational & Physical Therapy Data Not Available
Outpatient Facility No charge
Outpatient Surgery No charge

Prescription Drugs

Generic Rx Data Not Available
Preferred Brand Rx Data Not Available
Non Preferred Brand Rx Data Not Available
Specialty Drugs

Other Plans in Pennsylvania

Plan Geisinger Marketplace HMO 30/60/3500 Deductible $3,500 Coinsurance Not applicable Out of Pocket $7,150
Plan Geisinger Marketplace Value Deductible $7,150 Coinsurance Not applicable Out of Pocket $7,150
Plan Geisinger Marketplace HMO 20/40/3000 Deductible $3,000 Coinsurance Not applicable Out of Pocket $4,000
Plan Geisinger Marketplace Value Deductible $7,150 Coinsurance Not applicable Out of Pocket $7,150
Plan Geisinger Marketplace HMO 30/60/3500 Deductible $3,500 Coinsurance Not applicable Out of Pocket $7,150
Plan Geisinger Marketplace HMO 30/60/3500 Deductible $3,500 Coinsurance Not applicable Out of Pocket $7,150
Plan Geisinger Marketplace Value Deductible $7,150 Coinsurance Not applicable Out of Pocket $7,150
Plan Geisinger Marketplace HMO 20/40/3000 Deductible $3,000 Coinsurance Not applicable Out of Pocket $4,000
Plan Geisinger Marketplace Value Deductible $7,150 Coinsurance Not applicable Out of Pocket $7,150
Plan Geisinger Marketplace HMO 30/60/3500 Deductible $3,500 Coinsurance Not applicable Out of Pocket $7,150
Plan Geisinger Marketplace HMO 20/40/3000 Deductible $3,000 Coinsurance Not applicable Out of Pocket $4,000
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Cost Sharing Benefits (In Network)

Policyholders are generally responsible for 100% of costs until the deductible amount is met. After the deductible has been met the policyholder is responsible for the coinsurance / copay until the out of pocket maximum is reached at which point the insurance company assumes 100% of all costs.

Deductible (Individual) $3,000
Deductible (Family) $6,000
Coinsurance Not applicable
Out of Pocket Maximum (Individual) $4,000
Out of Pocket Maximum (Family) $8,000

Doctor Visits

Primary Care Visit Data Not Available
Specialist Visit Data Not Available
Inpatient Facility $250 Copay per stay after deductible
Inpatient Physician No charge
Emergency Room Services Data Not Available

Tests and Imaging

Imaging (CT/PET Scans, MRIs) Data Not Available
Laboratory Outpatient and Professional Services Data Not Available
X-Ray and Diagnostic Imaging Data Not Available

Health Management Programs

Asthma Available
Depression Not available
Diabetes Available
Heart Disease Available
High Blood Pressure / High Cholesterol Available
Lower Back Pain Not available
Pain Management Not available
Pregnancy Not available
Weight Loss Not available

Other

Mental / Behavioral Health Inpatient $250 Copay per stay after deductible
Mental / Behavioral Health Outpatient Data Not Available
Rehabilitative Speech Therapy Data Not Available
Rehabilitative Occupational & Physical Therapy Data Not Available
Outpatient Facility No charge
Outpatient Surgery No charge

Prescription Drugs

Generic Rx Data Not Available
Preferred Brand Rx Data Not Available
Non Preferred Brand Rx Data Not Available
Specialty Drugs

Other Plans in Pennsylvania

Plan Geisinger Marketplace HMO 30/60/3500 Deductible $3,500 Coinsurance Not applicable Out of Pocket $7,150
Plan Geisinger Marketplace Value Deductible $7,150 Coinsurance Not applicable Out of Pocket $7,150
Plan Geisinger Marketplace HMO 20/40/3000 Deductible $3,000 Coinsurance Not applicable Out of Pocket $4,000
Plan Geisinger Marketplace Value Deductible $7,150 Coinsurance Not applicable Out of Pocket $7,150
Plan Geisinger Marketplace HMO 30/60/3500 Deductible $3,500 Coinsurance Not applicable Out of Pocket $7,150
Plan Geisinger Marketplace HMO 30/60/3500 Deductible $3,500 Coinsurance Not applicable Out of Pocket $7,150
Plan Geisinger Marketplace Value Deductible $7,150 Coinsurance Not applicable Out of Pocket $7,150
Plan Geisinger Marketplace HMO 20/40/3000 Deductible $3,000 Coinsurance Not applicable Out of Pocket $4,000
Plan Geisinger Marketplace Value Deductible $7,150 Coinsurance Not applicable Out of Pocket $7,150
Plan Geisinger Marketplace HMO 30/60/3500 Deductible $3,500 Coinsurance Not applicable Out of Pocket $7,150
Plan Geisinger Marketplace HMO 20/40/3000 Deductible $3,000 Coinsurance Not applicable Out of Pocket $4,000